Cochrane · systematic review · CD010494

Mobility training for increasing mobility and functioning in older people with frailty

Treacy, D, Hassett, L, Schurr, K, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 16.7%Low 4 · 33.3%Moderate 4 · 33.3%High 2 · 16.7%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Mobility training compared to control

Population: older people living in the community with frailty
6 questions
OutcomeEffectEvidenceStatus / GRADE
Mobility (SPPB from 0 to 12; a higher score indicates better mobility.)
Mobility training vs control
no estimate extracted12 studies · 1151 participantsHigh
Function (Barthel Index from 0 to 100; a higher score indicates better functioning.)
Mobility training vs control
no estimate extracted9 studies · 916 participantsModerate
Downgraded: inconsistency
Adverse events
Mobility training vs control
no estimate extracted2 studies · 225 participantsVery low
Downgraded: risk of bias, imprecision
Number of people who experienced 1 or more admissions to a nursing care facility
Mobility training vs control
no estimate extracted1 study · 241 participantsLow
Downgraded: risk of bias, imprecision
Number of fallers
Mobility training vs control
no estimate extracted2 studies · 425 participantsLow
Downgraded: risk of bias, imprecision
Death
Mobility training vs control
no estimate extracted6 studies · 747 participantsModerate
Downgraded: risk of bias

Mobility training compared to control: 6 months post‐intervention

Population: older people living in the community with frailty
2 questions
OutcomeEffectEvidenceStatus / GRADE
Mobility (A higher score indicates better mobility.)
Mobility training vs control: 6 months post‐intervention
no estimate extracted5 studies · 451 participantsModerate
Downgraded: risk of bias
Function (A higher score indicates better functioning.)
Mobility training vs control: 6 months post‐intervention
no estimate extracted3 studies · 278 participantsLow
Downgraded: risk of bias, inconsistency

Mobility training compared to control: subgroups with or without cognitive impairments

Population: older people living in the community with frailty
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mobility (A higher score indicates better mobility.)
Mobility training vs control: subgroups with or without cognitive impairments
no estimate extracted4 studies · 171 participantsLow
Downgraded: risk of bias, inconsistency
Function (A higher score indicates better functioning.)
Mobility training vs control: subgroups with or without cognitive impairments
no estimate extracted2 studies · 80 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Mobility (A higher score indicates better mobility.)
Mobility training vs control: subgroups with or without cognitive impairments
no estimate extracted8 studies · 967 participantsHigh
Function (A higher score indicates better functioning.)
Mobility training vs control: subgroups with or without cognitive impairments
no estimate extracted7 studies · 839 participantsModerate
Downgraded: risk of bias