{
  "schema_version": "chamgap-public-criteria-1.0",
  "title": "Supervised Nordic walking with poles × Motor-function improvement from the Nordic-walking program versus standard rehabilitation",
  "language": "en",
  "translation_date": "2026-10-21",
  "criteria_version": "1.0",
  "criteria_date": "2026-10-06",
  "condition_origin": "Chamgap's own application conditions",
  "method_sources": [
    {
      "id": "M03",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03",
      "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13",
      "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M04",
      "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04",
      "section": "§4.5, §4.6.1–4.6.3, MECIR C42",
      "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M08",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08",
      "section": "§8.1–8.2.3, Table 8.2.a",
      "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M15",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15",
      "section": "§15.2.4, §15.3.1–15.3.3",
      "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M19",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19",
      "section": "§19.1.2, §19.2.1–19.2.4",
      "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    }
  ],
  "status_dictionary": {
    "Partly verified": "Partial information from the stored summary is linked; detailed originals and content review remain incomplete.",
    "Unverified": "Required details cannot be established within the preserved scope. This does not establish absence of effects or studies, or safety.",
    "Review incomplete": "Review of existing content remains incomplete.",
    "Met": "This state is used only within the relevant conditions after material verification and content review. It was not automatically assigned in this work.",
    "Not reported": "Unreported within material actually read. Unread external material is not relabeled as unreported.",
    "Inaccessible": "This means actual access failure. External access was not attempted in this work, so this state was not assigned.",
    "Not applicable": "Used only with an application exception and reason based on the question scope.",
    "Conflicting data": "This requires actual comparison of materials; no new conflict judgment was made in this work.",
    "Insufficient evidence for the conditions": "This indicates gaps in additional material for the selected conditions. Unread material as a whole is not converted into an efficacy grade."
  },
  "requirements": [
    {
      "item_id": "N01",
      "question_type": "Evidence condition",
      "question": "Which program comparison does the question concern?",
      "needed": "Existing program question versus standard rehabilitation",
      "role": "Required",
      "role_reason": "Material on Existing program question versus standard rehabilitation is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Existing program question versus standard rehabilitation must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Original materials for the same population, program, comparator and endpoint are needed. The existing subclaim is retained without creating new clinical certification. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N02",
      "question_type": "Evidence condition",
      "question": "Which trial directly compared standard rehabilitation?",
      "needed": "Szefler-Derela's direct program comparison",
      "role": "Required",
      "role_reason": "Material on Szefler-Derela's direct program comparison is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Szefler-Derela's direct program comparison must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: The original paper, group programs, allocation and analysis denominators, and standard-rehabilitation session details are needed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N03",
      "question_type": "Evidence condition",
      "question": "What is the original UPDRS-III result?",
      "needed": "Primary endpoint and original group reductions",
      "role": "Required",
      "role_reason": "Material on Primary endpoint and original group reductions is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Primary endpoint and original group reductions must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Group baseline and follow-up values, score direction, analysis methods, between-group estimates and CIs, prespecified plans and denominators are needed. The difference between the medians is not calculated as a new effect. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N04",
      "question_type": "Evidence condition",
      "question": "Does a borderline P value establish size and precision?",
      "needed": "Effect estimates, CIs and the borderline signal",
      "role": "Required",
      "role_reason": "Material on Effect estimates, CIs and the borderline signal is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Effect estimates, CIs and the borderline signal must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Original estimates, CIs, distributions, tests and multiplicity procedures are needed. CIs and standard errors are not back-calculated, and the signal is not expanded into major recovery. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N05",
      "question_type": "Evidence condition",
      "question": "Can DGI also be called improved?",
      "needed": "Separate null DGI and UPDRS-III signal",
      "role": "Required",
      "role_reason": "Material on Separate null DGI and UPDRS-III signal is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Separate null DGI and UPDRS-III signal must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Original DGI tables, between-group effects and CIs, denominators and endpoint hierarchy are needed. A null result is not converted into proof of effect 0 or equivalence. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N06",
      "question_type": "Evidence condition",
      "question": "Are within-group improvement and added between-group effects the same?",
      "needed": "Before-and-after change and direct group comparisons",
      "role": "Required",
      "role_reason": "Material on Before-and-after change and direct group comparisons is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Before-and-after change and direct group comparisons must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: The between-group comparison definition, baseline imbalance, adjustment and denominators are needed. Before-and-after changes or within-group P values are not converted into direct superiority. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N07",
      "question_type": "Evidence condition",
      "question": "Is the program effect the effect of poles alone?",
      "needed": "Combined poles, walking, supervision and training dose",
      "role": "Required",
      "role_reason": "Material on Combined poles, walking, supervision and training dose is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Combined poles, walking, supervision and training dose must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Direct materials separating the pole component with walking controls matched for exercise dose, time, instruction and contact are needed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N08",
      "question_type": "Evidence condition",
      "question": "What supporting context does the Reuter trial provide?",
      "needed": "Selected functional measures with different controls and duration",
      "role": "Required",
      "role_reason": "Material on Selected functional measures with different controls and duration is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Selected functional measures with different controls and duration must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Original tables by comparator, all endpoints, effects and CIs, denominators and prespecified hierarchy are needed. The total sample is not used as the Nordic-group denominator. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N09",
      "question_type": "Evidence condition",
      "question": "How far can the Cugusi pilot be linked?",
      "needed": "Citation-only treadmill-pilot context",
      "role": "Required",
      "role_reason": "Material on Citation-only treadmill-pilot context is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Citation-only treadmill-pilot context must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: The pilot paper, control sessions, endpoints, denominators, effects and CIs, and cohort identity are needed. Values from other trials are not copied. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N10",
      "question_type": "Evidence condition",
      "question": "What limit does the null ordinary-walking result impose?",
      "needed": "Contrary evidence from another direct comparator",
      "role": "Required",
      "role_reason": "Material on Contrary evidence from another direct comparator is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Contrary evidence from another direct comparator must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Replication with the same comparator, endpoint and time point, plus original effects and CIs, is needed. The null result is not removed or simplified into automatic refutation of the standard-rehabilitation result. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N11",
      "question_type": "Evidence condition",
      "question": "Can all functional results be combined?",
      "needed": "Endpoint-specific directness, size and clinical importance",
      "role": "Required",
      "role_reason": "Material on Endpoint-specific directness, size and clinical importance is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Endpoint-specific directness, size and clinical importance must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Endpoint-specific tables, measures, denominators, time points, between-group CIs and meaningful-change criteria are needed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N12",
      "question_type": "Evidence condition",
      "question": "Can short-term results establish lasting benefit?",
      "needed": "Intervention duration versus post-training follow-up",
      "role": "Required",
      "role_reason": "Material on Intervention duration versus post-training follow-up is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Intervention duration versus post-training follow-up must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Long-term direct comparisons of the same program, post-training follow-up, maintenance training and denominators are needed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N13",
      "question_type": "Evidence condition",
      "question": "Are other reports added as independent replications?",
      "needed": "Same-question replication and report-to-trial links",
      "role": "Required",
      "role_reason": "Material on Same-question replication and report-to-trial links is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Same-question replication and report-to-trial links must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Report, institution, recruitment and participant links, and replication of the same standard-rehabilitation question, are needed. Unique trial and participant totals remain unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N14",
      "question_type": "Evidence condition",
      "question": "Which patients does the question concern?",
      "needed": "Detailed eligibility in mild-to-moderate Parkinson's disease",
      "role": "Required",
      "role_reason": "Material on Detailed eligibility in mild-to-moderate Parkinson's disease is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Detailed eligibility in mild-to-moderate Parkinson's disease must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Trial-specific diagnosis, stage, medication state, freezing, orthostatic hypotension, comorbidities and exclusions are needed. The scope is not expanded to severe disease or other patients. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N15",
      "question_type": "Evidence condition",
      "question": "Are actual training dose and supervision known?",
      "needed": "Sessions, frequency, intensity, pole fitting and adherence",
      "role": "Required",
      "role_reason": "Material on Sessions, frequency, intensity, pole fitting and adherence is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Sessions, frequency, intensity, pole fitting and adherence must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Trial-specific time, frequency, intensity, technique instruction, pole fitting, attendance and control exposure are needed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N16",
      "question_type": "Evidence condition",
      "question": "Are all active exercise controls equivalent?",
      "needed": "Standard rehabilitation, walking, treadmill, flexibility and relaxation",
      "role": "Required",
      "role_reason": "Material on Standard rehabilitation, walking, treadmill, flexibility and relaxation is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Standard rehabilitation, walking, treadmill, flexibility and relaxation must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Comparator-specific content, exercise dose, contact time and supervision are needed. Estimates from different comparisons are not copied or pooled. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N17",
      "question_type": "Evidence condition",
      "question": "Were medication, medication timing and concurrent rehabilitation matched?",
      "needed": "Group-specific concurrent care and medication state",
      "role": "Required",
      "role_reason": "Material on Group-specific concurrent care and medication state is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Group-specific concurrent care and medication state must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Group medications, concurrent exercise and rehabilitation, medication timing, changes and withdrawal reasons are needed. Missing records are not treated as matched care. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N18",
      "question_type": "Evidence condition",
      "question": "How do total samples differ from analysis denominators?",
      "needed": "Allocated, completed and endpoint-specific analysis samples",
      "role": "Required",
      "role_reason": "Material on Allocated, completed and endpoint-specific analysis samples is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Allocated, completed and endpoint-specific analysis samples must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Group allocation, completion, assessment and analysis counts, missing-data handling and ITT materials are needed. Differences and totals are not newly calculated or summed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N19",
      "question_type": "Evidence condition",
      "question": "What is known about randomization and masking?",
      "needed": "Allocation, concealment, assessors, deviations and measurement",
      "role": "Required",
      "role_reason": "Material on Allocation, concealment, assessors, deviations and measurement is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Allocation, concealment, assessors, deviations and measurement must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Sequence generation, concealment, masking roles and maintenance, missingness, deviations and measurement procedures are needed. No new official RoB2 assessment is executed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N20",
      "question_type": "Evidence condition",
      "question": "How do shared reports link to original trials?",
      "needed": "Report, cohort and participant overlap",
      "role": "Required",
      "role_reason": "Material on Report, cohort and participant overlap is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Report, cohort and participant overlap must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Author, institution, recruitment-period, registration and cohort links are needed. Report slots and sheets are not certified as unique trials, participants or independent replications. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N21",
      "question_type": "Evidence condition",
      "question": "Were registration and prespecified plans actually read?",
      "needed": "Registration, protocols, SAPs and endpoint hierarchy",
      "role": "Required",
      "role_reason": "Material on Registration, protocols, SAPs and endpoint hierarchy is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Registration, protocols, SAPs and endpoint hierarchy must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Trial registration, change histories, protocols, SAPs and prespecified analyses are needed. Unverified registration is not asserted to be absent. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N22",
      "question_type": "Evidence condition",
      "question": "How were multiple endpoints and selective reporting handled?",
      "needed": "Prespecified hierarchy, multiplicity and complete results",
      "role": "Required",
      "role_reason": "Material on Prespecified hierarchy, multiplicity and complete results is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Prespecified hierarchy, multiplicity and complete results must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Original endpoint lists, analysis order, time points, multiplicity handling and complete results are needed. Selected positive findings are not expanded into recovery of every function. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N23",
      "question_type": "Evidence condition",
      "question": "Are funding, equipment, affiliation and analysis involvement separated?",
      "needed": "Separate checks of company involvement",
      "role": "Required",
      "role_reason": "Material on Separate checks of company involvement is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Separate checks of company involvement must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Disclosures on funding, equipment, company affiliation and COI, and design, analysis and publication involvement are needed. Public funding or no external funding does not certify absence of other involvement. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N24",
      "question_type": "Evidence condition",
      "question": "What do the fall and injury records mean?",
      "needed": "Harm events, affected people, exposure and denominators",
      "role": "Supplementary",
      "role_reason": "Material on Harm events, affected people, exposure and denominators is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Harm events, affected people, exposure and denominators must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Active collection, severity, repeated events versus affected people, harm denominators, exposure and causality are needed. Event records are not calculated as incidence rates or fall-prevention effects. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N25",
      "question_type": "Evidence condition",
      "question": "Are safety boundaries for vulnerable patients established?",
      "needed": "Freezing, impaired balance, orthostatic hypotension and supervision",
      "role": "Supplementary",
      "role_reason": "Material on Freezing, impaired balance, orthostatic hypotension and supervision is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Freezing, impaired balance, orthostatic hypotension and supervision must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Vulnerable-patient eligibility and exclusions, assistance, supervision, stopping criteria and harms by medication state are needed. No new individual-care instructions or universal safety certification are created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N26",
      "question_type": "Evidence condition",
      "question": "What is known about post-training durability and harms?",
      "needed": "During-training duration versus post-training follow-up",
      "role": "Supplementary",
      "role_reason": "Material on During-training duration versus post-training follow-up is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on During-training duration versus post-training follow-up must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Independent post-training follow-up, maintenance exercise, adherence, falls, injuries, rare harms and group denominators are needed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N27",
      "question_type": "Evidence condition",
      "question": "How does stored-summary reading differ from external-original reading?",
      "needed": "Actual reading of summaries, abstracts, full texts, registration and plans",
      "role": "Required",
      "role_reason": "Material on Actual reading of summaries, abstracts, full texts, registration and plans is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Actual reading of summaries, abstracts, full texts, registration and plans must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Acquisition, access and reading histories for originals are needed. A URL is not promoted into actual full-text reading, successful access or completed content review. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N28",
      "question_type": "Evidence condition",
      "question": "How do bilingual wording and representative facets relate?",
      "needed": "Trial-specific populations, durations and comparisons",
      "role": "Required",
      "role_reason": "Material on Trial-specific populations, durations and comparisons is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Trial-specific populations, durations and comparisons must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Report-specific recruitment, programs, time points, endpoints and original terminology are needed. English translation is not labeled external English full-text verification. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N29",
      "question_type": "Evidence condition",
      "question": "How do selected C and parent C54 differ?",
      "needed": "Selected grade versus parent score, axes and safety label",
      "role": "Required",
      "role_reason": "Material on Selected grade versus parent score, axes and safety label is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Selected grade versus parent score, axes and safety label must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: The selected-to-parent application boundary and original values must be preserved. No new grade, score or independent clinical certification is created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N30",
      "question_type": "Evidence condition",
      "question": "How are evidence dates, production and correction events separated?",
      "needed": "Original evidence date, empty corrections and update records",
      "role": "Required",
      "role_reason": "Material on Original evidence date, empty corrections and update records is needed to connect the selected program with population, training, controls, endpoints, time points, denominators, precision and harm boundaries.",
      "application_exception": "Selected C and absent individual score, status and axes are retained, distinguishing parent C54, separate pole-question C and fall-and-durability D. Different controls, durations, endpoints and denominators are not mixed; median differences, CIs, new totals, grades or individual-care guidance are not created.",
      "criterion": "Original material on Original evidence date, empty corrections and update records must link to the same program, control, endpoint, time point and denominators, distinguishing other exercise comparisons, parent context and unread external material.",
      "basis": "Preserved principles distinguishing questions, direct comparisons, reports and trials, endpoints, denominators, precision and harms informed production.",
      "condition_origin": "These are evidence conditions for the existing Nordic-walking program question versus standard rehabilitation. They do not establish preregistration, execution of an official tool or completed clinical content review.",
      "proposed_research": "Material needed: Material additions, condition revisions and verdict changes must remain separate events. Corrections or new evidence absent from the original are not invented. This records needed materials; no new research was executed."
    }
  ]
}