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. 2008 Apr 23;2008(2):CD005952. doi: 10.1002/14651858.CD005952.pub2

Wade 1992.

Methods Cross‐over RCT with randomisation at individual level 
 Restricted randomisation using permutated number tables 
 Allocation concealment: not clear 
 Blinding: blinded outcome assessment
Participants UK (Oxfordshire) 
 94 participants (49 intervention and 45 control) 
 Mean age 72.3 years; 50% male 
 Barthel Index score at baseline: control mean 16.2 (SD 3.1), intervention mean 17.0 (SD 2.8) 
 Clinician definition of stroke 
 Patients recruited from Oxfordshire Stroke Project, Rivermead Rehabilitation Centre, local practitioners and radio broadcasting 
 Inclusion criteria: mobility problems more than 1 year after stroke, used walking or mobility aid, fall in previous 3 months, unable to manage stairs/slopes/uneven surfaces independently and had slow gait speed
Interventions Early rehabilitation intervention (immediate) at home versus delayed (after 3 months) by physiotherapy 
 Intervention based on problem‐solving method 
 Interventions included: identifying individual mobility problems, setting pre‐determined set goals and offering advice to solve the problems 
 Mean numbers of visits: 4 (range 1 to 11) with mean length of visits 2 hours and 4 minutes 
 Services provided by qualified physiotherapists
Outcomes Assessment at baseline, 3 and 6 months 
 Primary outcome: Barthel ADL, Rivermead Motor Assessment 
 Secondary outcome: death, Frenchay Activities Index, Nottingham EADL, Hospital Anxiety & Depression Scale
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear