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

Werner 1996.

Methods Parallel group RCT with randomisation at individual level 
 Randomisation using 3‐digit number tables 
 5 additional controls were added later due to high drop out 
 Allocation concealment: unclear 
 Blinding: blinded outcome assessor
Participants US (Ann Arbor) 
 49 participants (28 intervention and 16 controls, with later addition of 5 controls) 
 Mean age 59 +/‐ 9 years with 50% male 
 Clinical (or radiological) definition of stroke 
 Participants recruited from 3 local outpatient rehabilitation programs in Michigan 
 Inclusion criteria: between 6 months and 5 years post stroke, functional communication profile score > 60%, no clinical sign of medical co‐morbidities, no generalised sensory deficit, no history of recurrent stroke, no therapeutic intervention in the last 4 months and evidence of functional limitation <7 on Functional Independence Measure
Interventions Outpatient rehabilitation programme versus usual care 
 Assessments at 0, 3 and 9 months 
 Intervention directed towards functional tasks and treatment modalities which included strengthening, stretching, mobilisation and muscle re‐training programs 
 Intervention done by registered occupational therapist and physiotherapist. Intervention consisted of 12 weeks of outpatient rehabilitation programme (1 hour of physical and 1 hour of occupational therapy weekly)
Outcomes Primary outcome: Functional Independence Measure 
 Secondary outcome: Becks Depression Scale, Sickness Index Profile
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear

ADL: activities of daily living 
 IQR: interquartile range 
 Nottingham EADL: Nottingham extended activities of daily living 
 RCT: randomised controlled trial 
 SD: standard deviation