Methods |
Cross‐over group design Participants randomised to groups by the toss of a coin Allocation concealment not reported 17% drop outs at the end of the first treatment phase Blinding of outcome assessors to group allocation |
Participants |
10 participants allocated to the EXP then CTL order, and 8 participants allocated to the CTL then EXP order Inclusion criteria: higher level gait disorder; CT scan with large vessel infarct, basal ganglia and white matter lacunes, or extensive leukoaraiosis; discharged from all rehabilitation services; informed consent Exclusion criteria: severe cognitive impairment; significant physical impairments from other causes |
Interventions |
Treated as inpatients or outpatients for 3 x 1‐hour sessions per week for 4 weeks Treadmill training (EXP): participants walked on a treadmill for as long as they felt comfortable, rest breaks were allowed; no body weight support was provided using a harness Conventional physiotherapy (CTL): a schedule of 31 interventions in 3 treatment modules: gait ignition or failure, postural alignment and other |
Outcomes |
Assessed at baseline, at cross‐over (4 weeks), after treatment phase (at 8 weeks) and 6 weeks after final treatment:
independent preferred walking speed over 10 m using a gait aid and supervision, if required
walking step length
walking cadence
sit‐to‐stand test
1‐leg stand
s‐test for walking
ADL‐oriented assessment of mobility
Nottingham Extended ADL Scale
|
Notes |
The rating of drop outs was changed based on correspondence from the trialist Trial treated as a parallel‐group design for this review by using the first treatment phase data only (that is baseline and cross‐over data only) |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Low risk |
By the toss of a coin |
Allocation concealment (selection bias) |
High risk |
Not reported |
Blinding of outcome assessment (detection bias) All outcomes |
Low risk |
Blinding of outcome assessors to group allocation |