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. 2013 Jul 1;2013(7):CD003586. doi: 10.1002/14651858.CD003586.pub3

Ferreira 2011.

Methods RCT
Participants n = 10
Right hemisphere stroke
Interventions Group 1: visual scanning
Group 2: mental practice
Visual scanning was classified as top‐down
Mental practice was classified as top‐down
This comparison was classified as one cognitive rehabilitation approach versus another cognitive rehabilitation approach. Visual scanning was defined as Approach 1 and mental practice as Approach 2
Outcomes
  1. BIT conventional subtests

  2. FIM


Intervention group (visual scanning) was assessed at end of intervention period and at 3 months
Control group (mental practice) were "evaluated twice and two months between evaluations"
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk Randomisation (information from authors): "Concealed envelopes for every patients (0 or 1). Then patients as they were recruited/included and subsequently randomised by the same method."
Blinding of outcome assessment (detection bias) 
 All outcomes High risk States "The evaluations were always done by a physical therapist not directly involved in patients’ treatment." However, correspondence with authors confirm: "There were two therapists involved, each one directly responsible for a different treatment strategy (mental practice or visual scanning). For instance, whenever a patient was randomised to mental practice, treatment was done by one and assessments by the other therapist. Hence, the assessor was always the therapist who would not be involved in treatment but he always knew the treatment allocation."
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All complete
Free of systematic differences in baseline characteristics of groups compared? Low risk 3 groups compared at baseline. Paper reports no significant differences on age, formal schooling, initial BIT and FIM scores . Sex distribution looks similar and all were ischaemic stroke (see Table 8)
Raw scores are provided in Table 1 so means SD can be computed
Did authors adjust for baseline differences in their analyses? Low risk None present