Weinberg 1977.
| Methods | RCT Setting: USA | |
| Participants | 25 (see Notes) stroke rehabilitation inpatients Experimental: n = 14, control: n = 11 (The following data describe the 57 initial participants: see Notes) Mean age (SD): experimental: 61.5 years (9.84), control 65.7 years (10.92) Onset of testing (weeks): experimental: 9.9, control 10.53 | |
| Interventions | 20 hours visual training (1 hour each day for 4 weeks in reading, writing and calculation) versus no visual training (but received OT as part of general rehabilitation programme) For analysis of bottom‐up and top‐down rehabilitation approaches this review coded the experimental condition as top‐down |
|
| Outcomes | The study collected 3 types of outcomes:
Outcomes assessed after 1 month, i.e. immediate effects This review used only the single letter cancellation |
|
| Notes | Hypothesises that neglect underlies visual perceptual problems Experimental and control groups appeared similar in age, 2 participants in the experimental group had "aberrantly long times since onset" Groups divided into RBD severe and RBD mild No reply to request for clarification of randomisation procedure and other outcome measures 57 patients reported but outcome data reported separately for severe and mild RBD groups and only severe data (n = 25) entered in this review, experimental 14 and Control 11 Control group better than experimental on single letter cancellation at baseline. No difference in double letter cancellation or digit span | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Allocation concealment (selection bias) | Unclear risk | No details of randomisation provided |
| Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not stated |
| Incomplete outcome data (attrition bias) All outcomes | Low risk | None reported |
| Free of systematic differences in baseline characteristics of groups compared? | High risk | Onset since testing may be different but not clear. Two cases with very long onset were excluded from the comparison of time since onset |
| Did authors adjust for baseline differences in their analyses? | Low risk | Calculated an effectiveness change index |