Skip to main content
. 2009 Jul 8;2009(3):CD006075. doi: 10.1002/14651858.CD006075.pub2

Wade 1992.

Methods RCT using 3‐month cross‐over design with no treatment control group, first period only 
 "Randomisation was restricted; randomisation (permuted blocks of 10) with random number tables" 
 Exp = 49; Ctl = 45 
 Patients and treating therapists were not blind to their treatment group 
 Evaluators were blind to treatment group
Participants Number of participants = 94 
 Average age = 72 years 
 Stroke > 1 year and < 7 years 
 Mobility problems (needed walking aid, had fallen in previous 3 months, unable to manage stairs, or slow gait speed) 
 No other inclusion/exclusion criteria 
 It is not known if participants were living in the community
Interventions 1 to 11 visits at home from physical therapist 
 Average time per visit not reported 
 Treatments and assessments carried out in the participants' homes 
 Physical therapist used problem‐solving approach, with 79% of participants reporting walking as a problem area for which treatment was needed 
 The interventions for those participants included re‐education of abnormal gait components, supervised practice walking inside and outside 
 In addition, 56% of participants who had problems with standing balance worked on obstacles courses, and practised on uneven surfaces 
 The control group was not contacted between initial assessment and 3.5‐month assessment
Outcomes Gait speed (10 metres) 
 Functional Ambulation Category (at baseline only) 
 BI ‐ number walking independently 
 RMI (sometimes an early version of it) 
 Nottingham Extended ADL Index ‐ mobility subscale 
 Outcomes measured at baseline (x 2), 6 weeks and 3.5 months
Notes Oxfordshire, UK
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate