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. 2013 Jul 25;2013(7):CD006185. doi: 10.1002/14651858.CD006185.pub3

Peurala 2005

Methods RCT Method of randomisation: an investigator not involved in the study randomly assigned participants to groups with the help of concealed envelopes Blinding of outcome assessors: no Adverse events: no Deaths: none Drop‐outs: none ITT analysis: not stated
Participants Country: Finland 45 participants (15 in treatment group A, 15 in treatment group B, 15 in control group) Ambulatory and non‐ambulatory at study onset Mean age: 52 years Inclusion criteria: first supratentorial stroke with duration of illness longer than 6 months, younger than 65 years of age, slow or difficult walking, no unstable cardiovascular disease, no severe malposition of joints, no severe cognitive or communicative disorders, written informed consent Exclusion criteria: not stated
Interventions 3 arms:
  • Gait trainer exercise without functional electrical stimulation

  • Gait trainer exercise with functional electrical stimulation

  • Walking overground


All participants practised gait for 15 sessions over 3 weeks (each session lasting 20 minutes) and received an additional 55 minutes daily physiotherapy
Outcomes Outcomes were recorded at baseline, after 2 and 3 weeks and after 6 months
  • 10‐Metre walk test

  • 6‐Minute walk test

  • Lower limb spasticity

  • Muscle force

  • Postural sway tests

  • Modified Motor Assessment Scale

  • Functional Independence Measure instrument scores

Notes Published and unpublished data provided by the authors
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk An investigator not involved in the study randomly assigned participants to groups with the help of concealed envelopes
Allocation concealment (selection bias) Low risk Concealed envelopes
Blinding of outcome assessment (detection bias) All outcomes High risk Not done
Incomplete outcome data (attrition bias) All outcomes Unclear risk Unclear if reasons for missing outcome data are unlikely to be related to true outcome