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. 2014 Apr 22;2014(4):CD001920. doi: 10.1002/14651858.CD001920.pub3

Summary of findings 3. Summary of findings: one active intervention versus another active intervention.

One active intervention compared with another active intervention for recovery after stroke
Patient or population: adults with stroke
Intervention: A physiotherapy intervention containing functional task training, neurophysiological or musculoskeletal components
Comparison: A physiotherapy intervention that does not contain the same category of treatment components
Outcomes Standardised mean difference
(95% CI) No. of participants
(studies) Quality of the evidence
(GRADE) Comments
3.1.1 Includes functional training versus does not include functional training
Independence in ADL scales
Immediate outcomes
‐0.03 (‐0.37 to 0.32) 4 studies (186 participants) ⊕⊕⊝⊝
low Quality of evidence downgraded from "moderate" to "low" because of the relatively low number of studies/participants
3.1.2 Includes neurophysiological versus does not include neurophysiological
Independence in ADL scales
Immediate outcomes
‐0.02 (‐0.26 to 0.22) 7 studies (451 participants) ⊕⊕⊕⊝
moderate Evidence primarily relates to interventions described as Bobath
3.1.3 Includes musculoskeletal versus does not include musculoskeletal
Independence in ADL scales
Immediate outcomes
‐0.12 (‐0.58 to 0.34) 3 studies (103 participants) ⊕⊕⊝⊝
low Quality of evidence downgraded from "moderate" to "low" because of the relatively low number of studies/participants
3.2.1 Includes functional training versus does not include functional training
Motor function scales
Immediate outcomes
‐0.16 (‐0.59 to 0.28) 4 studies (188 participants) ⊕⊕⊝⊝
low Quality of evidence downgraded from "moderate" to "low" because of the relatively low number of studies/participants
3.2.2 Includes neurophysiological versus does not include neurophysiological
Motor function scales
Immediate outcomes
0.17 (‐0.05 to 0.39) 8 studies (506 participants) ⊕⊕⊕⊝
moderate Evidence primarily relates to interventions described as Bobath
3.2.3 Includes musculoskeletal versus does not include musculoskeletal
Motor function scales
Immediate outcomes
‐0.08 (‐0.53 to 0.36) 4 studies (81 participants) ⊕⊕⊝⊝
low Quality of evidence downgraded from "moderate" to "low" because of the relatively low number of studies/participants
GRADE Working Group grades of evidence.
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.