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. |