Wellmon 1997.
Study characteristics | ||
Methods | Study design: RCT Method of randomisation: not stated | |
Participants | Number of participants: n = 21 Inclusion criteria: disorder of unilateral movement in lower limb, CVA less than 150 days previously, able to stand unsupported for longer than 30 seconds, able to walk farther than 7 m, able to understand visual/verbal commands, medically stable enough for 20 minutes of treatment, more than zero degrees passive ankle dorsiflexion and no hip, knee, ankle, foot pain | |
Interventions | (1) Motor learning Repetitive practice of context‐specific task Repetitive practice of stepping task The individual components delivered are listed in Table 6. Based on the individual components, this intervention is categorised as comprising functional task training Length of intervention period: two days Number of sessions and length of individual sessions: addition of 20 minutes, twice a day for two days. Participants had received routine physiotherapy, based on motor learning principles, although no routine physiotherapy was given on the two days of the intervention Intervention provider: not stated (2) Control (no treatment) The individual components delivered are listed in Table 6. Based on the individual components, this intervention is categorised as comprising no intervention Length of intervention period: no intervention Number of sessions and length of individual sessions: Participants had received routine physiotherapy, based on motor learning principles, although no routine physiotherapy was given on the two days of the intervention Intervention provider: no intervention This study is classified as intervention (functional task training) versus no treatment (Table 7) |
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Outcomes | Measures of postural control and balance: standing symmetry; step length symmetry; single stance symmetry | |
Notes | No outcomes included in analysis | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | "were randomly assigned to either treatment or control group." No further details |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Participant not blinded Therapist not blinded Assessor not blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No dropouts |
Free of systematic differences in baseline characteristics of groups compared? | Unclear risk | No information |
Did authors adjust for baseline differences in their analyses? | Unclear risk | No information |
Other bias | High risk | The amount of treatment was very limited (four sessions over two days); this may have been insufficient to effect a change |