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

Zhao 2002.

Study characteristics
Methods Study design: RCT
Method of randomisation: not stated
Participants Number of participants: n = 180
Inclusion criteria: not stated
Interventions (1) Rehabilitation nursing group (n = 100)
"The rehabilitation nursing group received conventional treatment and rehabilitative treatment. During acute cerebral oedema, rehabilitation commenced with bedside therapy, postural positioning and passive ranging exercises. 7‐14 days, after reduction in cerebral oedema, active training became the focus, including six stages: (i) active or passive ranging bed exercises; (ii) sit up from bed and sitting on the edge of bed balance training; (iii) sit‐to‐stand training; (iv) standing balance training; (v) flat ground gait training; (vi) up‐and–down stair and ADL training (e.g. donning, grooming, feeding, showering etc). After discharging to home, rehabilitation focused on maintaining joint range of motion and ADL, seeking the assistance of family members. After discharge, both groups had follow up visits to the hospital fortnightly, and monthly after a period of 3 months"
The individual components delivered are listed in Table 6. Based on the individual components, this intervention is categorised as comprising functional task training, musculoskeletal intervention (active) and musculoskeletal intervention (passive)
Length of intervention period: total therapy duration 31.6 ± 11.2 days
Number of sessions and length of individual sessions: five/wk, with the first phase having 30 minutes/session, and 45 minutes/session thereafter
Intervention provider: 1:1 nurse‐to‐participant ratio
(2) Control group (n = 80)
"Received conventional treatment, including control of hypertension, lowering intracranial pressure, anti‐coagulant treatment, neuro‐regenerative treatment and self‐treatment, with treatment duration being 29.1 days ± 8.4 days"
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: treatment duration 29.1 ± 8.4 days
Number of sessions and length of individual sessions: no intervention
Intervention provider: no intervention
This study is classified as intervention (functional task training, musculoskeletal (active), musculoskeletal (passive)) versus no treatment (Table 7)
Outcomes Measures of Independence in ADL: Barthel Index
Measures of motor function: Fugl‐Meyer Assessment
Other secondary outcome measures: degree of neurological deficit (translated)
Time points when outcomes were assessed: before intervention and at one week, three weeks, five weeks, three months, six months and 12 months after stroke
Notes Original study translated from Chinese to English.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information provided
Allocation concealment (selection bias) Unclear risk No information provided
Blinding of outcome assessment (detection bias)
All outcomes Low risk Blinded assessment
Incomplete outcome data (attrition bias)
All outcomes Unclear risk No dropouts described
Free of systematic differences in baseline characteristics of groups compared? Low risk No statistically significant differences in baseline values
Did authors adjust for baseline differences in their analyses? Low risk No information provided
Other bias Unclear risk No information provided