Rajaratnam 2013

Methods	RCT
Participants	Recruited from a community rehabilitation hospital in Singapore 19 participants: 10 intervention, 9 control Inclusion criteria: recent first stroke with moderate or moderate‐severe disability (Modified Rankin Scale Grade 3 or 4) Participants were haemodynamically stable and had a Mini Mental State Examination score of > 23 Exclusion criteria: terminal illness, uncontrolled hypertension and angina and severe spatial neglect or visual impairments Mean (SD) age: intervention group 58.67 (8.62), control group 65.33 (9.59) years 37 % male Stroke details: 42% right hemiparesis Timing post stroke: intervention group mean (SD) 14.7 (7.5) days, control group 15.2 (6.3) days
Interventions	Virtual reality intervention: used either a Nintendo Wii Fit or Microsoft Kinect program during rehabilitation. The Nintendo Wii Fit was performed in standing and the Kinect was performed in sitting and standing. Sessions involved 40 minutes of conventional therapy and 20 minutes of virtual reality Control intervention: conventional therapy (not described). Sessions involved 60 minutes of conventional therapy Sessions were 60 minutes for 15 sessions (approximately 15 hours)
Outcomes	Outcomes recorded at baseline and post‐intervention Gait outcomes: Timed Up and Go Test Balance function: Berg Balance Scale, Functional Reach Test, centre of pressure
Notes	Activity limitation outcomes: Modified Barthel Index
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Low risk	Computer‐generated
Allocation concealment (selection bias)	Unclear risk	Not described
Blinding of outcome assessment (detection bias) All outcomes	Low risk	Blind
Incomplete outcome data (attrition bias) All outcomes	Unclear risk	Unable to ascertain
Selective reporting (reporting bias)	Unclear risk	Unclear