Sin 2013
| Methods | RCT | |
| Participants | Recruited from a rehabilitation hospital in Korea 35 participants: 18 intervention, 17 control Inclusion criteria: more than 6 months post stroke, no problems with auditory or visual functioning, active range of motion of the shoulder, elbow, wrist and fingers of more than 10 degrees, ability to walk more than 10 metres independently not taking any medication that could influence balance or gait and no severe cognitive disorders (Mini Mental State Examination score of > 16/30) Exclusion criteria: uncontrolled blood pressure or angina, history of seizure, any intervention other than conventional therapy, or refusal to use a video game Mean (SD) age: intervention group 71.78 (9.42), control group 75.59 (5.55) years 43% male Stroke details: 66% right hemiparesis Timing post stroke: intervention group mean (SD) 7.22 (1.21) months, control group 8.47 (2.98) months |
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| Interventions | Virtual reality intervention: use of Xbox Kinect for 30 minutes followed by conventional occupational therapy for 30 minutes. Kinect programs that required use of the upper extremities were selected Control intervention: conventional occupational therapy, which focused on retraining upper extremity and hand function and activities of daily living Sessions were performed 3 times a week for 6 weeks |
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| Outcomes | Outcomes recorded at baseline and post‐intervention Upper limb outcomes: Fugl Meyer UE, Box and Block test Other outcomes: Upper extremity Active Range of Movement |
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| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Random number tables |
| Allocation concealment (selection bias) | Unclear risk | Not reported |
| Blinding of outcome assessment (detection bias) All outcomes | Low risk | Blinded to allocation |
| Incomplete outcome data (attrition bias) All outcomes | Unclear risk | To be determined |
| Selective reporting (reporting bias) | Unclear risk | To be determined |