Standen 2011

Methods	RCT
Participants	Study took place in the UK 27 participants: 17 intervention, 10 control Inclusion criteria: 18 years or over, no longer receiving any other intensive rehabilitation and still had residual upper limb dysfunction Exclusion criteria: failure to meet above criteria Mean (SD) age: intervention group 59 (12.03), control group 63 (14.6) years 59% male Timing post stroke: intervention group mean (SD) 38 (41.28) weeks, control group 24 (36.26) weeks
Interventions	Virtual reality intervention: virtual glove which translates the position of the hand into gameplay. Participants were instructed to use the program at home Control intervention: usual care (no specific intervention) Sessions were 20 minutes, 3 times a day for 8 weeks (approximately 52 hours)
Outcomes	Outcomes recorded at baseline, 4 weeks and post‐intervention (8 weeks) Upper limb function outcome: Wolf Motor Function Test, Nine Hole Peg Test Other: Motor Activity Log Activity outcomes: Nottingham Extended Activities of Daily Living Scale (NEADL)
Notes	—
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Low risk	Computerised random number generator
Allocation concealment (selection bias)	Low risk	Managed externally
Blinding of outcome assessment (detection bias) All outcomes	Low risk	Blinded to allocation
Incomplete outcome data (attrition bias) All outcomes	High risk	Large number of drop outs in the intervention group
Selective reporting (reporting bias)	Low risk	Unpublished data obtained via personal communication