Sucar 2009

Methods	Quasi RCT
Participants	Recruited from the National Institute of Neurology in Mexico City, Mexico 22 participants: 11 intervention, 11 control Inclusion criteria: ≥ 6 months after stroke Exclusion criteria: none reported Mean age: intervention group 51 years, control group 52 years Timing post stroke: intervention group 22 months, control group 26 months
Interventions	Virtual reality intervention: participants used a 'Gesture Therapy' program designed by the researchers. Movements of the participant's upper limbs are tracked by a camera and the person interacts with on‐screen games. Games included shopping in the supermarket, making breakfast, playing basketball, cleaning, painting and driving Control intervention: a variety of exercises guided by the therapist using equipment such as cones and balls Sessions were 60 minutes, 3 times a week for 5 weeks (15 hours total)
Outcomes	Outcomes recorded at baseline and post‐intervention Upper limb function and activity outcomes (arm): Fugl Meyer UE scale, Motricity Index Adverse events reported Other outcomes: level of interest, competence, effort, pressure and utility of the intervention
Notes	—
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	High risk	Alternate allocation based on odd or even numbers
Allocation concealment (selection bias)	Unclear risk	Unclear
Blinding of outcome assessment (detection bias) All outcomes	High risk	Not blinded
Incomplete outcome data (attrition bias) All outcomes	Low risk	There were no missing data
Selective reporting (reporting bias)	Low risk	No additional outcomes were collected