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. 2015 Feb 12;2015(2):CD008349. doi: 10.1002/14651858.CD008349.pub3

Yavuzer 2008

Methods RCT
Participants Recruited from an inpatient rehabilitation centre in Turkey
20 participants: 10 intervention, 10 control
Inclusion criteria: first episode of unilateral stroke with hemiparesis during the previous 12 months, score of 1 to 4 on the Brunnstrom stages for the upper extremity, able to understand and follow simple verbal instructions, no severe cognitive disorders that would interfere with the study's purpose (Mini Mental State Examination score of > 16/30)
Mean (SD) age: intervention group 58 (10) years, control group 64 (11) years
45% male
Stroke details: 45% right hemiparesis
Timing post stroke: Intervention group mean (SD) 3 (3) months, control group 5 (1) months
Interventions Virtual reality intervention: active use of the Playstation EyeToy games involving use of the upper limbs
Control intervention: watched the Playstation EyeToy games but did not get physically involved
Sessions were 30 minutes, 5 times a week for 4 weeks (10 hours total) Sessions were in addition to the conventional rehabilitation programme that both groups were participating in, which involved approximately 60 minutes of therapy for the upper limb
Outcomes Outcomes recorded at baseline and post‐intervention
Upper limb function and activity outcome measures (arm function): Brunnstrom UE stages
Upper limb function and activity outcome measures (hand function): Brunnstrom hand stages
Activity limitation outcome measures: Functional Independence Measure self care component
Adverse events reported
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Sequence generated using a computer‐generated random number list
Allocation concealment (selection bias) Low risk An independent doctor operated the random number program
Blinding of outcome assessment (detection bias) All outcomes Low risk Blind
Incomplete outcome data (attrition bias) All outcomes Low risk There does not appear to be any attrition and all outcome measures appear to have been reported in full
Selective reporting (reporting bias) Unclear risk Unclear