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

You 2005

Methods RCT
Participants Study took place in Korea
10 participants: 5 intervention, 5 control
Inclusion criteria: ≥ 1 year after first stroke, plateau in the maximum motor recovery after conventional neurorehabilitation, > 60 degrees extension at the knee
Exclusion criteria: severe spasticity (modified Ashworth scale > 2) or tremor, severe visual and cognitive impairment
Mean age: intervention group 55 years, control group 55 years
70% male
Stroke details: 30% right hemiparesis
Timing post stroke: intervention group 18 months, control group 19 months
Interventions Virtual reality intervention: IREX virtual reality system using a video capture system to capture the participant's whole body movement. The participant is able to view their body movements in real time on a screen in front of them immersed in a virtual environment. Games included stepping up/down, 'shark bait' and snowboarding
Control intervention: no intervention provided
Sessions for the virtual reality group were 60 minutes, 5 times a week for 4 weeks (20 hours total)
Outcomes Outcomes recorded at baseline and post‐intervention
Lower limb function and activity outcomes: Functional Ambulation Category
Global motor function: modified Motor Assessment Scale
Imaging studies: functional MRI ‐ laterality index
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear
Allocation concealment (selection bias) Unclear risk Unclear
Blinding of outcome assessment (detection bias) All outcomes Low risk Blind
Incomplete outcome data (attrition bias) All outcomes Unclear risk Unclear
Selective reporting (reporting bias) Unclear risk Unclear