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. 2006 Apr 19;2006(2):CD003241. doi: 10.1002/14651858.CD003241.pub2

Merletti 1978.

Methods Design: Randomised controlled trial, parallel groups. 
 Randomisation: 'randomly divided into two groups' 
 Dropouts: None reported.
Participants n = 49. Time from lesion from 1 to 15 months. 
 Experimental: n = 24. Mean age 55.17 (SD 13.79) years. 
 Control: n = 25. Mean age 57.04 (SD 13.39) years. 
 Study criteria: (1) hospitalised hemiparetic patients; (2) aetiology of CVA; (3) ability to understand measurement procedure; (4) no ankle joint block; (5) limited or absence of spasticity of plantar flexors; (6) absent or limited sensibility disturbances.
Interventions Duration: 4 weeks. 
 Experimental: 
 Categories 5 and 7. 
 Peroneal nerve stimulation via surface electrodes applied either during walking or whilst seated. Used trains of monopolar rectangular pulses with a pulse duration of 0.3ms, frequency of 30Hz, timing of 1.5 seconds on and 3 seconds off. Amplitude and electrode position were adjusted to produce the best functional movement. Electrical stimulation given for 20 minutes a day, 6 days a week for 4 weeks. All experimental participants also received the control intervention. 
 Control: 
 'Traditional physiotherapy and neuromuscular facilitation treatment according to the Kabat and Bobath techniques'. Therapy given for one hour a day. 
 Comparison: Electrostimulation vs no treatment.
Outcomes Baseline measurement: Before intervention. 
 Outcome measurement: At 4 weeks after intervention ended. 
 Included outcomes: (1) maximal voluntary moment of ankle dorsiflexion.
Notes Combined two forms of electrostimulation, category 5 and category 7.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear