Atteya 2004.
Methods | Randomisation details were not reported Blinded outcome assessor No information about withdrawals Single centre, outpatients | |
Participants | Saudi Arabia Recruited via the King Saud Univerity 6 participants: 2 intervention, 2 control, 2 no treatment Inclusion criteria: cerebrovascular accident between 1 and 6 months; 10° of active extension to the metacarpophalangeal and interphalangeal joints and 20° at wrist Exclusion criteria: significant cognitive impairment, haemorraghic lesion, significant spasticity, significant pain of the upper limb Mean age (SD): intervention group: 55 (2.8) years, control group: 52 (4.2) years, no treatment group: 56 (15.5) years % women: intervention group 50%, control group: 50%, no treatment group: 50% Stroke details: only ischaemic, 50% with right hemiparesis in each group Time since stroke, mean (SD): intervention group 5.6 (0.3) months, control group 3.95 (2.3) months, no intervention group 4.65 (1.2) months |
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Interventions | mCIMT versus control versus no treatment CIMT: physical and occupational therapy focused on PNF with emphasis on ADL tasks, compensatory techniques with the unaffected side, 2 functional tasks of the WMFT with shaping techniques Amount of restraint: 5 waking hours per day Anatomical region restraint: arm and hand Control: physical and occupational therapy focused on PNF with emphasis on ADL tasks, compensatory techniques with the unaffected side Session duration: 1 hour per day, 3 days per week, 10 weeks for each treatment group |
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Outcomes | Measures pre/post treatment
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "all subjects were randomly assigned ... with an equal probability" Comment: insufficient information to make a judgment |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding (performance bias and detection bias) All outcomes | Low risk | Blinding of outcome assessor |
Incomplete outcome data addressed? (Post‐treatment) | Unclear risk | The study provided no information about withdrawals |