Azab 2009.
Methods | Randomisation details were not reported Blinded outcome assessor No withdrawals Single centre, outpatients |
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Participants | Jordan Recruited from King Abudallah University Hospital 37 participants: 20 intervention, 17 control Inclusion criteria: ability to voluntarily extend fingers and wrist slightly Exclusion criteria: severe cognitive disabilities Mean age (SD): 56 (9.9) years for all participants % women: 24% of all participants Stroke details: only ischaemic, 57% with right hemiparesis Time since stroke, mean (SD): 2.75 (0.7) months for all participants |
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Interventions | mCIMT versus control mCIMT: active range of motion of bilateral upper extremities, stretching exercises, hand‐eye co‐ordination activities, ambulation, and strengthening exercises for bilateral upper extremities Amount of restraint: 6 to 7 hours per day Anatomical region restraint: hand Control: active range of motion of bilateral upper extremities, stretching exercises, hand‐eye co‐ordination activities, ambulation, and strengthening exercises for bilateral upper extremities Session duration: 4 hours per week (in 3 day/week) for 4 weeks for both groups |
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Outcomes | Measures pre/post treatment and follow‐up at 6 months
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Information provided only in the abstract Quote: "Key words: Barthel Index, CIMT, stroke randomized control study" |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding (performance bias and detection bias) All outcomes | Low risk | Quote: "The occupational therapist and the two physical therapists were double‐blinded to the therapy and group assignment of the patients" |
Incomplete outcome data addressed? (Post‐treatment) | Unclear risk | Quote: "The BI was measured at the beginning of the rehabilitation program and at the discharge from rehabilitation. The BI was also re‐evaluated at 6 months post discharge in 18 patients (64% of the initial experimental group)" |