Dahl 2008.
| Methods | Block randomisation, other details were not reported Blinded outcome assessor No withdrawals Single centre, inpatients | |
| Participants | Norway Recruited from the Stroke Unit at Trondheim University Hospital and by announcement at hospitals and rehabilitation institutions in the neighbouring countries 30 participants: 18 intervention, 12 control Inclusion criteria: time from onset of stroke > two weeks; score 0 to 2 points before the stroke on the modified Ranking Scale; 10° of active extension to the metacarpophalangeal and interphalangeal joints and 20° at wrist Exclusion criteria: presence of other neurological diseases, unstable cardiovascular disease, severe depression (> 12 points on Montgomery and Aasberg Depression Rating Scale), marked neglect (line bisection more than 2 cm over the midline), life expectancy < 6 months, sequel from a previous stroke and clinically evaluated insufficient endurance to participate Mean age (SD): intervention group: 62 (8) years, control group: 60 (12) years % women: intervention group 11%, control group: 42% Stroke details: ischaemic or haemorrhagic; 78% paresis of dominant side in treatment group, 58% paresis of the dominant side in control group Time since stroke, mean (SD): intervention group 21 (18) months, control group 26 (27) months |
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| Interventions | CIMT versus control CIMT: personalised ADL task training of the paretic limb, training difficulty was updated with daily progress Amount of restraint: 90% of waking hours per day Anatomical region restraint: hand Control: treatment given according to each patient's need, involving both upper and lower extremity with various occupational and physical therapy approaches Session duration: 6 hours per day in the CIMT group, unspecified duration for control group for 10 consecutive weekdays |
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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) | Unclear risk | Quote: "Eligible patients were block‐randomised into a CIMT group or a control group" |
| Allocation concealment (selection bias) | Low risk | Quote: "Sealed opaque envelopes were used for randomisation and the procedure was carried out by an external office" |
| Blinding (performance bias and detection bias) All outcomes | Low risk | Quote: "Two independent and blinded assessors performed the assessments" |
| Incomplete outcome data addressed? (Post‐treatment) | Low risk | No missing data |