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. 2015 Oct 8;2015(10):CD004433. doi: 10.1002/14651858.CD004433.pub3

Kim 2008.

Methods Randomisation details were not reported
Blinding of outcome assessor not reported
Post‐treatment withdrawals: 23%
Single centre, outpatients
Participants Republic of Korea
Participant recruitment information not provided
17 participants: 9 intervention, 8 control
Inclusion criteria: cerebrovascular accident > 12 months; mild weakness of the affected upper limb (key muscle can move against some resistance) some fine motor ability of the affected hand
Exclusion criteria: balance problems, severe visual impairments, cognitive deficits and aphagia
Mean age (SD): intervention group: 51.7 (9.5) years, control group: 59.6 (10.3) years
 % women: intervention group 44%, control group: 50%
Stroke details: ischaemic or haemorrhagic
Time since stroke, mean (SD): intervention group 23.8 (7) months, control group 33.3 (18.5) months
Interventions Forced use versus control
Forced use: no exercises
Amount of restraint: 5 hours day, 7 days per week
Anatomical region restraint: hand
Control: no exercises
Total duration of treatment: 8 weeks
Outcomes Measures pre/post treatment
  • Arm motor function: MFT

  • Dexterity: Purdue Pegboard Test

  • Perceived arm motor function: MAL

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "patients were randomly assigned to either the control group or the CIMT group"
Allocation concealment (selection bias) Unclear risk Information not reported
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Information not reported
Incomplete outcome data addressed? (Post‐treatment) High risk Quote: "Four of the 13 patients in the CIMT group did not complete [the] program. It seems that all 4 patients discontinued participation due to difficulties in performing some ADLs such as eating, dressing, dialling the phone, opening a door or operating a remote control"