Kim 2008.
Methods | Randomisation details were not reported Blinding of outcome assessor not reported Post‐treatment withdrawals: 23% Single centre, outpatients |
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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 |
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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 |
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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: "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" |