Wu 2007a.
Methods | Randomisation details were not reported Blinded outcome assessor No withdrawals Multicentre, inpatients/outpatients | |
Participants | Taiwan Recruited from the rehabilitation departments of 2 medical centres (Chang Gung Memorial Hospital and National Taiwan University Hospital) 30 participants: 15 intervention, 15 control Inclusion criteria: cerebrovascular accident between 12 and 36 months; 10° of active extension to the finger and 20° at wrist; non‐use of the more affected upper extremity (AoU score < 2.5 on the MAL); no serious cognitive deficits Exclusion criteria: balance problems sufficient to compromise safety when wearing the study’s constraint device; excessive spasticity in any joint of the affected upper extremity Mean age (SD): intervention group: 54.66 (8.63) years, control group: 53.31 (6.29) years % women: intervention group 47%, control group: 40% Stroke details: 40% with right hemiparesis in treatment group, 33% with right hemiparesis in control group Time since stroke, mean (SD): intervention group 18.53 (6.92) months, control group 17.61 (7.55) months |
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Interventions | mCIMT versus control mCIMT: functional tasks by shaping techniques with the affected arm, normalisation of muscle tone Amount of restraint: 6 hours per day Anatomical region restraint: hand Control: neurodevelopmental therapy emphasising balance training, stretching/weight bearing of the affected arm, fine‐motor dexterity training in addition to practice on ADL with the less affected side Session duration: 2 hours per day, 5 days per week, 3 weeks for each 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: "... subjects were randomized with equal probability" Comment: insufficient information to permit judgment |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding (performance bias and detection bias) All outcomes | Low risk | Quote: "A certified occupational therapist blind to study hypothesis and subject allocation was trained to administer the assessments" |
Incomplete outcome data addressed? (Post‐treatment) | Low risk | No missing data |