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

Wu 2007b.

Methods Randomisation by random‐numbers table, other details were not provided
 Blinded outcome assessor
 No withdrawals
 Multicentre, outpatients
Participants Taiwan
Recruited from 2 stroke rehabilitation units
47 participants: 24 intervention, 23 control
Inclusion criteria: cerebrovascular accident between 3 weeks and 37 months; Brunnstrom stage > 3 on arm section; non‐use of the more affected upper extremity (amount‐of‐use 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
Mean age (SD): intervention group: 53.93 (11.2) years, control group: 56.77 (12.9) years
 % women: intervention group 33%, control group: 30%
Stroke details: ischaemic or haemorrhagic; 46% with right hemiparesis in treatment group, 48% with right hemiparesis in control group, all participants had right‐hand dominance
Time since stroke, mean (SD): intervention group 12.51 (9.64) months, control group 11.98 (11.72) months
Interventions mCIMT versus control
mCIMT: ADL training with the affected arm
 Amount of restraint: 6 hours per day
Anatomical region restraint: hand
Control: neurodevelopmental therapy emphasising functional task practice, stretching/weight‐bearing, fine‐motor dexterity training
Session duration: 2 hours per day, 5 days per week, 3 weeks for each group
Outcomes Measures pre/post treatment
  • Arm motor impairment: FMA

  • Perceived arm motor function: MAL

  • ADL measure: FIM

  • Kinematic variables

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Subjects were randomly assigned to the CIMT or traditional intervention group by using a random numbers table"
Allocation concealment (selection bias) Unclear risk No information provided
Blinding (performance bias and detection bias) 
 All outcomes Low risk Quote: "Clinical evaluation were administered in random order by a blinded rater"
Incomplete outcome data addressed? (Post‐treatment) Low risk No missing data