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 |
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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 |
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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) | 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 |