Wu 2007c.
Methods | Randomisation by random‐numbers table, other details were not provided Blinded outcome assessor No withdrawals Multicentre, inpatients/outpatients | |
Participants | Taiwan Recruited from the rehabilitation departments of 3 medical centres 26 participants: 13 intervention, 13 control Inclusion criteria: cerebrovascular accident between 0.5 and 31 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: 71.44 (6.42) years, control group: 71.94 (16.79) years % women: intervention group 38%, control group: 46% Stroke details: ischaemic or haemorrhagic; 46% with right hemiparesis in treatment group, 54% with right hemiparesis in control group, all participants had right hand dominance Time since stroke, mean (SD): intervention group 6.70 (8.99) months, control group 8.32 (7.97) months |
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Interventions | mCIMT versus usual care
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 Usual care: 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 individually randomized into the mCIMT or the traditional rehabilitation group by using a table of random numbers" |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding (performance bias and detection bias) All outcomes | Low risk | Quote: "Before and after the 3‐week intervention period, the tests were administered in random order by a blinded rater" |
Incomplete outcome data addressed? (Post‐treatment) | Low risk | No missing data |