Dean 2000.
Methods | RCT Mobility CCT versus upper limb CCT | |
Participants | 9 participants (intervention = 5, comparison = 4), mean 1.3 years post‐stroke, mean age 62.3 years, able to walk 10 m independently with or without gait aid | |
Interventions | Intervention: mobility‐related CCT, 10 workstations functional tasks including seated reaching beyond arms' reach, sit to stand, stepping activities, heel lifts, standing balance, strengthening exercises, walking activities; 1 h, 3 times/week for 4 weeks
Comparison: upper limb‐related CCT, workstations consisting of upper limb tasks; 1 h, 3 times/week for 4 weeks Staff:participant ratio: 1:6 |
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Outcomes | 6mWT, Step Test, TUG, gait speed, peak vertical ground reaction force through affected lower limb during sit‐to‐stand, laboratory measures of gait kinematics and kinetics | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation by lottery: "drawing two cards, one with subject's name and one with group allocation from two separate boxes" |
Allocation concealment (selection bias) | Low risk | Cards drawn by a person independent of the study |
Blinding (performance bias and detection bias) All outcomes | High risk | Clinical assessments, with exception of 6mWT, conducted by independent rater; however, this blinding may have been unmasked as the result of this observer inadvertently observing 1 training session |
Incomplete outcome data (attrition bias) All outcomes | High risk | Missing data balanced across groups (1 in experimental and 2 in control) for transport or unrelated illness reasons, but no intention‐to‐treat analysis undertaken |
Selective reporting (reporting bias) | Unclear risk | No trial protocol |
Other bias | High risk | Very small sample size |