Marsden 2010.
Methods | RCT cross‐over design Mobility‐related CCT plus education versus wait list control |
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Participants | 26 participants (Group 1 = 12, Group 2 = 14), mean 2.5 years post‐stroke, mean age 71.7 years, clinical diagnosis of stroke | |
Interventions | Intervention: mobility‐related CCT, 10 x 5‐min workstations consisting of sit to stand, reaching, standing balance, walking figure 8, stationary bike; 1 h exercise and 1 h education, once a week for 7 weeks
Comparison: wait list control Staff:participant ratio: 1:3 |
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Outcomes | 6mWT, TUG, Short‐form 36 (physical), Carer Strain Index | |
Notes | Only first comparison (pre‐cross over) included | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Toss of a coin by a team member |
Allocation concealment (selection bias) | High risk | Team member responsible for allocation |
Blinding (performance bias and detection bias) All outcomes | High risk | No mention of blinding of staff or participants, however unlikely due to nature of trial. Unlikely to influence outcomes Primary outcomes assessor blinded Secondary outcome assessors not blinded. Only secondary outcomes used in the meta‐analysis |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Intention‐to‐treat. "… but no values were imputed for survivors or carers who did not attend an assessment session." Only 1 loss to follow‐up (hospitalisation) for intervention group. Figure 1 flow diagram |
Selective reporting (reporting bias) | Unclear risk | No protocol available |
Other bias | Low risk | No other sources of bias evident |