Outermans 2010.
Methods | RCT High‐intensity, mobility‐related CCT versus low‐intensity, mobility‐related CCT |
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Participants | 44 participants (intervention = 23, comparison = 21), mean time since stroke 0.75 months, mean age 56.6, able to walk 10 m independently | |
Interventions | Intervention: high‐intensity mobility CCT, workstations based on Dean 2000 with progressive target heart rate; 45‐60 minutes, 3 times/week for 4 weeks in addition to 30 min/day usual care physiotherapy Comparison: low‐intensity mobility CCT, not clear if same exercises were included, no progression of heart rate; 45‐60 minutes, 3 times/week for 4 weeks in addition to 30 min/day usual care physiotherapy Staff:participant ratio: not reported |
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Outcomes | 6mWT, gait speed, BBS, functional reach | |
Notes | Adverse events, duration (number of days) of training | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Reported as "randomly generated" but description of how was not presented |
Allocation concealment (selection bias) | Low risk | "Allocation was performed by drawing randomly generated lots enclosed in opaque envelopes." |
Blinding (performance bias and detection bias) All outcomes | High risk | "All clinical assessments were conducted by one assessor, who was not blinded for allocation. To minimize bias the assessor was not present at the group training at any time. Also previous assessments were not available during post‐test assessment and all instructions were standardized." |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Intention‐to‐treat. "Missing values were imputed using the assumption of a worst‐case scenario in which the baseline value was carried forward." Reasons for loss to follow‐up are available: 6 lost in intervention group, 7 in control group |
Selective reporting (reporting bias) | Unclear risk | No protocol available |
Other bias | Low risk | No other sources of bias evident |