Tang 2014.
Methods | RCT Mobility CCT (with aerobic exercise component) vs balance and stretching exercises without aerobic stimulus |
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Participants | 50 participants (intervention = 25, comparison = 25), mean 4.2 years post‐stroke, mean 66.4 years, able to walk 5 m independently with or without gait aids | |
Interventions | Intervention: aerobic training with target progressive heart rate using brisk walking, cycling, step ups, sit to stands Comparison: balance and flexibility non‐aerobic, including balance exercise progressed to be challenging 60‐min sessions 3 times/week for 6 months Staff:participant ratio: 3:12 |
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Outcomes | 6mWT, VO2 peak, arterial stiffness, cardiac function, cholesterol, triglycerides, fasting glucose | |
Notes | Adverse events and adherence to class attendance reported | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "… performed the randomisation using a computer‐generated 1:1 allocation sequence and permuted block sizes of 2 or 4." |
Allocation concealment (selection bias) | Unclear risk | States "concealed allocation" with no description |
Blinding (performance bias and detection bias) All outcomes | Low risk | Single‐blinded trial. Unlikely to influence outcomes "Blinded outcome assessors were used." |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Intention‐to‐treat analysis Dropouts described, with only 3 from 1 group and none from the other. Reasons unrelated to the programme |
Selective reporting (reporting bias) | Unclear risk | No protocol available |
Other bias | Low risk | No other sources of bias evident |