Nara 2015.
Methods | RCT | |
Participants | Recruited in Korea 20 participants: 10 intervention group, 10 control group Inclusion criteria: history of stroke onset of > 6 months prior to the study; ability to walk without using a walking aid for a minimum of 15 m; MMSE score of > 24/30; able to comprehend and follow simple instructions Exclusion criteria: other neurological condition, orthopaedic disease or visual impairment Participant details not reported |
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Interventions | VR intervention: community‐based VR scene exposure combined with treadmill training. A VR video was displayed on a screen 3 m in front of the treadmill using a video projector. The VR video comprised images of community ambulation, such as walking on sidewalks, level walking, slope walking and walking over obstacles. 5 min of treadmill training was followed by 2 min rest to minimise fatigue Control intervention: muscle strengthening, balance training, indoor and outdoor gait training Both groups had conventional physical therapy for 60 min/d, 5 d/week for 4 weeks The VR and control intervention was an additional 30 min/d, 3 d/week for 4 weeks |
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Outcomes | Outcomes assessed post intervention Static balance ability (postural sway path length and speed at the center of pressure) |
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Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described |
Allocation concealment (selection bias) | Unclear risk | Not described |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | High risk | Excluded participants with low participation rate |
Selective reporting (reporting bias) | Unclear risk | Unclear |