Skip to main content
. 2017 Nov 20;2017(11):CD008349. doi: 10.1002/14651858.CD008349.pub4

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
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
Outcomes Outcomes assessed post intervention
Static balance ability (postural sway path length and speed at the center of pressure)
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