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. 2018 Jul 11;2018(7):CD008449. doi: 10.1002/14651858.CD008449.pub3

Hiragami 2012.

Methods RCT
Participants Country: Japan
Setting: inpatient hospital
Age: adults (mean age: 67.5 years)
Sample size: 14 participants (7 in each group, no dropouts published)
Sex: 6 women, 8 men
Inclusion criteria: 1st episode of stroke with hemiparesis or second episode of stroke with no upper limb motor dysfunction after 1st stroke, > 1 month since stroke, Brunnstrom recovery stage finger 1 ‐ 5, no severe cognitive disorders (MMSE score ≥ 24, and item score of consciousness, gaze, visual fields, language, attention of National Institutes of Health Stroke scale = 0)
Exclusion criteria: hypertonia of upper limb, limitation in range of motion of upper limb, other diseases interfering with ability to move upper limbs
Interventions 2 arms
1 and 2: conventional stroke rehabilitation programme (physiotherapy, occupational therapy)
  1. Additional MT: non‐paretic‐side movements (e.g. supination and eversion of the forearm, flexion and extension of the wrist and finger, grasp a block) while participants looked into the mirror. During the session participants were asked to try to do the same movements with the paretic hand

  2. No additional therapy


1 and 2: 4 weeks, 6 ‐ 7 days a week, daily 2 hours
1: additional 30 minutes MT
Date of intervention: October 2010 to March 2011
Outcomes Outcomes were recorded at baseline and after 4 weeks of therapy
  1. BRS

  2. FM‐UE

  3. WMFT

  4. FIM self‐care

Notes Published and unpublished information
Funding source: not stated
Declarations of trialists’ interests: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were randomly assigned by stratified randomisation
Allocation concealment (selection bias) Low risk Concealed allocation by an independent author who drew sealed envelopes
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No dropouts and group changes
Blinding of outcome assessment (detection bias) 
 primary outcome Low risk Assessor was blinded to group allocation