Celnik 2008.
Methods | Randomized cross‐over trial | |
Participants | Methods of recruitment were not reported by authors 9 participants in a cross‐over design with 3 arms: 9 physical training group; 9 physical training and congruent action observation group; 9 physical training and incongruent action observation group Inclusion criteria: stroke patients with single unilateral cortical or subcortical lesions Exclusion criteria: there were no exclusion criteria described in the study Mean (SD) age: not reported by authors Stroke details: not reported by authors Stroke phase: chronic |
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Interventions | Physical training group performed voluntary thumb movements Physical training and congruent action observation group observed a video displaying thumb movements in the same direction to that physically practiced simultaneously Physical training and incongruent action observation group observed a video displaying thumb movements in a direction opposite to that physically practiced simultaneously Sessions were 30 minutes, 3 blocks of 10 minutes each separated by 2‐minute rest |
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Outcomes | Outcomes recorded before and after intervention Corticomotor excitability: MEP of agonist and antagonist muscles |
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Notes | ‐ | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Author's answer: "The allocation was generated randomly using Excel creating a random session order for each of the subjects and conditions." |
Allocation concealment (selection bias) | Unclear risk | The author did not make clear whether there was allocation concealment |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | No blinding, but the outcome is not likely to be influenced by lack of blinding |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Author's answer: "The outcome measures were analyzed by a blinded individual who did not participate in the data acquisition." |
Incomplete outcome data (attrition bias) All outcomes | High risk | One participant could not complete the protocol due to TMS‐related headache. The reasons were provided, but the exclusion of 1/9 participants in a cross‐over design, with 3 arms, may have affected reliability of study results |
Selective reporting (reporting bias) | Low risk | There is no trial registration, but the outcomes are significant, and there is no selective reporting within the study. |
Other bias | Low risk |