Liu 2009.
Study characteristics | ||
Methods | Single‐blind, RCT | |
Participants | Participants recruitment methods were not recorded by the study authors Sample size: 34 Inclusion criteria: patients were included if they had experienced a first acute stroke; sustained unilateral cerebral infarction within the middle carotid artery system; aged over 60 years; independent in their daily activities before the stroke; able to communicate effectively and were cognitively intact when assessed using a validated neurocognitive functioning test (Cognistat, Northern California Neurobehavioral Group, CA, USA) Exclusion criteria: not reported by study authors Mean (SD) age: conventional occupational therapy group: 68.1 (SD 10.5) years; MI group: 70.4 (SD 9.8) years Stroke details: all cases are ischemic Stroke phase: unspecified |
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Interventions | Experimental group: participants in the MI group received 1 hour of MI per treatment. The MI intervention involved the patients’ self‐reflection on their abilities and deficits: mentally imagining, then actually performing, the task. Average time spent on MI and in actual practice was 30 minutes each Control group: conventional occupational therapy: participants were given conventional occupational therapy using demonstration‐and‐practice methods to train them to perform the same 15 daily tasks All participants had 1 hour of physical therapy daily that involved mobilization, strengthening, and walking exercises. All treatment protocols were administered 5 times a week for 3 weeks (a total of 15 treatments). All patients were trained to relearn 15 daily tasks. Five tasks with a similar level of difficulty were covered each week, progressing from the easiest to the most difficult |
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Outcomes | Outcomes recorded before and after intervention Dependence on personal assistance: Barthel Index Motor function: Fugl‐Meyer Assessment Scale |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: “Patients were randomized by drawing lots for either the MI or FR programs” |
Allocation concealment (selection bias) | High risk | Allocation concealment was not reported |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Blinding of participants and personnel was not reported |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: “the assessors were blinded to the nature of the intervention” |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Reasons for the lack of data not related to the result |
Selective reporting (reporting bias) | Low risk | Study authors presented what they proposed in the methodology |
Other bias | Low risk | None detected |