Choi 2019.
Study characteristics | ||
Methods | 3‐group parallel RCT Setting: hospital, South Korea | |
Participants | Inclusion: individual with diagnosis of unilateral neglect from a medical doctor and number of lines neglected in Albert test > 70%; individual without brain lesions other than stroke; individual with less than 3 months since stroke; individual with Korean version of Mini‐Mental Status Examination (K‐MMSE) score ≥ 20, who can follow directions and does not have hearing or vision impairment
Age: mean, SD
Sex: 17 women, 13 men Hemisphere damaged: not specified Time since stroke: 1 to 3 months |
|
Interventions | This study has 3 intervention groups
‐ Group A received 30 minutes of conventional occupational therapy, followed by FES application on upper limb on the affected side and PA treatment for 20 minutes, for a total of 50 minutes. Conventional occupational therapy was conducted for 30 minutes and included joint movement, task‐oriented training, and daily life activity training. Joint movement was conducted and included passive joint movement, active adjuvant joint movement, and active joint movement. Task‐oriented training considered functional level of patients and used tools to sequentially conduct activities such as cup‐stacking and skateboarding. Daily life activity training included using the restroom, eating a meal, performing personal hygiene activities, wearing and taking off clothes, and transferring to chair or bed. Participants wore prism glasses that deflect the axis of vision to the right by 15 degrees, with the proximal surface shaped like a triangle facing the left. For FES, a product from Microstim was used. One channel was used and was set to apply, in shifts, 10 seconds of rest and 10 seconds of stimulation. It was attached below the elbow on the affected side. Although an intensity of 20 Hz is normally recommended, the threshold for electrical stimulation is different for each participant. Therefore, it was set to contract muscles enough to produce sufficient finger and wrist movements ‐ Group B received 30 minutes of conventional occupational therapy, followed by PA on the upper limb on the affected side for 20 minutes, for a total of 50 minutes ‐ Group C received 30 minutes of conventional occupational therapy, followed by FES application for 20 minutes, for a total of 50 minutes |
|
Outcomes |
All taken immediately post intervention with no longer‐term follow‐up |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | No detail offered. Exactly 10 per group |
Allocation concealment (selection bias) | High risk | No detail offered. Exactly 10 per group |
Blinding of participants | High risk | Outcome group: all Blinding not possible |
Blinding of personnel | High risk | Outcome group: all Blinding not possible |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Outcome group: all Blinding not possible |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No attrition |
Selective reporting (reporting bias) | Low risk | No suggestion of this |
Other bias | Low risk | Not obvious |