Ferreira 2011.
Study characteristics | ||
Methods | RCT Setting: Brazil | |
Participants | 10 ischaemic, right cerebral hemisphere stroke > 3/12 duration Mental practice = 5, visual scanning = 5 Detection of neglect: score < 129 (out of 146) on BIT Sex (women/men): mental practice = 2/3, visual scanning = 3/2 Age (range), years: mental practice = 46 to 73, visual scanning = 62 to 80 Time between stroke and treatment, range, months: mental practice = 3 to 62, visual scanning = 4 to 132 Exclusion criteria: locomotor problems or ataxia interfering with task completion, dysphasia, Parkinson’s disease, dementia, any neurodegenerative condition | |
Interventions | Group 1: visual scanning Group 2: mental practice | |
Outcomes |
Intervention groups were assessed at end of intervention period and at 3 months |
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Notes | "Five patients not willing to participate in the experimental protocols were submitted to a follow‐up exam 2 months later and were included in a control group." We did not include this group in analysis because it was non‐randomised; data only from the 2 intervention groups are presented We used imputation to calculate post‐intervention scores using 3 of the 5 values provided in each group: minimum, median, maximum | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | “Ten patients were randomly allocated” |
Allocation concealment (selection bias) | Low risk | Randomisation (information from study authors): "Concealed envelopes for every patient (0 or 1). Then patients as they were recruited/included and subsequently randomised by the same method" |
Blinding of participants | High risk | Not possible |
Blinding of personnel | High risk | Not possible |
Blinding of outcome assessment (detection bias) All outcomes | High risk | States: "the evaluations were always done by a physical therapist not directly involved in patients’ treatment." However, correspondence with study authors confirms: "there were two therapists involved, each one directly responsible for a different treatment strategy (mental practice or visual scanning). For instance, whenever a patient was randomised to mental practice, treatment was done by one and assessments by the other therapist. Hence, the assessor was always the therapist who would not be involved in treatment but he always knew the treatment allocation" |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All complete |
Selective reporting (reporting bias) | High risk | Total FIM reported more briefly than ‘significant’ subscale (self‐care items) |
Other bias | Low risk | Groups appeared similar at baseline, and no significant differences were found |