Kim 2011.
Study characteristics | ||
Methods | RCT Setting: rehabilitation department, South Korea | |
Participants | Stroke patients who were diagnosed with unilateral spatial neglect VR group = 12, control = 12 Mean age, years: VR = 62, control = 67 Sex (men/women): VR = 9/3, control = 5/7 Mean days from stroke to treatment: VR = 23, control = 26 Exclusions: patients with severe cognitive impairment or aphasia who could not understand instructions given by therapists, patients with such severely damaged sitting balance that they could not sit down on a chair with a back and armrests, patients with problems in cervical movement due to orthopaedic impairment, patients who could not recognise objects on a computer screen due to severely damaged eyesight | |
Interventions | Physical therapy, occupational therapy, and cognitive therapy of the same intensity and time were applied to all patients. In addition, 2 occupational therapists conducted treatment for unilateral spatial neglect. One therapist conducted conventional rehabilitation programmes for the control group, such as visual tracking, reading and writing, drawing and copying, and puzzles; the other conducted virtual reality treatment on the VR group. Such treatments were applied for 30 minutes a day, once a day, 5 days a week for 3 weeks. The VR system consists of a monitor, a video camera, computer‐recognising gloves, and virtual objects. The video camera recognises movements | |
Outcomes |
All taken immediately post intervention with no longer‐term follow‐up |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No details given |
Allocation concealment (selection bias) | Unclear risk | No details given |
Blinding of participants | High risk | Unlike other double‐blind assessments, guardians knew about treatment of their patients, which means this study was not completely double‐blind |
Blinding of personnel | High risk | Not possible |
Blinding of outcome assessment (detection bias) All outcomes | High risk | "Those tests were conducted by a therapist who was not involved in the treatment and did not know the state of the patients" However, CBS was filled out by guardians under supervision of the therapist |
Incomplete outcome data (attrition bias) All outcomes | High risk | Only "seven subjects in the control group and three subjects in the VR group accurately performed the line bisection test and were included in the analysis" |
Selective reporting (reporting bias) | Low risk | Outcomes were reported with equal detail |
Other bias | High risk | 9 women and 3 men in VR groups; differences not accounted for |