Vatanparasti 2019.
Study characteristics | ||
Methods | RCT, pilot Setting: Iran, stroke unit | |
Participants | Stroke patients with neglect, diagnosis of whom was verified by magnetic resonance imaging and clinical examination, right‐handed Age, years: intervention 1 PA = 65.5 ± 10.2, intervention 2 PA + cTBS = 67.5 ± 8.4 Sex (men/women) no. (%): intervention 1 PA = 5 (70), 2 (30); intervention 2 PA + cTBS = 5 (70), 2 (30) Time since stroke onset, no unit of measurement specified: subacute no. (%): intervention 1 PA = 3 (42.9), intervention 2 PA + cTBS = 3 (42.9) Time since stroke onset, no unit of measurement specified: chronic no. (%): intervention 1 PA = 4 (57.1), intervention 2 PA + cTBS = 4 (57.1) | |
Interventions | Prism adaptation + cTBS Intervention 1: all patients were asked to wear a pair of prism glasses with a rightward prismatic shift of 10° when patients were asked to actively move their intact hand in front of a vertical mirror box for 20 minutes. Sham TMS followed the same protocol except the coil was positioned at a 90° angle to the skull, and a small part of the coil was resting on the skull Intervention 2: in addition to prisma adaptation, 1 group of patients received 10 sessions of TMS over the intact left posterior parietal cortex |
|
Outcomes |
Assessed pre‐intervention and post intervention |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No details |
Allocation concealment (selection bias) | Unclear risk | No details |
Blinding of participants | Low risk | “Patients were unaware of the group assignments; they were informed that they are going to undergo the treatment for their visuospatial neglect of left side of their body” |
Blinding of personnel | High risk | However, therapist was aware about patients’ group allocation |
Blinding of outcome assessment (detection bias) All outcomes | High risk | No details given |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No details given |
Selective reporting (reporting bias) | Unclear risk | Unclear |
Other bias | Low risk | Nothing obvious |