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. 2021 Oct 25;2021(10):CD012612. doi: 10.1002/14651858.CD012612.pub2

Summary of findings 3. Summary of findings table ‐ More time compared to less time in rehabilitation (objective one – long‐term outcomes).

More time compared to less time in rehabilitation (objective one – long‐term outcomes)
Patient or population:rehabilitation (long‐term outcomes)
Setting:any rehabilitation setting, including hospital, outpatients, and patient's home
Intervention:more time
Comparison:less time
Outcomes Anticipated absolute effects* (95% CI) Relative effect
(95% CI) № of participants
(studies) Certainty of the evidence
(GRADE) Comments
Risk with less time Risk with more time
Activities of daily living (ADL) outcomes: long‐term outcomes
assessed with: Adelaide Activities Profile SMD 0.09 higher
(0.39 lower to 0.57 higher) 67
(1 RCT) ⊕⊕⊝⊝
Lowa Generally, an SMD of 0.2 is considered a small effect. Therefore, this finding suggests that the average difference in mean scores between more therapy group and less therapy group is very small. As the CI for this outcome included 0, there may be no difference for ADL measures when more time is spent in rehabilitation.
Activity measures of the lower limb: long‐term outcomes
assessed with: 6 minute walk test SMD 0.16 higher
(0.32 lower to 0.64 higher) 67
(1 RCT) ⊕⊕⊝⊝
Lowa Generally, an SMD of 0.2 is considered a small effect. Therefore, this finding suggests that the average difference in mean scores between more therapy group and less therapy group is small. As the CI for this outcome included 0, there may be no difference for activity measures of the lower limb when more time is spent in rehabilitation.
Motor impairment measures of the upper limb: long‐term outcomes ‐ not reported
Motor impairment measures of the lower limb: long‐term outcomes ‐ not reported
Serious adverse events/death: long‐term outcomes ‐ not reported
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: confidence interval; SMD: standardised mean difference
GRADE Working Group grades of evidenceHigh certainty: we are very confident that the true effect lies close to that of the estimate of the effect.
Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different.
Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect.
Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.
See interactive version of this table: https://gdt.gradepro.org/presentations/#/isof/isof_question_revman_web_421205629766293495.

a Very serious imprecision, due to 95% CI containing an effect size of no difference and finding based on the results of only one study, with a relatively small number of participants (downgraded two levels)