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

Smith 1981.

Study characteristics
Methods RCT
Recruited postdischarge and randomised to 1 of 3 groups to receive variable intensities of rehabilitation
Group 1: intensive 4 days a week
Group 2: conventional 3 half‐days a week
Group 3: no attendance but visited by health visitor at home encouraged to do exercises
For this Cochrane Review, we excluded the group that were visited at home
Participants 133 participants in 3 study arms
Group 1: n = 46; mean age 63 years; 67% male; mean 35 days poststroke
Group 2: n = 43; mean age 66 years;  73% male; mean 41 days poststroke
Outpatient setting in the UK
Interventions Intervention was physiotherapy and OT
Participants were required to attend the outpatient department for whole or half days, for up to 6 months, but shorter if full recovery achieved
Group 1: 4 days a week
Group 2: 3 half days a week
Group 1 received double amount as group 2
Outcomes ADL Index (17 item covering mobility, self‐care, and household tasks)
Clinical examination
Outcome measures recorded at baseline, 3 months, 6 months, and 12 months; i.e. 1 follow‐up at 12 months
Deaths and re‐occurrences of stroke were also recorded
Notes Written in 1981 when there was little evidence from RCTs about effect of stroke rehabilitation
Study indicated that intensive therapy may only be tolerated by a small percentage of stroke survivors (11% in this instance)
Conflict of interest: not reported
Funding: not reported