Skip to main content
. 2022 Mar 29;2022(3):CD006430. doi: 10.1002/14651858.CD006430.pub3

Cho 2015.

Study characteristics
Methods Design: parallel RCT
Duration of trial: 2 months (December 2013 to January 2014)
Unit of randomisation: people with hemiparetic stroke onset within 3 months to 1 year
Recruitment and allocation: recruited successively from 30 hospitalised stroke patients who were receiving occupational and physical therapy and randomised to the either CACR (n = 12) or CG (n = 13).
Participants Setting: 1 general hospital
Country: Republic of Korea
Sample size: 25 adults, 64% men; CARC: 12 (58% men); CG: 13 (69% men)
Inclusion criteria: hemiparetic stroke of onset within 3 months to 1 year, able to follow verbal instructions, communicate to a certain level, able to perform all tests and had experienced light cognitive function failures that scored 18–23 on the MMSE.
Exclusion criteria: diplegia, had never attended a school, were biased, or had received CACR within past year.
Age: mean: CARC: 60.0 (SD 4.7) years; CG: 63.7 (SD 6.3) years
Time since onset of stroke, mean: CARC: 5.3 (SD 2.3) months; CG: 6.0 (SD 2.2) months
Types of stroke: hemiplegic only description provided
Site of lesion: n (right/left hemisphere): CARC: 9/3; CG: 8/5
Interventions Intervention group
Brief name: CARC using RehaCom software
Recipients: adults with stroke within 3–12 months poststroke with cognitive dysfunction
Why: to provide objective CT based on neuropsychological patterns to stimulate damaged location of the brain.
What (materials): RehaCom software (Korean version): the awakening, reactivity, attention and concentration, simultaneous attention, and selective attention programs; see hasomed.de/en/products/rehacom/; the software is available in 27 languages at no extra cost; computer; joystick and touch screen input devices; optional reaction board.
What (procedures): CACR in addition to occupational therapy and physical therapy
Who provided: 2 "expert therapists" provided the CARC and traditional rehabilitation therapy. The RehaCom website states that the software is used "extensively by … occupational therapists" and other clinicians in rehabilitation centres, hospitals, and clinics.
How: not described but presumably face‐to‐face and individually
Where: not specified but within general hospital
When and how much: 30 minutes per day, 5 days per week, for 6 weeks (total of 15 hours) (in addition to usual occupational therapy and physical therapy)
Tailoring: feedback on the result during and after the treatment was provided and training occurred according to each participant's functional ability; the participants could complete the training using a reaction board while seated and watching the screen.
Modifications: none reported in paper
How well (planned): not reported
How well (actual): not reported
Comparator group
Brief name: traditional rehabilitation therapy
Recipients: adults with stroke with cognitive dysfunction
Why: to provide rehabilitation services to people poststroke
What: occupational therapy and physical therapy. Exercise was prescribed and supervised by 2 experienced physiotherapists
Who provided: occupational therapists and physiotherapists
How: face‐to‐face
Where: 1 general hospital
When and how much: 30 minutes 5 times per week for 6 weeks (total of 15 hours)
Tailoring: none reported
Modifications: not reported
How well (planned): not reported
How well (actual): not reported
Outcomes Primary: none
Secondary
  • DST forwards and backwards

  • VST forwards and backwards

  • VCPT

  • ACCPT


Methods of data collection: the 4 tests were performed in order from the easiest to the hardest, and they were performed by everyone in the same order.
Data collection time points: baseline and 6 weeks (post‐treatment)
Notes Funding: not reported
Conflict of interest: not reported
Published trial protocol: not reported
Trial registration: not reported
Ethics approval: quote: "All of the protocols used in this study were approved by Gachon University. Before beginning the study, the procedures, risks and benefits were explained to all of the participants, who gave their informed consent".
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Only stated "randomly allocated" in the abstract.
Allocation concealment (selection bias) Unclear risk Not reported.
Blinding of participants and personnel (performance bias)
All outcomes High risk All participants signed a written consent form after receiving a full explanation of the expected result and adverse effects of the study. 2 expert therapists provided the CACR group and the CG with traditional rehabilitation therapy.
Blinding of outcome assessment (detection bias)
All outcomes Low risk A computerised neurocognitive function test was used to assess relevant cognitive outcomes, providing a level of objective assessment.
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Not reported.
Selective reporting (reporting bias) Low risk All outcomes in the methods were reported in the results.
Other bias Low risk No other identifiable bias.