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. 2022 Mar 29;2022(3):CD006430. doi: 10.1002/14651858.CD006430.pub3

Cho 2016.

Study characteristics
Methods Design: parallel RCT
Duration of trial: 6 weeks (dates not specified)
Unit of randomisation: people with hemiparetic stroke onset within 3 months to 1 year
Recruitment and allocation: eligible people from among 48 stroke inpatients who were undergoing physical and occupational therapy were randomised to 1 of 3 groups, NFB (not included in this review), CACR (n = 14), and CG (n = 16).
Participants Setting: 1 general hospital
Country: Republic of Korea
Sample size: 30 adults, 53% men; CARR: 14 (64% men); CG: 16 (48% men)
Inclusion criteria: hemiparetic stroke of onset within 3 months to 1 year, able to follow verbal instructions and to communicate, experienced mild cognitive deficit (18–23 on the MMSE), able to perform all tests
Exclusion criteria: if had never attended a school or had received CACR within the past year
Age: mean: CARC: 63.0 (SD 5.4) years; CG: 64.0 (SD 8.8) years
Time since onset of stroke: mean: CARC: 5.1 (SD 2.2) months; CG: 6.5 (SD 1.5) months
Types of stroke: not described, except hemiplegic
Site of lesion: not reported
Interventions Intervention group
Brief name: CARR using RehaCom software
Recipients: adults with stroke within 3–12 months poststroke with cognitive dysfunction
Why: to improve problem‐solving ability through use of games or other computer‐based programs in a manner that allowed different levels of task difficulty for the participant.
What (materials): RehaCom software (Korean version): attention, concentration, and memory programs; see hasomed.de/en/products/rehacom/. The software is available in 27 languages at no extra cost; computer; monitor, keyboard.
What (procedures): CACR in addition to occupational therapy and physical therapy.
Who provided: 2 "expert therapists" provided the CACR 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: face‐to‐face and individually (presumably)
Where: not specified but within 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: training at different levels of task difficulty according to the functional level of the participant
Modifications: none reported
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
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
  • FIM


Methods of data collection: data collection not described except that FIM Motor and Cognitive subtotal and FIM Total scores were calculated.
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: yes "approved by the Institutional Review Board of Gachon University"
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported.
Allocation concealment (selection bias) Unclear risk Not reported.
Blinding of participants and personnel (performance bias)
All outcomes High risk Participants could discern which group they were in and therapist could also.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported.
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; no protocol reported.
Other bias Low risk No other identifiable bias.