Serious adverse events were reported to the medical ethics committee.Control group Patients allocated to the control group received usual outpatient physiotherapy, mainly one to one treatments tailored to the patient with a physiotherapist who had not been on the circuit training course at one of the participating rehabilitation centres. Sessions designed to improve control of standing balance, physical condition, and walking competency were provided according to Dutch physiotherapy guidelines.11 There were no additional restrictions with respect to content, time, or duration of the physiotherapy.OutcomesPrimary outcome measure This was the mobility domain of the stroke impact scale. This scale is a self reported, stroke specific, valid, reliable pandora bracelets, and responsive measure that includes 59 items and assesses eight domains related to activities and participation.12 13 The mobility domain of the scale includes nine questions about a patient’s perceived competency to keep his or her balance, to transfer, to walk indoors and climb stairs, to get in and out of a car, and to move about in the community.
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