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. 2016 Mar 21;2016(3):CD009645. doi: 10.1002/14651858.CD009645.pub3

Boggio 2007a.

Methods Study design: randomised sham‐controlled cross‐over trial
Dropouts: none
Adverse effects: none
Deaths: none
ITT: yes
Duration: 16 weeks
Participants Country: Brazil
Number of participants: 4
Age: (mean ± SD) 60.75 ± 13.15 years
Gender: 0 female
Type of stroke: not described, most likely ischaemic stroke
Time poststroke: (mean ± SD) 34.5 ± 27.74 months
Severity: mean muscle strength of the finger flexors (MRC) 3.8; mean ASS 0.5
Inclusion criteria: not clearly stated, but all participants had chronic, subcortical stroke, were right‐handed and had their stroke at least 12 months before study enrolment
Exclusion criteria: not stated
Interventions Characteristics: 4 weekly sessions of A‐tDCS (1 mA) over the hand area of M1 of the lesioned hemisphere, or C‐tDCS (1 mA) over the hand area of M1 of the non‐lesioned hemisphere or sham tDCS over the hand area of M1 of the lesioned hemisphere for 20 minutes with at least 2 weeks of rest between stimulation conditions
Outcomes Outcomes used: duration of JTT in seconds
Time point(s) of measurement: at baseline, after the first and after the fourth session of each treatment condition
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Procedure not described, quote: "The order of these conditions was counterbalanced and randomised across subjects"
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias) 
 Subjective outcome measures Low risk There were no subjective outcome measures
Blinding of participants and personnel (performance bias) 
 Objective outcome measures Low risk Participants were blinded; blinding of personnel was not described
Blinding of outcome assessment (detection bias) 
 Subjective outcome measures Low risk There were no subjective outcome measures
Blinding of outcome assessment (detection bias) 
 Objective outcome measures Low risk Quote: "A blinded rater evaluated motor function using the Jebsen‐Taylor Hand Function Test"
Incomplete outcome data (attrition bias) 
 Subjective outcome measures Low risk There were no subjective outcome measures
Incomplete outcome data (attrition bias) 
 Objective outcome measures Low risk All participants apparently completed the study. No treatment withdrawals, no losses to follow‐up, no trial group changes and no major adverse events were stated
Selective reporting (reporting bias) Unclear risk All outcomes reported in the methods section reported