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

Ko 2008.

Methods Method: randomised cross‐over trial
Number of dropouts: not described
Number of adverse effects: none
Deaths: none
ITT: yes, all participants completed the study
Participants Country: Republic of Korea
Sample size: 15 people with stroke and neglect
Baseline characteristics: 10 men and 5 women; mean age (SD): 62 (9) years; time since stroke (range) 29‐99 days; right‐hemispheric stroke; right‐handed
Inclusion criteria: not explicitly described; written informed consent
Exclusion criteria: metal in the head or skin lesions in the electrode area; uncontrolled medical problems; severe cognitive impairments
Interventions Each participant underwent one of the following conditions
  1. A‐tDCS over the right posterior parietal cortex (PPC) (2 mA for 20 minutes) followed by sham tDCS (2 mA for 10 seconds), divided by 48 hours of wash‐out period

  2. Sham tDCS (2 mA for 10 seconds) followed by A‐tDCS over the right posterior parietal cortex (PPC) (2 mA for 20 minutes), divided by 48 hours of wash‐out period

Outcomes Outcomes were measured at baseline and at the end of intervention period
  1. Line bisection test

  2. Letter‐structured cancellation test

  3. Shape‐unstructured cancellation test

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "All of patients participated in both anodal and sham DC brain polarization with counterbalanced and randomized order and 48 hour interval between two sessions"
Allocation concealment (selection bias) Unclear risk Not described by the authors
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 Unclear risk Participants were blinded, whereas blinding of personnel was not stated; however the review authors judge that the outcome measurement is not likely to be influenced by lack of blinding
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 Unclear risk Not described by the authors
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