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

Rossi 2013.

Methods Study design: single‐centre, randomised, double‐blind, sham‐controlled trial
Dropouts: none
Adverse effects: none
Deaths: none
ITT: yes, all participants completed the study
Participants Country: Italy
Number of participants: 50
Inclusion criteria: age between 18 and 80 years and an acute ischaemic lesion in the territory of the MCA, a score between 6 and 20 at the NIHSS and a UE‐FM score between 15 and 55
Exclusion criteria: pre stroke mRS > 1, thrombolysis, history of seizure, advanced systemic diseases coexistent neurological/psychiatric diseases, current treatment with antidepressants, antipsychotics or benzodiazepines
Age: (mean ± SD) tDCS‐group: 66.1 (± 14.3); sham group: 70.3 (± 13.5) years
Gender: tDCS group: 12 male (48%), sham group: 14 male (56%)
Time poststroke: 2 days
Severity according NIHSS at baseline: tDCS‐group: 15.4 (± 4.9); sham group: 14.1 (± 3.5)
Interventions Number of arms: 2; each participant underwent 1 of the following conditions
  1. 5 daily sessions of A‐tDCS to M1 of the lesioned hemisphere (2 mA for 20 minutes)

  2. 5 daily sessions of sham tDCS (for 20 minutes)

Outcomes Primary outcomes: UE‐FM at baseline, at the end of intervention and at 3 month follow‐up
 Secondary outcomes: NIHSS at baseline, at the end of intervention and at 3 month follow‐up; mRS at baseline, at the end of intervention and at 3‐month follow‐up
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation scheme was generated by a computer program (Koch 2013 [pers comm])
Allocation concealment (selection bias) Unclear risk Allocation was performed by a third person via telephone (Koch 2013 [pers comm])
Blinding of participants and personnel (performance bias) 
 Subjective outcome measures Low risk Personnel were blinded to the type of treatment (Koch 2013 [pers comm])
Blinding of participants and personnel (performance bias) 
 Objective outcome measures Low risk Personnel were blinded to the type of treatment (Koch 2013 [pers comm])
Blinding of outcome assessment (detection bias) 
 Subjective outcome measures Low risk Evaluators were blinded (Koch 2013 [pers comm])
Blinding of outcome assessment (detection bias) 
 Objective outcome measures Low risk Evaluators were blinded (Koch 2013 [pers comm])
Incomplete outcome data (attrition bias) 
 Subjective outcome measures Low risk All participants completed the study. No treatment withdrawals, no losses to follow‐up, no trial group changes and no major adverse events were stated
Incomplete outcome data (attrition bias) 
 Objective outcome measures Low risk All participants 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) Low risk All outcomes were stated as mentioned in preceding conference papers