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. 2018 Oct 30;2018(10):CD000323. doi: 10.1002/14651858.CD000323.pub3

Khedr 2010.

Methods Method of randomisation unclear: participants from both the lateral medullary infarction (LMI) group and the other brainstem infarction group were each randomly classified into 2 groups ‐ to receive real or sham repetitive transcranial magnetic stimulation
Blinded primary outcome assessment
Baseline prognostic factors balanced between treatment groups
Participants 1 centre in Egypt
Total of 22 participants with hemispheric stroke split into having lateral medullary infarction or other brainstem infarction
Mean age 58 years
Interventions Rx: repetitive transcranial magnetic stimulation of the affected motor cortex (n = 11)
C: sham stimulation (n = 11)
Outcomes Primary outcome: score on the dysphagia rating scale
Secondary outcomes: motor power of hand grip, BI, NIHSS
Notes Exclusion: head injury or neurological disease other than stroke, unstable cardiac dysrhythmia, fever, infection, hyperglycaemia, epilepsy, prior administration of tranquilliser
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of randomisation unclear
Allocation concealment (selection bias) Unclear risk Unclear
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Unclear
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Unclear
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Blinded outcome assessment
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants apart from 2 in the sham treatment group who died completed the trial and follow‐up periods
Selective reporting (reporting bias) Low risk All outcomes reported
Other bias Low risk None identified