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 |