Lim 2009.
Methods | Method of randomisation unclear: participants divided into 2 groups according to order of enrolment Blinding of outcomes unclear Analysis by ITT unclear Balancing of prognostic baseline factors between treatment groups ‐ not reported for dysphagia severity, only for previous treatment of pneumonia |
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Participants | 1 centre in Korea 22 participants with CT or MRI confirmed stroke < 6 months from onset Mean age 64 years |
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Interventions | Rx: neuromuscular electrical stimulation + thermal‐tactile stimulation (n = 13) C: thermal‐tactile stimulation (n = 9) |
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Outcomes | Swallow function scoring system, PAS and PTT | |
Notes | Exclusions: inability to receive treatment for 1 hour, neurological disease other than stroke, combined behavioural disorder that interfered with administration of therapy, current illness or upper gastrointestinal disease, inability to give informed consent because of cognitive impairment or receptive aphasia | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Participants divided into 2 groups according to order of enrolment |
Allocation concealment (selection bias) | High risk | Not concealed |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | No details available |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | No details available |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Doctor blinded to groups performed videofluoroscopic examination; measured PTT as well as swallow function scoring system and Rosenbek penetration aspiration scale. |
Incomplete outcome data (attrition bias) All outcomes | High risk | 36 enrolled to the study. Only 28 participants completed the study (16 in the experimental group and 12 in the control group) |
Selective reporting (reporting bias) | Unclear risk | Swallow scores not fully reported (unclear on the range of median values) |
Other bias | Low risk | None identified |