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

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
Participants 1 centre in Korea
22 participants with CT or MRI confirmed stroke < 6 months from onset
Mean age 64 years
Interventions Rx: neuromuscular electrical stimulation + thermal‐tactile stimulation (n = 13)
C: thermal‐tactile stimulation (n = 9)
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