Park 2016a (i).
Methods | Randomisation unclear Outcome assessor blinded (unilateral stimulation vs sham data set) |
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Participants | 1 centre in Korea 35 participants with subacute stroke defined as onset < 3 months Swallowing dysfunction confirmed by videofluoroscopy Baseline characteristics similar 2 participants lost to follow‐up |
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Interventions | Rx 1: unilateral stimulation group with (10 Hz) rTMS on ipsilesional cortex and sham on contralesional cortex (n = 11) Rx 2: bilateral stimulation group with (10 Hz) rTMS on ipsilesional and contralesional cortex (n = 11) C: sham rTMS over bilateral hemispheres (n = 11) Control group split into n = 5 for data set 1 and n = 6 for data set 2 Therefore for this data set, unilateral stimulation (n = 11) vs sham stimulation (n = 5) |
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Outcomes | Clinical Dysphagia Scale, Dysphagia Outcome and Severity Scale, PAS, VDS | |
Notes | Exclusion: history of swallowing problems caused by other underlying neurological diseases, such as Parkinson’s disease, dementia, or motor neuron disease; history of intractable seizure; metallic implants in the brain | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Blinding unclear |
Allocation concealment (selection bias) | Unclear risk | Unclear |
Blinding (performance bias and detection bias) All outcomes | High risk | Single‐blinded (assessors only) |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Reported only as single‐blinded (assessors only) |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Outcome assessors blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 2 lost to follow‐up |
Selective reporting (reporting bias) | Low risk | All outcomes reported |
Other bias | Low risk | None identified |