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

Park 2016a (i).

Methods Randomisation unclear
Outcome assessor blinded
(unilateral stimulation vs sham data set)
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
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)
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