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

Xia 2016a.

Methods Randomisation by random numbered tables
Outcomes blinded
Participants 1 centre in China
 124 participants, timing post stroke unclear but suggests acute based on mean days from onset of stroke
 Dysphagia identified by videofluoroscopy and Dysphagia Outcome Severity Scale
No significant differences in baseline characteristics between groups
Interventions Rx: combined acupuncture with standard swallowing training (n = 62)
 C: standard swallowing training only (n = 62)
Treatment for 4 weeks
Outcomes Primary: Standardized Swallowing Assessment, Dysphagia Outcome Severity Scale
Secondary: Modified BI, Swallowing Quality of Life (SWAL‐QOL)
Notes Exclusion: presence of serious diseases of the liver, kidney, hematological system, or endocrine system; psychiatric disorders; severe cognitive impairment; severe aphasia; other diseases that potentially impaired swallowing function, such as head and neck tumours, oesophageal neoplasms, craniocerebral injury, myasthenia gravis, and Guillain‐Barre syndrome
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation by random numbers table
Allocation concealment (selection bias) Unclear risk Unclear
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Blinding unclear
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Unclear
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Outcome assessors blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 4 participant dropouts from study in total
Selective reporting (reporting bias) Low risk All outcomes reported
Other bias Low risk None identified