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. 2019 May 21;2019(5):CD009760. doi: 10.1002/14651858.CD009760.pub4

Marangolo 2011.

Methods Randomised double‐blinded cross‐over trial
Participants Country: Italy
 3 participants (1 woman) with single left hemispheric stroke, non‐fluent aphasia and no signs of apraxia of speech
Inclusion criteria: native Italian proficiency, pre‐morbid right‐handedness, persisting symptoms for at least 6 months
Exclusion criteria: acute or chronic neurological symptoms requiring medication
Interventions Each participant underwent 2 different treatment conditions (A: A‐tDCS, 1 mA; B: S‐tDCS, 20 minutes over the left inferior frontal gyrus (Broca's area)) in the following order:
A: 5 days language therapeutic repetition task + A, 6 days' rest period, 5 days' language therapeutic repetition task + B
B: 5 days language therapeutic repetition task + B, 6 days' rest period, 5 days' language therapeutic repetition task + A
Outcomes Outcomes were reported at baseline, 1 week, 1 month and 2 months after the end of intervention:
‐ naming accuracy in per cent (continuous; ranging from 0 to 100 with a higher value indicating better performance)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated random list (Marangolo 2012)
Allocation concealment (selection bias) Unclear risk None (Marangolo 2012)
Blinding of participants and personnel (performance bias) 
 Objective outcomes Low risk Objective outcome measures: participants were blinded to stimulation condition, whereas personnel were not
Blinding of outcome assessment (detection bias) 
 Objective outcomes Low risk Objective outcome measures: outcome assessor was unaware of stimulation type
Incomplete outcome data (attrition bias) 
 Objective outcomes Low risk Objective outcome measures: all participants apparently completed the study. No treatment withdrawals, no trial group changes and no major adverse events stated
Selective reporting (reporting bias) Unclear risk All outcomes listed in the 'Methods' section reported, no protocol could be identified
Other bias Low risk No other bias identified