Acler 2009.
Methods | Study type: interventional (clinical trial) Intervention model: parallel assignment Primary purpose: treatment |
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Participants | 20 participants Location: Italy Setting: inpatient Inclusion criteria: first‐ever ischaemic stroke, CT or MRI documenting a single monohemispheric lesion, age below 80 years, within 3 months of onset Exclusion criteria: major affective disorders, alcohol abuse and dementia leading to unco‐operative behaviour, pacemakers, metal in the head, concomitant neuropathies, systemic vasculopathies, major affective disorders Treatment: 10 people, mean age 68 ± 7 years, 6 men Control: 10 people, mean age 65 ± 7 years, 6 men |
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Interventions | Citalopram 10 mg daily Placebo: identical pill daily Duration of treatment: at least 4 months Duration of follow‐up: not stated |
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Outcomes | Motor cortex excitability NIHSS Lindmark Scale BI HDRS BDI No data on death, GI upset, bleeds or seizures |
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Funding source | Source of funding not stated; unclear whether or not a drug company was involved in the study | |
Notes | Dates of study not stated. Any conflicts of interest not stated | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated random numbers |
Allocation concealment (selection bias) | Unclear risk | Method of allocation concealment not stated |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Stated blinded, placebo was 'an identical pill' |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Stated blinded |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | It is not stated whether data from all recruited participants are reported |
Selective reporting (reporting bias) | Unclear risk | Side effects were not reported although they were assessed |
Other bias | Unclear risk | − |