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. 2019 Nov 26;2019(11):CD009286. doi: 10.1002/14651858.CD009286.pub3

Acler 2009.

Methods Study type: interventional (clinical trial)
Intervention model: parallel assignment
Primary purpose: treatment
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
Interventions Citalopram 10 mg daily
Placebo: identical pill daily
Duration of treatment: at least 4 months
Duration of follow‐up: not stated
Outcomes Motor cortex excitability
NIHSS
Lindmark Scale
BI
HDRS
BDI
No data on death, GI upset, bleeds or seizures
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