Cleland 2005.
Methods | Type of trial: RCT Number analysed/randomly assigned: 36/36 Intention‐to‐treat analysis: not applicable (NA) | |
Participants | Chronic neck pain | |
Interventions | INDEX TREATMENT
Manipulation (manip): technique: thoracic manip; frequency: 1 session; dose: 1 to 2 manip per segment, average 3.7 manip per participant; route: thoracic spine to each restricted segment COMPARISON TREATMENT Placebo manip (cntl): technique: use of flat open hand on participant naive to manip; frequency: 1 session; dose: average 3 placebo manip per participant; route: thoracic spine COINTERVENTION: NR Duration of therapy period: 1 session Duration of follow‐up: none |
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Outcomes | PAIN (VAS, 0 to 100) Baseline mean: manip 41.6, placebo 47.7 End of study mean: manip 26.1, cntl 43.5 Absolute benefit: manip 15.5, cntl 4.2 Reported results: significant favouring manipulation SMD: ‐0.93 (95% CI ‐1.62 to ‐0.24); NNTB 2; treatment advantage 29% FUNCTION: NR PARTICIPANT SATISFACTION: NR GPE: NR QoL: NR SIDE EFFECTS: none COST OF CARE: NR |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Page 129, column 1, paragraph 3 |
Allocation concealment (selection bias) | Low risk | Page 129, column 1, paragraph 3 |
Blinding of Participants (performance bias) | Low risk | Page 130, column 2, paragraph 2 |
Blinding of Personal (performance bias) | High risk | Not possible owing to design |
Blinding of the Outcome assessor (detection bias) | High risk | Not possible owing to design |
Incomplete outcome data (attrition bias) | Low risk | Page 130, column 2, paragraph 2 |
Randomized Participants analysed were allocated (attrition bias) | High risk | Not reported |
Selective outcome (reporting bias) | Low risk | Protocol available |
Similar groups at baseline? | Low risk | Table 1, page 131 |
co‐interventions avoided or similar? | Low risk | Table 1, page 131 |
Compliance acceptable? | Low risk | Pre‐test/Post‐test design |
Similar timing of outcome assessment? | Low risk | Pre‐test/Post‐test design |