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. 2015 Sep 23;2015(9):CD004249. doi: 10.1002/14651858.CD004249.pub4

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
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
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