Martinez‐Segura 2006a.
Methods | Type of trial: RCT Number analysed/randomly assigned: 71/71 Intention‐to‐treat analysis: NR | |
Participants | Subacute chronic neck pain, no radiculopathy | |
Interventions | INDEX TREATMENT
Cervical high‐velocity low‐amplitude technique group (manip): technique: manipulation ipsilateral side flexion, contralateral rotation; frequency: 1 session; route: cervical spine COMPARISON TREATMENT Sham/Control group (cntl): technique: neck positioned into ipsilateral side flexion, contralateral rotation, position held for 30 seconds, the side of manual contact was randomly assigned; frequency: 1 session CO‐INTERVENTION: NR Duration of treatment: 1 session Duration of follow‐up: none |
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Outcomes | PAIN INTENSITY (VAS, 0 to 10 cm)
Baseline mean: manip 5.7, cntl 5.5
End of study mean: manip 2.2, cntl 5.1
Absolute benefit: manip 3.5, cntl 0.4
Reported results: significant favouring manipulation
SMD: ‐1.67 (95% CI ‐2.21 to ‐1.12); NNTB: 2; treatment advantage 54% FUNCTION: NR PATIENT SATISFACTION: NR GPE: NR QoL: NR SIDE EFFECTS: NR COST OF CARE: NR |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Not reported |
Allocation concealment (selection bias) | High risk | Not reported |
Blinding of Participants (performance bias) | High risk | Not reported |
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 | Pre‐post design |
Randomized Participants analysed were allocated (attrition bias) | Low risk | Pre‐post design |
Selective outcome (reporting bias) | Unclear risk | No reported protocol |
Similar groups at baseline? | Low risk | Page 513, Table 1 |
co‐interventions avoided or similar? | Low risk | Pre‐post design |
Compliance acceptable? | Low risk | Pre‐post design |
Similar timing of outcome assessment? | Low risk | Pre‐post design |