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. 2014 Oct 1;2014(10):CD011324. doi: 10.1002/14651858.CD011324

Taverna 1990.

Methods Design: Parallel group, two‐arm double‐blind randomised controlled trial (Italy)
Interventions: Low‐level laser therapy (LLLT) or placebo laser therapy
Sample size calculation: Not reported
Analysis: Intention‐to‐treat analysis
Source of funding: Not reported
Participants Number of participants: 40 (20 per group)
Baseline characteristics: Age, sex and duration of symptoms not reported
Inclusion criteria:
1. Diagnosed with scapulohumeral periarthritis
Exclusion criteria:
Not reported
Interventions Laser therapy (N=20)
Components of intervention: Low‐level laser therapy (1000Hz, 24mW). Trialists irradiated painful points (where the pain occurs spontaneously and with a ratio more or less closely with the damaged structures), the points of greater access (points which may also not evoke a painful response, or even pressure, but where the emitted beam can penetrate better into the tissues and effectively reach treatment areas) and to a lesser extent the trigger points (points that, when excited, trigger pain in a target area that never corresponds to the trigger point)
Dosage: 15 to 20 minutes
Frequency of administration: Daily for six days
Provider: Orthopaedic physician
Placebo laser therapy (N=20)
Participants received the same interventions as described above, except that placebo laser therapy was provided
Outcomes Outcomes assessed at the end of six days treatment. No primary outcome was reported by the trialists
1. Patient‐reported improvement in pain and function, rated as "excellent result" = improvement of 80% or more; "good result" = improvement between 60% to 80%; "reasonable result" = improvement between 40% to 60%; or "insufficient result" = improvement less than 40%
2. Adverse events
Notes Article is written in Italian. MP used Google Translate to translate into English. Quality of translation was good.
There were 40 additional participants in this RCT who had cervical osteoarthritis (their data has not be included in this table).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "For each type of pathology we divided the patients, using the table of random numbers, into two groups: treated and untreated with IR laser..." (Google Translate translation of Italian article)
 Comment: An adequate method was used to generate the allocation sequence
Allocation concealment (selection bias) Unclear risk Comment: No information on how the allocation sequence was concealed was reported
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Quote: "... and all were subjected to the same number of sessions and the same application diagrams with the apparatus of laser emission both cases "in function", with the same sounds (acoustic marks bearer of power is on) and bright light (pointing), a subgroup was actually treated while the other was used as a control being turned OFF prior to the application through the laser diode removed from the handpiece" (Google Translate translation of Italian article)
 Comment: Participants, but not personnel, were blind to treatment
Blinding of outcome assessment (detection bias) 
 Self‐reported outcomes Low risk Comment: Blinded participants self‐reported pain and function
Blinding of outcome assessment (detection bias) 
 Objective outcomes Low risk Quote: "The evaluation was conducted before treatment and at the end of the same, and the results were evaluated by one of A. not aware of the subgroup to which the patient belonged (treated or placebo)" (Google Translate translation of Italian article)
Comment: Assessors of adverse events were probably blind to treatment
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: No dropouts, losses to follow‐up or exclusions were reported, and outcome data was reported as being based on the number of randomised participants
Selective reporting (reporting bias) Unclear risk Comment: Outcome data was fully reported for all outcomes specified in the methods section of the publication, but without a trial protocol it is unclear whether other outcomes were measured but not reported based on the results
Other bias Low risk Comment: No other sources of bias identified