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. 2012 Jul 11;2012(7):CD002111. doi: 10.1002/14651858.CD002111.pub3

Solomon 2003.

Methods Randomised controlled trial.
Analysis: not intention to treat.
Participants Setting and country: single centre, Australia.
Inclusion criteria: failed dietary and medical treatment.
Exclusion criteria: No anatomic defect in external sphincter, IBD, peri‐anal inflammation, diarrhoea, rectal prolapse.
Number of participants: 120 randomised, 102 completed
Age: mean age 62 years
Sex:107 women, 13 men
Other characteristics of participants:
Interventions Five thirty minute sessions over four months. 
 Group 1: Anal sphincter exercises taught on digital examination. 
 Group 2: Anal sphincter exercises taught with transanal ultrasound feedback. 
 Group 3: Anal sphincter exercises taught with manometric feedback.
Outcomes Scores, VAS, investigators assessment, quality of life, manometry, fatigue rate
Follow‐up period: end of treatment.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Opaque envelopes organised centrally
Allocation concealment (selection bias) Low risk Opaque envelopes organised centrally
Blinding (performance bias and detection bias) 
 All outcomes Low risk Outcome assessor blinded
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 120 randomised, 102 completed (groups not stated)