Certainty of Evidence | Patients | Effect | Certainty | ||||||||
Nº of Studies | Study Design | Risk of Bias | Inconsistency | Indirect-ness Evidence | Imprecision | Others | [OMT] | [Placebo] | Relative (95% CI) | Absolute(95% CI) | |
Pain intensity (VAS or NPRS) in NP | |||||||||||
2 | RCTs | Serious a | Serious b | Serious c | Very serious d | None | 31 | 24 | - | SMD −0.42; (−1.24, 0.41) | ⨁◯◯◯ Very low |
Disability (NDI, ODI or RMDQ) in NP | |||||||||||
2 | RCTs | Serious a | Serious b | Serious c | Very serious d | None | 31 | 24 | - | SMD −0.24 (−1.15, 0.66) | ⨁◯◯◯ Very low |
Pain intensity (VAS or NPRS) in LBP | |||||||||||
5 | RCTs | Not serious | Serious b | Serious c | Not serious | None | 588 | 546 | - | SMD −0.10; (−0.38, 0.13) | ⨁⨁◯◯ Low |
Disability (NDI, ODI or RMDQ) in LBP | |||||||||||
4 | RCTs | Not serious | Not serious | Serious c | Not serious | None | 578 | 536 | - | SMD −0.07 (−0.22, 0.09) | ⨁⨁⨁◯ Moderate |
CI: confidence interval; SMD: standardized mean difference. Explanations: a More than 25% of the participants were from studies with poor or fair methodological quality, considering the following aspects: lack of allocation concealment, random allocation and/or sample size calculation, participant and personnel blinding, blinding of outcome assessors. b I2 level was higher than 50%. c Indirectness was downgraded because the interventions were heterogeneous. d Population included in each group < 30 participants. High: We are very confident that the true effect is close to the estimate of the effect. Moderate: We are moderately confidence in the effect estimate. The true effect is close to the estimate of the effect, but the result can be different. Low: Confidence in the effect estimate is limited, and the true effect can be substantially different from the estimate of the effect. Very Low: There is little confidence in the effect estimate, and the true effect is likely to be substantially different from the estimated effect. |