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. 2024 Nov 8;12(11):287. doi: 10.3390/diseases12110287
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.