Skip to main content
. 2015 Jun 15;2015(6):CD007402. doi: 10.1002/14651858.CD007402.pub3

Hoffmann 2012.

Methods R, DB, PC, multicentre, parallel group
Plaster applied x 1 daily (minimum of 20 consecutive hours of application per day) for 14 days
PI assessed daily, overall efficacy assessed at 7 and 14 days
Participants Unilateral, mild to moderate muscle contusion of upper or lower limb (< 72 hours), PI ≥ 50/100, superficial haematoma ≤ 10 x 14 cm at injured site
N = 354
M 126, F 228
Mean age 39 years
Interventions DHEP/hep plaster, x 1 daily, n = 121
 DHEP plaster, x 1 daily, n = 115
 Placebo plaster, n = 118
Rescue medication: paracetamol 500 mg (no limit reported)
Outcomes PGE: 5‐point scale (responder = excellent or good) at 14 days
Mean reduction in PI at 3 and 8 days
Rescue medication
Adverse events
Withdrawals
Notes Oxford Quality Score: R1, DB2, W1. Total = 4/5
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method not reported
Allocation concealment (selection bias) Unclear risk Method not reported: "Medication packed and labelled in order to render all participants and personnel fully blinded to treatment administered"
Blinding (performance bias and detection bias) 
 All outcomes Low risk "Indistinguishable regarding appearance, shape, colour, size and odour"
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No responder analysis reported, and imputation method not mentioned
Size Unclear risk 50 to 200 participants per treatment arm