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

Predel 2013b.

Methods R, DB, PC, parallel groups
 2 g gel applied with fingertips over affected area and massaged in for 1 minute. Treatment for 5 days
 Assessed at baseline, 2, 3, 5 days
Participants Uncomplicated neck pain originating from cervical joints and accompanying soft tissues (≥ 12 hours but < 3 months), PI ≥ 50/100
 N = 72
M 33, F 39
 Mean age 34 years
Interventions Diclofenac gel (Voltaren Emulgel), 4 x 2 g daily, n = 36
 Placebo gel, 4 x 2 g daily, n = 36
Rescue medication: paracetamol up to 2 g daily
 No concomitant therapies allowed
Outcomes ≥ 50% decrease in PI on movement after 48 hours
 PGE: 5‐point scale (responder = "good" or "excellent" at 5 days
Adverse events
Withdrawals
Notes Oxford Quality Score: R2, DB2, W1. Total = 5/5
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Sponsor "produced randomisation list"
Allocation concealment (selection bias) Low risk Automated remote system
Blinding (performance bias and detection bias) 
 All outcomes Low risk "identical in packaging, labelling, schedule of administration, appearance and odour"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing data
Size High risk < 50 participants per treatment arm