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. 2014 Nov 26;2014(11):CD007403. doi: 10.1002/14651858.CD007403.pub3

Lester 1981.

Methods RCT, DB, parallel groups
Duration 7 days
Assessment on days 3, 7
Participants Sprained ankle
Baseline pain slight to severe
N = 42 (50 randomised: 4 ineligible, 4 lost to follow‐up)
M = 20, F = 22
Age range 15 to 60+ years
Interventions Salicylic acid (2%), adrenal extract (1%), mucopolysaccharide polysulphate (0.2%) gel (Movelat), n = 20
Placebo gel, n = 22
Outcomes Relief of pain
Time to return to normal activity
Adverse events
Composite score based on above plus ankle range of movement, swelling
Withdrawals
Notes Oxford Quality Score: R1, DB1, W0. Total = 2/5
Tubes of Movelat and placebo gel supplied by Luitpold‐Werk
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method used to generate random sequence not described
Allocation concealment (selection bias) Unclear risk Method not described
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Method not described
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 4 participants lost to follow‐up (did not state group)
Size High risk < 50 participants per treatment arm