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

Rothhaar 1982.

Methods RCT, DB, parallel groups
Duration 9 days
Assessment on days 3, 7, 9
Participants Sports injuries
Baseline pain mild to severe
N = 100
M = 49, F = 32
Average age 30 years (range 14 to 58)
Interventions Escin 1%, diethylamine salicylate 5% (Reparil‐Gel), n = 50
Placebo gel, n = 50
Gel applied at least x 4 daily to affected area
Outcomes PI (spontaneous): 4‐point scale
PI with load: 4‐point scale
PI on movement: 4‐point scale
PI with pressure: 4‐point scale
Tightness: 4‐point scale
Temperature: 4‐point scale
Haematoma: 4‐point scale
Swelling: 4‐point scale
Ratio of range of movement to unaffected limb
Ratio of size to unaffected limb
Patient global assessment: 5‐point scale
Improvement in spontaneous pain: 3‐point scale
Improvement in movement pain: 3‐point scale
Remission in spontaneous pain: 3‐point scale
Remission in movement pain: 3‐point scale
Withdrawals
Adverse events
Notes Oxford Quality Score: R1, DB2, W1. Total = 4/5
19 patients had no data and were not included
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 "Geprüft wurde gegen ein vom Verum‐Präparat hinsichtlich Verpakkung, Aussehen und Geruch nicht unterscheidbares Plazebo‐Gel" [tested against a placebo gel which was indistinguishable in packaging, appearance and odour]
Incomplete outcome data (attrition bias) 
 All outcomes High risk > 10% randomised participants provided no data
Size High risk < 50 participants per treatment arm provided data