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. 2013 Dec 12;2013(12):CD008742. doi: 10.1002/14651858.CD008742.pub2

Kamwendo 1991.

Methods RCT
Participants Medical secretaries currently working. Chronic (> 12 months) neck/shoulder complaints (non‐specific); medical secretaries currently working (women); n = 79 
Interventions Traditional neck school: Four‐hour traditional neck school conducted by a physiotherapist. Advice + exercises; n = 25
Traditional neck school + ergonomic changes: Four‐hour traditional neck school conducted by a physiotherapist and additional visit of the physiotherapist at the workplace; n = 28
Controls: not offered any intervention; n = 26
 
Two sessions/wk, four weeks. Follow‐up: six months 
Outcomes Pain (VAS), workload (VAS), fatigue (VAS), ROM (goniometer), sick leave, expectation
Notes No data available
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear randomisation procedure
Allocation concealment (selection bias) Unclear risk Unclear whether allocation was concealed
Blinding of participants? Unclear risk Unclear blinding of participants
Blinding of caregivers? Unclear risk Unclear blinding of caregivers
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Unclear blinding of outcome assessment
Incomplete outcome data (attrition bias) 
 All outcomes ‐ <20% drop‐outs? Low risk Dropout rate < 20%
Incomplete outcome data (attrition bias) 
 All outcomes ‐ ITT analysis performed? High risk No ITT analysis
Selective reporting (reporting bias) Unclear risk No protocol
Similarity of baseline characteristics? Unclear risk Unclear baseline similarity
Co‐interventions avoided? Unclear risk Unclear whether co‐interventions were avoided
Compliance acceptable ? Unclear risk Unclear compliance rate
Timing outcome assessment comparable? Unclear risk Timing comparable