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

Nourbakhsh 2008.

Methods RCT; randomisation by having participants draw a card out of a set of cards marked ‘Group A’ or ‘Group B’
Participants Participants were involved in heavy or repetitive arm movements as part of their job or during recreational activities. Chronic lateral epicondylitis; n = 18 
Interventions Low‐frequency electrical stimulation on trigger points; n = 10
Placebo: n = 8
 
Six sessions in two to three weeks; six months of follow‐up 
Outcomes Pain (NRS), functional status (Q)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Draw a card from a set of cards"
Allocation concealment (selection bias) High risk Treating therapist did the random assignment
Blinding of participants? Low risk Participant was blinded
Blinding of caregivers? High risk Therapists were not blinded
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Measuring therapists were blinded to participants' group assignment, and participant blinded for participant‐reported outcomes
Incomplete outcome data (attrition bias) 
 All outcomes ‐ <20% drop‐outs? Low risk Two dropouts not described, but dropout rate does not exceed 20%
Incomplete outcome data (attrition bias) 
 All outcomes ‐ ITT analysis performed? Low risk Yes for post‐test measurement, not for six‐month follow‐up
Selective reporting (reporting bias) Unclear risk No protocol
Similarity of baseline characteristics? High risk Groups not similar in all outcome measures (e.g. grip strength); demographic features (e.g. age range, duration of symptoms)
Co‐interventions avoided? Low risk "Subjects did not receive any other form of treatment"
Compliance acceptable ? Low risk All participants received six treatment sessions over a two‐ to three‐week period
Timing outcome assessment comparable? Low risk Timing comparable