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 |
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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 |