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. 2019 Oct 8;2019(10):CD001408. doi: 10.1002/14651858.CD001408.pub2

Hazneci 2006.

Methods Method of randomisation: randomisation procedure not described
Blinding: not described, but presumably not
Intention‐to‐treat analysis: not described
Loss of follow‐up: not described
Unit of analysis: not clearly described, but likely lower limb for local measures and child for global measures
Participants Place: 1 centre in Turkey
Period of study: not described
Number assigned: 43
Number assessed: 43
  • 22 BoNT‐A group

  • 21 Johnstone pressure splint group


Inclusion criteria:
  • Children with spastic diplegic CP


Exclusion criteria:
  • Not described


Age:
  • BoNT‐A group (mean/SD): 8.19/2.49 years

  • Johnstone pressure splint group (mean/SD): 7.61/1.25 years


Gender:
  • Not described


Motor distribution:
  • All children had spastic diplegia


GMFCS:
  • Not described

Interventions BoNT‐A group:
  • BoNT‐A (brand not described) injections (300 IU) in adductor and medial hamstrings

  • Bobath neurodevelopmental exercises 3 days/week


Johnstone pressure splint group:
  • Application of a long leg Johnstone pressure splint 30 min/day, 3 days/week

  • Bobath neurodevelopmental exercises 3 days/week

Outcomes Length of follow‐up:
  • Follow‐up of 3 months


Primary outcomes:
  • Gross Motor Function Measure

  • Modified Ashworth Scale

  • Passive hip abduction

  • Knee‐knee distance

Notes Comments: none
Source of funding: not reported
Conflicts of interest: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: not described
Allocation concealment (selection bias) Unclear risk Comment: not described
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Comment: not described, but likely not given the nature of the interventions
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Comment: not described, but likely not given the nature of interventions and assessments
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: no missing outcome data
Selective reporting (reporting bias) Unclear risk Comment: study protocol not available. It appears that the relevant outcomes were addressed.
Other bias Low risk Comment: no other sources of bias identified