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. 2013 Aug 19;2013(8):CD003010. doi: 10.1002/14651858.CD003010.pub5

Ozturk 2006.

Methods RCT; method unknown.
Participants 46 participants (24 in the traction group, 22 in the control group) hospitalized with the diagnosis of lumbar disc herniation. Participants had LBP or sciatica, pain duration < 6 months and lumbar disc herniation verified by CT scan. People with LBP due to neoplastic, inflammatory, infectious or metabolic causes were excluded. Mean age: T) 40.2 years, C) 52.7 years.
Interventions T) Traction: physiotherapy programme, including hot pack, ultrasound and diadynamic current, and traction: continuous lumbar traction with Enraf Nonius Traction Eltrac 439. In total, 15 sessions, 5 sessions per wk, 15 min per session, traction force 255‐0% of body weight.
C) Comparison intervention: physiotherapy programme without traction.
Outcomes Assessment before and immediately AT. VAS for pain (mean (SD)) AT: T) 2.4 (1.7), C) 3.6 (2.7).
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No mention of randomization procedure.
Allocation concealment (selection bias) Unclear risk No information provided on allocation concealment.
Blinding (performance bias and detection bias) 
 All outcomes ‐ participants High risk No mention of attempts to blind the participants. It is unlikely that the participants were blinded.
Blinding (performance bias and detection bias) 
 All outcomes ‐ providers High risk No mention of attempts to blind the care providers. It is unlikely that the care providers were blinded.
Blinding (performance bias and detection bias) 
 All outcomes ‐ outcome assessors High risk No mention of attempts to blind the outcome assessors.
Incomplete outcome data (attrition bias) 
 All outcomes ‐ loss to follow‐up Unclear risk It is not clear how many participants were lost to follow‐up.
Incomplete outcome data (attrition bias) 
 All outcomes ‐ intention to treat analysis Unclear risk It is not clear whether an intention‐to‐treat analysis was used.
Selective reporting (reporting bias) Low risk Published results included all prespecified outcomes.
Group similarity at baseline (selection bias) Unclear risk No mention of group characteristics at baseline.
Influence of co‐interventions (performance bias) Low risk No co‐interventions were used during the treatment period.
Compliance with interventions (performance bias) Unclear risk Not mentioned.
Timing of outcome assessments (detection bias) Unclear risk Unclear at what time outcome assessments (for all intervention groups) were measured.