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. |
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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. |