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. 2008 Jan 23;2008(1):CD004057. doi: 10.1002/14651858.CD004057.pub3

Mayer 2005.

Methods RCT
Participants N=100; Mean age (yrs): 31; Gender (%female): no info; Diagnosis: < 3 months LBP, unclear whether sciatica was included. 
 Setting: 3 outpatient medical facilities
Interventions (E) Educational booklet 'acute low back problems in adults, patient guide'. Review of booklet by therapist plus advice to read booklet at home (N=26) 
 (C1) heat wrap (5 consecutive days, 8 hours per day) (N=25) 
 (C2) exercise under supervision of therapist, standardized full range of motion exercise plus home exercises for 5 days (N=25) 
 (C3) heat wrap plus exercise (N=24)
Outcomes Pain: 
 Relief (0 to 5 verbal rating scale) at end of intervention## (graph): (E) 1.4; (C1) 2.3; (C2) 2.0; (C3) 3.4
Back pain‐specific functional status: 
 Roland Morris (0 to 24) at baseline and end of intervention## (graph): (E) 10.78.0; (C1) 9.16.3; (C2) 9.16.7; (C3) 7.43.6
multidimensional task ability profile questionnaire (0 to 200) at baseline and end of intervention## (graph); (E) 100.5, 120; (C1) 91.9, 132; (C2)100.0, 130; (C3) 85.7, 165 
 (comparison (E) vs (C1) or (C2) is not clear from text)
## (E) less effective than (C3) (p < 0.05)
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk  
Allocation concealment? Unclear risk B ‐ Unclear
Blinding? 
 All outcomes ‐ patients? High risk  
Blinding? 
 All outcomes ‐ providers? High risk  
Blinding? 
 All outcomes ‐ outcome assessors? Unclear risk Unclear from text
Incomplete outcome data addressed? 
 All outcomes ‐ drop‐outs during intervention? Low risk  
Incomplete outcome data addressed? 
 All outcomes ‐ drop‐outs during follow‐up? High risk  
Incomplete outcome data addressed? 
 All outcomes ‐ ITT analysis? Unclear risk Unclear from text
Similarity at baseline characteristics? High risk  
Co‐interventions avoided or similar? Low risk  
Compliance acceptable? Unclear risk Unclear from text