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. 2008 Apr 23;2008(2):CD001823. doi: 10.1002/14651858.CD001823.pub3

Hsieh 1992.

Methods RCT
Participants Subjects: 164 patients, 62 women and 102 men with non‐specific LBP and no sciatica. Median age 32 and mean duration of complaints between 3 weeks and 6 months. 
 Inclusion criteria: 1) age 18‐55 years, 2) LBP between 3 weeks and 6 months duration, 3) good health.
Interventions Treatment intervention: 
 1) Corset (n=29), 
 lumbosacral canvas corset with metal stays in the back. Corset use during waking hours, 3 weeks.
Control interventions: 
 2) Spinal manipulation (n=70), 3 times / week. 
 3) Soft tissue massage (n=37), 3 times / week. 
 4) TMS (n=28), 
 unit should be worn for 8 hours / day.
Outcomes Pain, functional status. No differences in pain. Functional status only after 4 weeks better compared to massage, not to manipulation and TMS.
Notes 88% of the original patients completed the assessments at baseline and at 4 weeks. 
 Data of RDQ and revised Oswestry are reported by Hsieh (1992) for a subgroup of 83 patients from the study population of Pope. 
 Compliance: 65% wore the belt more than 7 hours a day during the intervention period.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk  
Allocation concealment? Low risk A ‐ Adequate
Blinding? 
 All outcomes ‐ patients? High risk  
Blinding? 
 All outcomes ‐ outcome assessor? Low risk  
Incomplete outcome data addressed? 
 All outcomes ‐ drop‐outs? High risk  
Incomplete outcome data addressed? 
 All outcomes ‐ ITT analysis? High risk  
Similarity of baseline characteristics? Low risk  
Co‐interventions avoided or similar? Low risk  
Compliance acceptable? Low risk Compliance: 65% wore the belt more than 7 hours a day during the intervention period.
Timing outcome assessments similar? Low risk