Makuloluwe 1977.
Methods | Randomised clinical trial (no details of method). No blinding of patients, care providers and outcome assessment. | |
Participants | Enfield, UK. 80 patients with ankle sprains. Inclusion criteria: mild or moderate ankle sprains, pain on abduction or adduction of the foot. Exclusion criteria (X‐ray): ankle fractures. | |
Interventions | Group 1: Ultrasound therapy: 1.5 W/cm², 4 minutes, 4 to 10 sessions (n = 40). Length of treatment variable, depending on recovery. Group 2: Immobilisation by Elastoplast (n = 40). Co‐interventions: ice packs for some patients in the ultrasound group. | |
Outcomes | Length of follow‐up: 2 weeks Success rate / recovery (yes/no) Dropouts: none reported but values of percentages indicate incomplete outcome ascertainment. Adverse reactions: not described |
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Notes | Authors' conclusion: ultrasound is more effective than immobilisation with Elastoplast. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described in trial report |
Allocation concealment (selection bias) | Unclear risk | Not described in trial report |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Values of percentages (success) indicate incomplete outcome ascertainment |
Baseline similarity | Unclear risk | No baseline characteristics per intervention group |
Blinding of care provider | High risk | Pragmatic comparison of two different types of treatment |
Control for co‐interventions | Unclear risk | No information in trial report |
Adherence to treatment | Unclear risk | No information in trial report |
Blinding of patients | High risk | Pragmatic comparison of two different types of treatment |
Blinding of outcome assessment | High risk | Assessment by patient and physician |
Timing of outcome assessment | Low risk | Similar timing |