Adedoyin 2005.
Methods | Randomised controlled trial 3‐arm parallel group design Trial duration: 4 weeks Power calculation reported | |
Participants | 51 patients randomised 46 patients with knee OA reported at baseline Study joints: 46 knees Number of females: 28 of 46 (61%) Average age: 55 years Average BMI: 28 kg/m2 | |
Interventions |
Comparison 1
Experimental intervention: TENS and exercise twice per week
Control intervention: exercise, twice per week Comparison 2 Experimental intervention: interferential current stimulation and exercise, twice per week Control intervention: exercise, twice per week Duration of treatment period: 4 weeks Analgesics not allowed, patients confirmed not to take analgesics TENS Device: Endomed 5921D Self‐administered: no Waveform: not reported Pulse width: 200 ms Pulse frequency: 80 Hz Amplitude: above sensory threshold, strong but comfortable Duration of stimulation per session: 20 minutes Electrodes: 2 electrodes 8 x 6 cm Placement: Each side of affected knee joint, aligned longitudinally along length of limb Interferential Current Stimulation Device: Endomed 5921D (2 pole) Waveform: interferential Pulse width: not applicable Pulse frequency: 80 Hz (beat) Amplitude: above sensory threshold: strong but comfortable, strong tingling sensation without muscle contraction Duration of stimulation per session: 20 minutes Electrodes: 2 electrodes 8 x 6 cm Placement: each side of affected knee joint, aligned longitudinally along length of limb |
|
Outcomes | Extracted pain outcome: pain on activities other than walking after 4 weeks, described as "Pain recorded while standing (10‐point pain rating scale with 0 “no pain”, 5 “moderate pain” and 10 “worst pain imaginable”)"
Extracted function outcome: WOMAC global scale after 4 weeks (Likert) No primary outcome reported |
|
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Unclear risk | No information provided |
Allocation concealment? | Unclear risk | No information provided |
Free of selective reporting? | Unclear risk | Trial protocol not accessible, methods section not explicit about pre‐specified outcomes |
Adequate blinding of patients? | High risk | No sham intervention |
Incomplete outcome reporting: intention‐to‐treat analysis performed? Pain | High risk | 15 out of 15 (100%) in TENS group, 16 out of 19 (84%) in interferential current stimulation group, 15 out of 17 (88%) in control group analysed |
Incomplete outcome reporting: intention‐to‐treat analysis performed? Function | High risk | See above |
Funding by commercial organisation avoided? | Unclear risk | No information provided |
Funding by non‐profit organisation? | Unclear risk | No information provided |