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. 2009 Oct 7;2009(4):CD002823. doi: 10.1002/14651858.CD002823.pub2

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