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

Cetin 2008.

Methods Randomised controlled trial 
 5‐arm parallel group design 
 Trial duration: 8 weeks  
 No power calculation reported
Participants 100 patients randomised 
 100 patients with knee OA reported at baseline 
 Study joints: 100 knees 
 Number of females: 100 of 100 (100%) 
 Average age: 60 years 
 Average BMI: 28 kg/m2
Interventions Experimental intervention: TENS + hot packs + isokinetic exercise, 3 times per week 
 Control intervention: hot packs + isokinetic exercise, 3 times per week 
 Duration of treatment period: 8 weeks 
 Analgesics allowed, unclear whether intake was similar between groups
Device: MED911 
 Self‐administered: no 
 Waveform: not reported 
 Puls width: 60 msecs 
 Pulse frequency: 60‐100 Hz 
 Amplitude: above sensory threshold, increased to point of seeing no contraction, while patient felt comfortable 
 Duration of stimulation per session: 20 minutes 
 Electrodes: not reported 
 Electrode placement: around painful areas
Outcomes Extracted pain outcome: pain on walking after 8 weeks, described as "Knee pain severity after a 50‐m walk (VAS)" 
 Extracted function outcome: Lequesne OA index global score after 8 weeks (Likert)
No primary outcome reported
Notes Only 2 arms qualified for inclusion in this review
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 Unclear risk No information provided
Incomplete outcome reporting: intention‐to‐treat analysis performed? 
 Function Unclear risk No information provided
Funding by commercial organisation avoided? Unclear risk No information provided
Funding by non‐profit organisation? Unclear risk No information provided