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

Cheing 2003.

Methods Randomised controlled trial 
 4‐arm parallel group design 
 Trial duration: 4 weeks 
 Randomisation stratified according to gender 
 No power calculation reported
Participants 40 patients randomised 
 38 patients with knee OA reported at baseline 
 Study joints: 38 knees 
 Number of females: 34 of 38 (89%) 
 Average age: 66 years
Interventions Experimental intervention: 20 min TENS in group 1, 40 min TENS in group 2, 60 min TENS in group 4, 5 times per week 
 Control intervention: sham TENS, 5 times per week 
 Duration of treatment period: 2 weeks 
 Unclear whether analgesics were allowed and whether intake was similar between groups
Device: ITO 120Z TENS (dual channel) 
 Self‐administered: no 
 Waveform: not reported 
 Pulse width: 200 µsec 
 Pulse frequency: 100 Hz 
 Amplitude: above sensory threshold, strong but comfortable 
 Duration of stimulation per session: 20 minutes 
 Electrodes: 4 of 2 x 3 cm rubber electrodes 
 Placement: 4 acupuncture points extra 31,32, ST35, GB34, SP9
Outcomes Extracted pain outcome: pain on walking after 4 weeks, described as "pain during walking (VAS)" 
 No function outcome reported
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? Low risk Sham device: electronic circuit disconnected, no current passed, but indicator light on
Incomplete outcome reporting: intention‐to‐treat analysis performed? 
 Pain High risk 30 out of 30 (100%) randomised to experimental and 8 out of 10 (80%) randomised to control group were analysed
Incomplete outcome reporting: intention‐to‐treat analysis performed? 
 Function Unclear risk Not applicable
Funding by commercial organisation avoided? Unclear risk No information provided
Funding by non‐profit organisation? Unclear risk No information provided