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

Defrin 2005.

Methods Randomised controlled trial 
 6‐arm parallel group design 
 Trial duration: 4 weeks 
 No power calculation reported
Participants 62 patients randomised 
 62 patients with knee OA reported at baseline 
 Study joints: 62 knees 
 Average age: 67 years
Interventions Experimental intervention: noxious adjusted interferential current stimulation in group 1, noxious unadjusted interferential current stimulation in group 2, innocuous adjusted interferential current stimulation in group 3, innocuous unadjusted interferential current stimulation in group 4, 3 times per week 
 Control intervention: sham interferential current stimulation, 3 times per week 
 Duration of treatment period: 4 weeks 
 Analgesics allowed, unclear whether intake was similar between groups.
Device: Uniphy: Phyaction electrical stimulator 
 Self‐administered: no 
 Waveform: interferential 
 Pulse width: not applicable 
 Pulse frequency: 30 to 60 Hz (beat) 
 Amplitude: above sensory threshold, 2 groups 30% above pain threshold; 2 groups 30% below pain threshold 
 Duration of stimulation per session: 20 minutes 
 Electrodes: 2 of 8 x 6 cm wet sponge electrodes 
 Placement: medial and lateral aspects of the knee, 2 cm from outer margins of patella
Outcomes Extracted pain outcome: global pain after 4 weeks, described as "chronic pain intensity (VAS)" 
 No function outcome reported
No primary outcome reported
Notes 1 out of 6 trial arms, the no‐intervention control group was excluded in the 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? Unclear risk Use of sham device: Uniphy‐Phyaction electrical stimulator, however the device described as shut‐off
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 Not applicable
Funding by commercial organisation avoided? Unclear risk No information provided
Funding by non‐profit organisation? Unclear risk No information provided