Skip to main content
. 2009 Oct 7;2009(4):CD002823. doi: 10.1002/14651858.CD002823.pub2

Grimmer 1992.

Methods Randomised controlled trial 
 3‐arm parallel group design 
 Trial duration: 1 day 
 No power calculation reported
Participants 60 patients randomised 
 60 patients with knee OA reported at baseline 
 Study joints: 60 knees 
 Number of females: 37 of 60 (62%) 
 Average age: 66 years
Interventions Experimental intervention: high frequency TENS, once only in group 1, burst TENS, once only in group 2 
 Control intervention: sham TENS, once only 
 Duration of treatment period: 1 day 
 Analgesics not allowed
Device: Medtronic Neuromed Selectra (dual channel) 
 Self‐administered: no 
 Waveform: unclear 
 Pulse width: unclear 
 Pulse frequency: 80 Hz in group 1, 3 Hz trains of 7 80 Hz pulses in group 2 
 Amplitude: above sensory threshold, strong tolerable tingling paraesthesia 
 Duration of stimulation per session: 30 minutes 
 Electrodes: 4 carbon rubber silicone electrodes, 2 x 3 cm 
 Placement: 4 acupuncture points around the knee: medial (SP9), lateral (GB33), posterior (UB40), anterior (SP10)
Outcomes Extracted pain outcome: global pain immediately after first and only application, described as "Immediate pain relief (VAS)" 
 No function outcome reported
No primary outcome reported
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Quote: "randomly allocated (by dice) into three groups of 20"
Allocation concealment? Low risk By a person independent of the study
Free of selective reporting? Unclear risk Insufficient information provided; no access to study protocol
Adequate blinding of patients? Low risk Sham device: Medtronic Neuromed Selectra, with non‐functioning leads. Patient were told that a very high frequency current was being tested and that no skin sensation would be felt.
Incomplete outcome reporting: intention‐to‐treat analysis performed? 
 Pain Low risk Degrees of freedom reported indicate that all randomised patients were included in the analysis
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