Quirk 1985.
Methods | Randomised controlled trial 3‐arm parallel group design* Trial duration: 26 weeks No power calculation reported | |
Participants | 38 patients randomised 38 patients with knee OA reported at baseline Study joints: 38 knees Number of females: 29 of 38 (76%) Average age: 63 years | |
Interventions | Experimental intervention: interferential current + exercise, interferential current stimulation: 3 times per week, exercise twice daily
Control intervention: exercise twice daily
Duration of treatment period: 4 weeks
Analgesics allowed, unclear whether intake was similar between groups Device: Endomed 433 and Vacutron 423 (unclear whether 2 or 4 pole) Self‐administered: no Waveform: interferential Pulse width: not applicable Pulse frequency: 0 to 100 Hz 10 minutes, 130 Hz last 5 minutes Amplitude: not reported Duration of stimulation per session: 15 minutes Electrodes: suction electrodes Placement: not reported |
|
Outcomes | Extracted pain outcome: other after 26 weeks, described as "Pain composite score with items rest, post‐exercise and night pain (approach unclear; either VAS or verbal scoring technique modified after Newland)"**
Extracted function outcome: other algofunctional scale after 26 weeks, described as "Overall clinical condition scale developed by authors, which was based on 3 items for pain; rest‐, post‐exercise‐, night pain and 3 for function; gait, method of climbing stairs and using walking aids (most likely Likert)". No primary outcome reported |
|
Notes | *1 trial arm, in which shortwave diathermy was given, was excluded, **only baseline values with standard error and P values for change from baseline per group reported. No contact could be established with the investigators. | |
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? | High risk | No results reported for some outcomes mentioned in the methods section, including maximum knee girth |
Adequate blinding of patients? | High risk | No sham intervention |
Incomplete outcome reporting: intention‐to‐treat analysis performed? Pain | Low risk | Quote: "All patients completed their therapy and the first two assessments (baseline and end of treatment), while 92% completed the final assessment (3‐6 months after treatment)" |
Incomplete outcome reporting: intention‐to‐treat analysis performed? Function | Low risk | See above |
Funding by commercial organisation avoided? | Unclear risk | No information provided |
Funding by non‐profit organisation? | Unclear risk | No information provided |