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

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