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

Adedoyin 2002.

Methods Quasi‐randomised trial using alternation for the allocation of patients 
 2‐arm parallel group design 
 Trial duration: 4 weeks 
 No power calculation reported
Participants 30 patients randomised 
 30 patients with knee OA reported at baseline 
 Study joints: 30 knees 
 Number of females: 20 of 30 (67%) 
 Average age: 59 years 
 Average BMI: 28 kg/m2
Interventions Experimental intervention: interferential current stimulation, dietary advice and exercise, twice per week 
 Control intervention: Sham interferential current stimulation, dietary advice and exercise, twice per week 
 Duration of treatment period: 4 weeks 
 Analgesics not allowed
Device: Enraf‐Nonius Endomed 5921 (4 pole) 
 Self‐administered: no 
 Waveform: interferential 
 Pulse width: not applicable 
 Pulse frequency: amplitude‐modulated frequency of 100 Hz for 15 min (beat frequency), 80 Hz for last 5 min (beat frequency) 
 Amplitude: above sensory threshold, up to appreciable sensation 
 Duration of stimulation per session: 20 minutes 
 Electrodes: 4 electrodes covered with padding 
 Placement: 2 latero‐medial, 2 antero‐posterior
Outcomes Extracted pain outcome: global pain after 4 weeks, described as "Pain perception (VAS)" 
 No function outcome reported
Primary outcome: global pain (VAS)
Notes All subjects from black Nigerian population
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? High risk Alternation
Allocation concealment? High risk Alternation
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: identical in appearance, not increasing intensity, flash light on, patient in position unable to read level of intensity
Incomplete outcome reporting: intention‐to‐treat analysis performed? 
 Pain Low risk
Incomplete outcome reporting: intention‐to‐treat analysis performed? 
 Function Unclear risk Not applicable, no function outcome reported
Funding by commercial organisation avoided? Unclear risk No information provided
Funding by non‐profit organisation? Unclear risk No information provided