Skip to main content
. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Hashish 1986.

Methods Design: five group parallel trial 
 Purpose: examine the effect of ultrasound and placebo on pain and swelling
Participants Patients: postoperative in‐patients (after removal of impacted third molars) 
 Baseline comparability: NS
Interventions Placebo: ultrasound with machine off 
 Untreated: no ultrasound 
 Experimental: ultrasound at three levels of intensity 
 (Co‐intervention: analgesics, fixed ordination scheme)
Outcomes Pain (VAS) and facial swelling (cubic cm) 
 Trismus 
 C‐reactive protein
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk '... in a double‐blind controlled study...'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? Unclear risk No protocol available
Free of other bias? Low risk  
No signs of variance inequality or skewness? High risk Either variance inequality (F‐test statistically significant) or skewness (1.64 standard deviations exceeds the mean)
Trial size > 49? Low risk N = 75
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out > 15% or NS