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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Mussell 1988.

Methods Design: five period cross‐over trial 
 Purpose: examine the effect of trachea‐noise biofeedback in asthma
Participants Patients: 'asthmatics were recruited with informed consent' 
 Baseline comparability: not relevant
Interventions Placebo: inhaled saline 
 Type of untreated: no inhalation or biofeedback 
 Type of experimental: 
 ‐salbutamol inhalation 
 ‐biofeedback wrong information 
 ‐biofeedback correct information 
 (Co‐intervention: no asthma medication)
Outcomes Forced expiratory volume after 1 second (FEV1)
Notes Relevant outcome data not accessible
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 '...the active and placebo bronchodilator inhaler given double blind..'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? High risk Relevant outcome data not accessible
Free of other bias? Low risk  
Trial size > 49? High risk N = 16
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49