Yates 1988.
Methods | Design: three group parallel trial Purpose: examine the effect of chiropractic treatment on blood pressure | |
Participants | Patients: out‐patients with hypertension and thoracic subluxation Baseline comparability: NS | |
Interventions | Placebo: session with a 'chiropractic adjusting device' without it performing the essential manipulative procedure Untreated: no session Experimental: session with a 'chiropractic adjusting device' performing the essential manipulative procedure (Co‐intervention: 5 patients in the placebo and untreated group received hypertensive medication, dose NS) | |
Outcomes | Diastolic blood pressure reduction (mm Hg) Anxiety | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Blinding? Treatment provider | High risk | Not described as double‐blind (placebo/chiropractic procedure) |
Incomplete outcome data addressed? All outcomes | High risk | |
Free of selective reporting? | Unclear risk | No protocol available |
Free of other bias? | Low risk | |
No signs of variance inequality or skewness? | Unclear risk | Not relevant (not naturally positive continuous outcomes e.g. change) |
Trial size > 49? | High risk | N = 14 |
Clearly concealed allocation + trial size > 49 + drop‐out max 15% | High risk | Trial size < 49 |
Outcomes: The first outcome listed is the one extracted for the review (all major outcomes for each trial are listed). NS: not stated. VAS: visual analogue scale. EMG: electromyography. GP: general practitioner. Hb: haemoglobin