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

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