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

Defrin 2005.

Methods Design: six group parallel trial 
 Purpose: study the effect of segmental versus innocuous electrical stimulation for chronic pain relief
Participants Patients: out‐patients needing screening flexible endoscopy 
 Baseline comparability: yes (age, gender)
Interventions Placebo: stimulation with interferential current (IF) device off 
 Untreated: no IF device treatment 
 Experimental: stimulation with IF device on 
 (Co‐intervention: analgesic medication. Patients were asked not to change regime during the study)
Outcomes Pain (VAS) 
 Pain relief (%) 
 Morning stiffness (VAS) 
 Range of motion (Goniometry) 
 Pain threshold
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/electrical stimulus device)
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
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? Low risk No variance inequality (F‐test not statistically significant) and no skewness (1.64 standard deviations does not exceed the mean)
Trial size > 49? High risk N = 17
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49