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

Foster 2004.

Methods Design: three group parallel trial 
 Purpose: study the effect of the Trager approach on chronic headache
Participants Patients: outpatients with chronic headache 
 Baseline comparability: yes
Interventions Placebo: attention treatment by physician including physical exam (15 to 20 minutes) 
 Untreated: no treatment 
 Experimental: Trager approach (movement based educational process to increase body awareness, learn relaxation skills, and practise pain‐free, balanced movement) 
 (Co‐intervention: medication)
Outcomes The headache quality of life instrument 
 Headache frequency, duration, and intensity 
 Medication use
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/Trager)
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
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 = 18
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49