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. 2012 Apr 18;2012(4):CD004426. doi: 10.1002/14651858.CD004426.pub3

Mancuso 2010.

Methods Randomised, double‐blind, placebo‐controlled cross‐over study
Participants Thirteen participants with progressive external ophthalmoplegia
Interventions 10 g/day of whey‐based oral supplement or placebo for 30 days, then immediately proceed to next group
Outcomes Measurements of markers of free radical reducing capacity (advanced oxidation protein products (AOPP); ferric reducing antioxidant power (FRAP); glutathione (GSH) level). Serum lactate measured at various time points during cycle ergometry. Quality of life measured using SF‐36 questionnaire. Muscle power measured with MRC scale in various muscle groups
Notes AOPP, FRAP and GSH were statistically significantly increased in the treatment period. Lactate, quality of life, and muscle power were unchanged
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of randomisation not specified
Allocation concealment (selection bias) Unclear risk Method of allocation not specified
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Incomplete outcome data adequately addressed
Selective reporting (reporting bias) Low risk All outcome measures in methods section were reported in results section
Other bias Unclear risk There was no washout period between trials which could potentially decrease the treatment effect
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk It is not specified whether the placebo had identical characteristics (appearance/taste) to the treatment
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Participants were randomly assigned to placebo or CoQ10 treatment