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. 2002 Jan 21;2002(1):CD002123. doi: 10.1002/14651858.CD002123

Milsom 1994.

Methods Random ‐ unstated 
 No blinding 
 Crossover design 
 12 women randomised and analysed
Participants Inclusion: severe primary dysmenorrhoea, abdomen and back pain 
 Exclusion: OCP, IUD, pelvic pathology on gynaecological exam 
 Age: mean 23.8 (0.8) years 
 Location: Sweden
Interventions 1. High frequency and intensity TENS ‐ 70‐100 Hz, 0.2 msec current/pulse duration, intensity 40‐50 mA 
 2. Naproxen ‐ single dose 500mg 
 Location: electrodes placed on lower abdomen and back 
 Duration: until pain free (2 cycles, one treatment per cycle)
Outcomes Pain score ‐ 1‐5 scale every 15 min for 240 min 
 Uterine activity 
 Side effects
Notes No difference in baseline scores
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk "randomised", no further details.
Allocation concealment? Unclear risk Unclear, no details.
Blinding? 
 All outcomes High risk Open‐label study, no blinding.
Incomplete outcome data addressed? 
 All outcomes Low risk All patients analysed.
Free of selective reporting? Low risk All relevant outcomes were reported.