Table 3.
Summary of findings and certainty of evidence GRADE for Bracing versus no brace for OPVF.
| Certainty of Evidence |
No. of Participants |
Effect (95%CI) | Certainty | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| No. of Studies | Study design | Risk of Bias | Inconsistency | Indirectness | Imprecision | Publication bias | Outcome | Brace | No brace | ||
| Rigid brace vs no brace | |||||||||||
| 2 | RCT | Not serious | Serious | Not serious | Serious | Undetected | Pain intensity | 50 | 50 | MD = 2.61 (0.95, 4.27) |
Lowab |
| Soft brace vs no brace | |||||||||||
| 2 | RCT | Not serious | Serious | Not serious | Serious | Undetected | Pain intensity | 49 | 50 | MD = 2.39 (-0.45, 5.23) |
Lowab |
| Rigid brace vs no brace | |||||||||||
| 2 | RCT | Not serious | Serious | Not serious | Serious | Undetected | QOL | 50 | 50 | SMD = -0.55 (-1.43, 0.33) |
Lowab |
| Soft brace vs no brace | |||||||||||
| 2 | RCT | Not serious | Serious | Not serious | Serious | Undetected | QOL | 49 | 50 | SMD = -0.49 (-1.76, 0.78) |
Lowab |
| Rigid brace vs no brace | |||||||||||
| 2 | RCT | Not serious | Not serious | Not serious | Serious | Undetected | Activity | 50 | 50 | SMD = -0.13 (-0.54, 0.28) |
Moderateb |
| Soft brace vs no brace | |||||||||||
| 2 | RCT | Not serious | Serious | Not serious | Serious | Undetected | Activity | 49 | 50 | SMD = 0.68 (-0.84, 2.19) |
Lowab |
MD, mean difference; QOL, quality of life; RCT, randomized controlled trial; SMD, standardized mean difference.
Downgraded due to inconsistency – there was statistical heterogeneity (I2 values > 25%) with the studies showing differing estimates of the effect size.
Downgraded due to imprecision – there were very large confidence intervals with the higher end indicating appreciable benefit and the lower end indicating either a little effect or worse outcome.