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Table 4 Quality items and scores of 12 studies included in a systematic review on spinal manipulation and pressure pain threshold

From: The regional effect of spinal manipulation on the pressure pain threshold in asymptomatic subjects: a systematic literature review

First author

Year

Country

[ref #]

Is there a description of the random allocation?

1)Randomization method

2) Concealment

Is treatment performed by experienced person?

Is the intervention described?

1. SM

2. Sham

3. Comparison

4. Control

Is the assessment blinded?

1.Assessor/intervention

2.statistician/intervention

The sham procedure:

(Yes/No/NA)

1.Naïve subjects

2. In the same position as SM?

3. Assessed

Conclusion: Is the sham psychologically acceptable (1 pt), possibly acceptable (0.5 pt), not acceptable (0 pt)

If comparison between interventions are the subjects naïve?

(Yes/No/NA)

Is the measurement procedure described?

Is reliability of the outcome variables reported?

Were pain readings taken more than once at each point?

After the study started, are losses and exclusions of study subjects reported or evident?

Score for sham studies

Score for comparison studies

Fryer 2004 Australia [21]

1) Yes

2) No

No

1) Yes

2) Yes

3) Yes

4) NA

1) Yes

2) No

1. No

2. No

3. No

No

Yes

Yes

Yes

No

  
    

Conclusion: Not acceptable

       

0.5

0

1

0.5

0

0

1

1

1

0

5/9

5/9

Ruiz-Saez 2007 Spain [16]

1) Yes

2) No

Yes

1) Yes

2) Yes

3) NA

4) NA

1) Yes

2) No

1. Yes

2. Yes

3. No

NA

Yes

Yes

Yes

Yes

  
    

Conclusion: Acceptable

       

0.5

1

1

0.5

  

1

1

1

1

  
    

1

     

8/9

NA

Fernandez de las Penas 2007 Spain [19]

1) No

2) No

Yes

1) Yes

2) Yes

3) Yes

4) Yes

1) Yes

2) No

1. Yes

2. Yes

3. No

Yes

Yes

Yes

Yes

No

  
    

Conclusion: Acceptable

       

0

1

1

0.5

1

1

1

1

1

0

6,5/9

6.5/9

Hamilton 2007 Australia [20]

1) Yes

2) No

Yes

1) Yes

2) Yes

3) Yes

4) NA

1) Yes

2) No

1. Yes

2. No

3. No

Yes

Yes

Yes

Yes

No

  
    

Conclusion: Possibly acceptable

       

0.5

1

1

0.5

0.5

1

1

1

1

0

6,5/9

7/9

Fernandez de las Penas 2008 Spain [18]

1) Yes

2) No

Yes

1) Yes

2) Yes

3) Yes

4) Yes

1) Yes

2) No

1. Yes

2. Yes

3. No

Yes

Yes

Yes

Yes

No

  
    

Conclusion: Acceptable

       

0.5

1

1

0.5

1

1

1

1

1

   
         

0

7/9

7/9

Thomson 2009 Sweden [13]

1) Yes

2) No

Yes

1) Yes

2) Yes

3) Yes

4) NA

1) Yes

2) No

1. No

2. No

3. No

No

Yes

Yes

Yes

No

  
    

Conclusion: Not acceptable

       

0.5

1

1

0.5

0

0

1

1

1

   
         

0

6/9

6/9

Oliveira Campelo 2010 Spain [22]

1) Yes

2) No

Yes

1) Yes

2) NA

3) Yes

4) Yes

1) Yes

2) No

NA

Yes

Yes

Yes

Yes

Yes

  

0.5

1

1

0.5

 

1

1

1

1

1

  
          

NA

8/9

Bishop 2011 USA [24]

1) Yes

2) No

No

1) Yes

2) NA

3) Yes

4) Yes

1) No

2) No

NA

Yes

Yes

No

No

No

  

0.5

0

1

0

 

1

1

0

0

   
         

0

NA

3.5/9

Yu 2012 China [15]

1) Yes

2) No

Yes

1) Yes

2) Yes

3) NA

3) NA

1) Yes

2) No

1. Yes

2. Yes

3. No

NA

Yes

Yes

Yes

Yes

  
    

Conclusion: Acceptable

       

0.5

1

1

0.5

1

 

1

1

1

1

8/9

NA

Srbely 2013 Canada [17]

1) Yes

2) Yes

Yes

1) Yes

2) Yes

3) NA

4) NA

1) Yes

2) No

1. Yes

2. Yes

3. No

NA

Yes

No

Yes

Yes

  
    

No Conclusion: Acceptable

       

1

1

1

0.5

  

1

0

1

   
    

1

    

1

7,5/9

NA

Jordon 2016 USA [23]

1) Yes

2) Yes

Yes

1) Yes

2) NA

3) Yes

4) Yes

1) Yes

2) No

NA

Yes

Yes

Yes

No

Yes

  

1

1

1

0.5

 

1

1

1

0

   
         

1

NA

7.5/9

Alonso Perez 2016 Spain [22]

1) Yes

2) Yes

Yes

1) Yes

2) NA

3) Yes

4) NA

1) Yes

2) No

NA

Yes

Yes

Yes

Yes

Yes

  

1

1

1

0.5

 

1

1

1

1

   
         

1

NA

8.5/9

  1. NA Not applicable, SM Spinal manipulation