Critical Appraisal of Clinical Trial and Systematic Review for Acute Whiplash Injury Patients

CRITICAL APPRAISAL
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TABLE OF CONTENTS
PART 1- CLINICAL TRIAL..........................................................................................................1
Question 1- Main research question............................................................................................1
Question 2- Judgment of the risk of bias present in this trial......................................................1
Question 3....................................................................................................................................2
Question 4- Do you accept the authors’ conclusion....................................................................2
PART 2- SYSTEMATIC REVIEW & META-ANALYSIS...........................................................3
Question 5-...................................................................................................................................3
Question 6-...................................................................................................................................3
Question 7-...................................................................................................................................4
Question 8-...................................................................................................................................5
REFERENCES................................................................................................................................7
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PART 1- CLINICAL TRIAL
Question 1- Main research question
What is the rate of recovery in groups of acute whiplash injury patients subjected to two
different treatments, an activity program, or collar use?
Population: Acute whiplash injury patients
Intervention: Rate of recovery in groups
Comparison: An activity program
Outcome: Collar use
Question 2- Judgment of the risk of bias present in this trial
2.1. Random sequence allocation
This study has unclear risk of bias because details provided in this study about sequence
allocation is unclear (Higgins et. al., 2019). Perspective randomized method was used to study of
97 consecutive accident victims of rear-end collisions was carried out utilizing a control group of
50 healthy, age and sex-matched subjects
2.2. Allocation concealment
This study has unclear risk of bias because no details of ways in which conceal the
allocation sequence can be done were given
2.3. Blinding of participants and personnel
There is high risk of bias because there are no control bias given.
2.4. Blinding of outcome assessment
In this there is low risk of bias because measures used to bind outcomes were effective
2.5. Incomplete outcome data
This study has high risk of bias because there was attrition bias due to amount, nature or
handling of incomplete outcome data and there were extremely high chances of production of
biasness (Bonk et. al., 2000).
2.6. Selective reporting
In this there is not available in the present trial because there was there was insufficient
information to permit judgment for selective outcome reporting
2.7. Other bias
In this there is high risk of bias because bias due to problems not covered elsewhere in the table.
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