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Trial registered on ANZCTR
Registration number
ACTRN12621000020886
Ethics application status
Approved
Date submitted
4/11/2020
Date registered
13/01/2021
Date last updated
5/05/2023
Date data sharing statement initially provided
13/01/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Exploring the effects of posterior shoulder mobilization on scapular and shoulder muscle activities
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Scientific title
The effect of high dosage shoulder posterior mobilisation on shoulder and scapular muscle activity during resisted shoulder elevation: A repeated-measures study on asymptomatic individuals
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Secondary ID [1]
302693
0
Nil known
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Universal Trial Number (UTN)
U1111-1260-7563
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Shoulder disorders
319608
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Condition category
Condition code
Physical Medicine / Rehabilitation
317549
317549
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0
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Physiotherapy
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Musculoskeletal
317909
317909
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Mobilization: The participants’ shoulder will be passively mobilized by an experienced musculoskeletal physiotherapist. The mobilizations will consist of 3 sets of 60 seconds of passive movement, at a rate of 2 Hz, with 30 seconds interval between sets. This dosage (grade +IV, 2 Hz, 3 sets of 60 seconds, with 30 seconds interval between sets) is commonly used in the clinical setting. The mobilization will be performed with the shoulder in abduction greater than 90 degrees, so that the gleno-humeral capsule and ligaments are (theoretically) lengthened.
This intervention (i.e. mobilization) will be delivered in one session lasting approximately 5 min. That will be followed by a wash-out period lasting for 10 min.
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Intervention code [1]
318973
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Rehabilitation
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Comparator / control treatment
Control: The participant will be positioned in supine, with arms at rest. Participants will remain in this position for the equivalent time spent during the mobilization condition (i.e. 3 sets of 60 seconds, with 30 seconds interval between sets). No mobilization will be performed during the control condition.
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Control group
Active
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Outcomes
Primary outcome [1]
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Middle deltoid muscle activity level as measured with surface EMG.
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Assessment method [1]
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Timepoint [1]
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Outcomes (i.e. muscle activity levels) will be measured during the 5 resisted shoulder elevations performed at baseline (prior to experimental conditions - mobilisation or control), and follow-up (after experimental conditions - mobilisation or control).
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Secondary outcome [1]
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Upper trapezius muscle activity level as measured with surface EMG.
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Assessment method [1]
388483
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Timepoint [1]
388483
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Outcomes (i.e. muscle activity levels) will be measured during the 5 resisted shoulder elevations performed at baseline (prior to experimental conditions - mobilisation or control), and follow-up (after experimental conditions - mobilisation or control).
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Secondary outcome [2]
388484
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Lower trapezius muscle activity level as measured with surface EMG.
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Assessment method [2]
388484
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Timepoint [2]
388484
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Outcomes (i.e. muscle activity levels) will be measured during the 5 resisted shoulder elevations performed at baseline (prior to experimental conditions - mobilisation or control), and follow-up (after experimental conditions - mobilisation or control).
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Secondary outcome [3]
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Serratus anterior muscle activity level as measured with surface EMG.
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Assessment method [3]
388485
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Timepoint [3]
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Outcomes (i.e. muscle activity levels) will be measured during the 5 resisted shoulder elevations performed at baseline (prior to experimental conditions - mobilisation or control), and follow-up (after experimental conditions - mobilisation or control).
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Secondary outcome [4]
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Pectoralis major muscle activity level as measured with surface EMG.
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Assessment method [4]
388486
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Timepoint [4]
388486
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Outcomes (i.e. muscle activity levels) will be measured during the 5 resisted shoulder elevations performed at baseline (prior to experimental conditions - mobilisation or control), and follow-up (after experimental conditions - mobilisation or control).
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Secondary outcome [5]
388487
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Infraspinatus muscle activity level as measured with surface EMG.
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Assessment method [5]
388487
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Timepoint [5]
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Outcomes (i.e. muscle activity levels) will be measured during the 5 resisted shoulder elevations performed at baseline (prior to experimental conditions - mobilisation or control), and follow-up (after experimental conditions - mobilisation or control).
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Secondary outcome [6]
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Latissimus dorsi muscle activity level as measured with surface EMG.
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Assessment method [6]
388488
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Timepoint [6]
388488
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Outcomes (i.e. muscle activity levels) will be measured during the 5 resisted shoulder elevations performed at baseline (prior to experimental conditions - mobilisation or control), and follow-up (after experimental conditions - mobilisation or control).
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Secondary outcome [7]
388489
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Posterior deltoid muscle activity level as measured with surface EMG.
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Assessment method [7]
388489
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Timepoint [7]
388489
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Outcomes (i.e. muscle activity levels) will be measured during the 5 resisted shoulder elevations performed at baseline (prior to experimental conditions - mobilisation or control), and follow-up (after experimental conditions - mobilisation or control).
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Eligibility
Key inclusion criteria
Participants will be included if they present no current neck and shoulder injuries.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
None.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The randomisation schedule will be concealed through central randomization. A research administrator will randomise participants.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation schedule will be computer-generated by a research administrator.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
18/01/2021
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Actual
4/05/2022
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Date of last participant enrolment
Anticipated
1/03/2021
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Actual
3/07/2022
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Date of last data collection
Anticipated
5/04/2021
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Actual
3/07/2022
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Sample size
Target
25
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Accrual to date
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Final
25
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Recruitment outside Australia
Country [1]
23087
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New Zealand
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State/province [1]
23087
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Funding & Sponsors
Funding source category [1]
307129
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Charities/Societies/Foundations
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Name [1]
307129
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New Zealand Manipulative Physiotherapists Association
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Address [1]
307129
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Level 2, Professional Building, 39 Anzac Road, Browns Bay, Auckland, PO Box 35602, Auckland 0753, New Zealand
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Country [1]
307129
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
325 Great King Street, Dunedin, 9016
School of Physiotherapy, University of Otago
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
307705
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Address [1]
307705
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Country [1]
307705
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307241
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University of Otago Ethics Committee
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Ethics committee address [1]
307241
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University of Otago Human Ethics Committee (Health), Clock Tower Building, Dunedin, 9054
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Ethics committee country [1]
307241
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New Zealand
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Date submitted for ethics approval [1]
307241
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24/10/2019
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Approval date [1]
307241
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30/10/2019
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Ethics approval number [1]
307241
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H19/107
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Summary
Brief summary
Inferior shoulder mobilisation is used for improving range of motion and reducing pain in patients with shoulder disorders. The mechanisms underlying improvements in pain and range of motion are unclear. The primary aim is to investigate the effect of posterior shoulder mobilisation on scapular and shoulder muscle activity, during resisted shoulder elevation in asymptomatic individuals. This is a repeated-measures, cross-over, randomised controlled study. Twenty-five participants will be recruited. The order of interventions will be randomised. Each participant will perform 5 repetitions of resisted shoulder elevation before and after the control and mobilisation (grade +IV posterior shoulder mobilisation, 3 sets, duration of 60-s) conditions. Surface electromyography recorded muscle activity of: upper and lower trapezius; serratus anterior; infraspinatus; middle and posterior deltoids; and latissimus dorsi muscles.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
106530
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Dr Daniel Ribeiro
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Address
106530
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School of Physiotherapy - University of Otago 325 Great King Street, Postcode: 9054, PO Box 56, Dunedin
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Country
106530
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New Zealand
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Phone
106530
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+6434797455
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Fax
106530
0
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Email
106530
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[email protected]
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Contact person for public queries
Name
106531
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Daniel Ribeiro
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Address
106531
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School of Physiotherapy - University of Otago 325 Great King Street, Postcode: 9054, PO Box 56, Dunedin
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Country
106531
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New Zealand
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Phone
106531
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+6434797455
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Fax
106531
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Email
106531
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[email protected]
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Contact person for scientific queries
Name
106532
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Daniel Ribeiro
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Address
106532
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School of Physiotherapy - University of Otago 325 Great King Street, Postcode: 9054, PO Box 56, Dunedin
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Country
106532
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New Zealand
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Phone
106532
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+6434797455
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Fax
106532
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Email
106532
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
De-identified individual participant data underlying published results only.
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When will data be available (start and end dates)?
Immediately following publication, no end date determined.
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Available to whom?
Only researchers who provide a methodologically sound proposal.
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Available for what types of analyses?
IPD meta-analyses.
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How or where can data be obtained?
Access subject to approvals by Principal Investigator (Daniel Ribeiro - e-mail:
[email protected]
).
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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