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Studies were excluded when they were review, case report or biomechanical studies.
A further 12 articles were excluded either because they did not detail randomised controlled trials or they were review articles.
Seventy-two abstracts were screened, the remainder rejected as they were review articles, opinion pieces or otherwise not original research.
The major reasons for exclusion of studies were (1) they were family studies, (2) they contained overlapping data, (3) they were review papers.
Of 161 candidate clinical study reports identified, 38 were excluded at the screening stage, most often because they were review articles.
Two hundred and seventeen citations were excluded as they were review articles, non-English citations or analyzed the outcomes of late referrals.
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