Upper-body yoga × Pain improvement in carpal tunnel syndrome

Required evidence, verification status and materials actually read
Item	AVerification status	BReading scope	CReview item	DCurrent findings	EWhy unverified	FRequired materials and conditions	GFurther research
1	Partly verified	Full text not readStored summary read	N01 · Evidence conditionWhat are the selected subclaim and the question and record pointers?Required	The selected stored summary concerns pain improvement and distinguishes the selected claim from its verdict record. Other native records and the original parent context are preserved without creating a new main record, split or certification of independence. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. The selected source wording, question and record pointers, and parent and sibling context. This scope remains for user review.	The selected source wording, question and record pointers, and parent and sibling context.	If the original question or materials change, record the distinction between the existing scope and a separate question.
2	Partly verified	Full text not readStored summary read	N02 · Evidence conditionHow are the subclaim's actual grade and note, and absent score, status and axes, retained?Required	The selected subclaim's grade B and note 'Positive in one small trial.' are retained. score, status and axes are absent from the original subclaim record; null and field absence are recorded. The parent's grade C, 50 points and axes are separate context. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. The selected subclaim's actual fields and the parent's separate actual values. This scope remains for user review.	The selected subclaim's actual fields and the parent's separate actual values.	If the subclaim is corrected, retain the full original text before the change and a record of the correction event.
3	Partly verified	Full text not readStored summary read	N03 · Evidence conditionWhat are the parent assessment, axes, safety label, null, false and empty values?Required	The parent's grade C, 50 points, B/P/R1/I1/E+/B2 and safety label Caution are retained. precision remains null; coprimary_split, big_hard_rct and no_human_study remain false; override_reason and override_reason_en remain empty strings. The original parent assessment and cross-checking narrative are not a new review or subclaim assessment. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. The parent assessment, axes, original evaluation, history and limits of applicability. This scope remains for user review.	The parent assessment, axes, original evaluation, history and limits of applicability.	If separate correction materials arrive, distinguish the original values, reasons for changes and correction events.
4	Partly verified	Full text not readStored summary read	N04 · Evidence conditionHow are KO/EN text, dates, corrections and empty values preserved?Required	The parent's and subclaim's KO/EN text, verified_date 2026-08-26, the empty corrections array and the empty deliberation string are retained. The stored summary's historical evaluation is distinguished from the current preparation time. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. The actual versions of each language's original text, evidence date, corrections and history. This scope remains for user review.	The actual versions of each language's original text, evidence date, corrections and history.	Record a new correction as a separate event with the full original text before the change, version and reason.
5	Partly verified	Full text not readStored summary read	N05 · Evidence conditionWhat was actually read, and which external materials remain unread?Required	The stored existing review summary was read. External abstracts, full papers, registrations, plans, SAPs, results and safety tables were not accessed. Earlier assessments and citations in the stored summary do not mean external materials were read or reviewed in this work. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Acquisition and reading scope for each material, and the locations of original results. This scope remains for user review.	Acquisition and reading scope for each material, and the locations of original results.	If additional materials are read directly in a separate step, record the actual extent, scope, version and time.
6	Partly verified	Full text not readStored summary read	N06 · Evidence conditionWhat are the identity, year and bibliographic details of the primary report?Required	The primary report is the Garfinkel et al. 1998 randomized trial, JAMA 1998;280:1601-1603, PMID 9820263. The DOI, PMCID and detailed identity of the external full paper remain unverified. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Original bibliographic details and materials linking the paper to the trial and population. This scope remains for user review.	Original bibliographic details and materials linking the paper to the trial and population.	First establish whether a new report concerns the same trial and population or a different trial.
7	Partly verified	Full text not readStored summary read	N07 · Evidence conditionHow is the sharing of one report, population and outcomes across the two tables shown?Required	Grip strength and pain are two stored questions from the same 1998 eight-week report and population. Phalen, sleep, Tinel, nerve conduction, the sibling table and parent context are not added as separate independent trials or participants. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Overlap information for reports, trials, people, wrists, groups, outcomes and time points. This scope remains for user review.	Overlap information for reports, trials, people, wrists, groups, outcomes and time points.	When follow-up or companion reports are added, distinguish a shared population from independent data.
8	Partly verified	Full text not readStored summary read	N08 · Evidence conditionWhat population and eligibility criteria were used for carpal tunnel syndrome?Required	The question concerns carpal tunnel syndrome. Detailed diagnostic criteria, age, severity, wrist-specific status and inclusion and exclusion criteria are absent from the current summary, so the findings are not extended to all patients or all wrist pain. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function. This scope remains for user review.	Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function.	Application to other populations or severity levels requires direct comparative data for those populations.
9	Unverified	Full text not readStored summary read	N09 · Evidence conditionHow much is known about baseline risk, representativeness and everyday exposure?Supplementary; required for general application	Baseline characteristics by group, occupation and repetitive use, comorbidities, concurrent treatments, baseline tests and recruitment setting remain unverified. A population label alone does not establish individual response or suitability for the intervention. R01	Required direct details remain unverified within the current summary and unread external materials. Original information on baseline characteristics, group distributions, recruitment and concurrent exposures. This scope remains for user review.	Original information on baseline characteristics, group distributions, recruitment and concurrent exposures.	General application should be distinguished using data showing differences in the actual population and setting.
10	Partly verified	Full text not readStored summary read	N10 · Evidence conditionWhat upper-body yoga program was used in the original study?Required	The original intervention was eight weeks of yoga with 11 postures for strengthening, stretching and balancing upper-body joints, plus relaxation. These are the study conditions of a specific supervised program, not all yoga or stretching. No new instructions on posture, intensity, breathing or timing are provided. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications. This scope remains for user review.	Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications.	Differences between programs should be distinguished using direct comparative data.
11	Partly verified	Full text not readStored summary read	N11 · Evidence conditionWhat were the original comparison conditions for the wrist-splint active control?Required	The original comparator was a wrist splint. The trial used an active control only; wait-list or attention controls are not presented as groups that were actually used. Details of splint type, timing, actual use, instruction, expectations and differences in care remain unverified. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Original information on the splint control's delivery, exposure, attention, adherence and concurrent care. This scope remains for user review.	Original information on the splint control's delivery, exposure, attention, adherence and concurrent care.	Link other control conditions only after distinguishing whether they were actually used and for what purpose.
12	Unverified	Full text not readStored summary read	N12 · Evidence conditionWhat are the details of actual program exposure, adherence, discontinuation and concurrent treatment?Required	The eight-week duration and program components are recorded, but actual attendance, frequency, cumulative exposure, practice, splint adherence, concurrent medicines or procedures, discontinuation and modifications remain unverified. Complete individual adherence to the original program is not assumed. R01	Required direct details remain unverified within the current summary and unread external materials. Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation. This scope remains for user review.	Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation.	Direct data distinguishing the assigned program from actual adherence are needed.
13	Partly verified	Full text not readStored summary read	N13 · Evidence conditionHow much is known about the randomized single-blind design and allocation procedures?Required	The recorded design is a randomized single-blind active-control trial. External details of sequence generation, concealment, baseline balance between groups and allocation implementation have not been read. The design label alone does not certify adequacy. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance. This scope remains for user review.	Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance.	When allocation materials are added, distinguish what is known from what remains unverified.
14	Partly verified	Full text not readStored summary read	N14 · Evidence conditionIs assessor blinding the same as blinding of pain responses and awareness of the intervention?Required	The original account states that one physician, unaware of allocation, performed assessments. Details of participant and instructor blinding, pain responses, measurement procedures and differences in expectations remain unverified. Assessor blinding is not extended to every person or outcome. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures. This scope remains for user review.	Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures.	Measurement, response and blinding data are needed for each outcome.
15	Partly verified	Full text not readStored summary read	N15 · Evidence conditionWhat were the original denominators for randomization, analysis and exclusions or withdrawals?Required	The original numbers are retained: 51 randomized, 42 analyzed and 9 withdrawn or excluded. Allocation, completion and reasons for exclusion by group, and the actual denominators for grip strength and pain, remain unverified. No new attrition rates or group counts are calculated. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data. This scope remains for user review.	Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data.	Original materials explaining the actual analysis population for each outcome are needed.
16	Partly verified	Full text not readStored summary read	N16 · Evidence conditionWhat are the gaps in completer analysis, missing data and sensitivity analyses?Required	The original limitation of analysis of 42 completers is retained. Outcomes for all randomized participants, missing data by group, exclusion reasons, imputation and sensitivity analyses remain unverified. The 9 original exclusions are not converted into 9 clinical adverse events. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses. This scope remains for user review.	Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses.	Direct analysis materials addressing the effect of missing data after allocation are needed.
17	Partly verified	Full text not readStored summary read	N17 · Evidence conditionHow are eight-week results distinguished from persistence after treatment ends?Required	The original selected outcomes are grip strength and pain in an eight-week trial. Direct figures for persistence after treatment, recurrence and long-term function are absent from the current summary, so the findings are not extended to long-term treatment effects. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking. This scope remains for user review.	Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking.	Persistent outcomes require adequate follow-up and direct comparative data.
18	Unverified	Full text not readStored summary read	N18 · Evidence conditionWhat are the outcome hierarchy and multiplicity for grip, pain, other symptoms and tests?Required	The recorded endpoints are eight-week grip strength and pain, plus several symptoms and tests. The precise primary, secondary and exploratory hierarchy, prespecified plans, multiplicity and analysis versions remain unverified. The selected subclaim questions are not newly certified as individually registered primary outcomes. R01	Required direct details remain unverified within the current summary and unread external materials. Original protocols, plans, outcome hierarchy, multiplicity and analysis materials. This scope remains for user review.	Original protocols, plans, outcome hierarchy, multiplicity and analysis materials.	Direct materials distinguishing prespecified plans from actual reporting for each outcome are needed.
19	Unverified	Full text not readStored summary read	N19 · Evidence conditionHow does the historical registration statement differ from actual registration verification?Required	The original nct string states 'Not present because the study predates trial registration.' It is retained as a historical status statement, not a valid registration number. No registration search or access was performed in this work, and absence from every registration system is not newly certified. R01	Required direct details remain unverified within the current summary and unread external materials. Original public materials on contemporaneous plans, registration status and analysis documents. This scope remains for user review.	Original public materials on contemporaneous plans, registration status and analysis documents.	When planning materials are added, record the relationship between that version and the report.
20	Partly verified	Full text not readStored summary read	N20 · Evidence conditionWhat is the original scope of 'independent funding not established'?Required	The funding record states that independent funding was not established; the earlier assessment says the stored summary's Funding statement was not obtained. This does not establish no sponsorship, public funding or corporate funding, and is not current external verification. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Original disclosures on sponsorship, funding and provision of products or facilities. This scope remains for user review.	Original disclosures on sponsorship, funding and provision of products or facilities.	When sponsorship disclosures are added, distinguish the original unverified status from the new-information event.
21	Unverified	Full text not readStored summary read	N21 · Evidence conditionWhat interests and research roles did authors, instructors and institutions have?Required	Details of contracts, author-specific interests, program provision, data access, design, analysis and publication roles remain unverified. Failure to establish these details is not filled in as absence of interests. R01	Required direct details remain unverified within the current summary and unread external materials. Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles. This scope remains for user review.	Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles.	Independence should be distinguished using materials showing the actual parties, involvement and data sharing.
22	Unverified	Full text not readStored summary read	N22 · Evidence conditionHow much harm data were actually collected and reported for yoga and splints?Required	The original safety label is Caution; the parent safety narrative is retained as a historical stored summary. Direct study-specific tables of adverse-event counts, definitions, collection, severity, group denominators and follow-up are unavailable here. No new advice on stopping, treatment or self-care is given to individuals. R01	Required direct details remain unverified within the current summary and unread external materials. Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data. This scope remains for user review.	Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data.	Harms from exercise and control exposures require direct event-specific verification and comparative data.
23	Unverified	Full text not readStored summary read	N23 · Evidence conditionWhat are the timing, changes, missing data and alternative explanations for harms?Required	The temporal relationships of actual movements, splint use, baseline severity, concurrent treatments and discontinuation with symptoms or harms remain unverified. The 9 withdrawals or exclusions are not assumed to be harms, and a single cause is not established. R01	Required direct details remain unverified within the current summary and unread external materials. Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation. This scope remains for user review.	Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation.	Interpretation of harms should be supplemented by data on actual exposure, verification, comparisons and alternative explanations.
24	Unverified	Full text not readStored summary read	N24 · Evidence conditionWhat are the gaps in long-term harms, vulnerable populations and rare harms?Supplementary; required for extending safety conclusions	A summary of a small selected population over eight weeks cannot establish long-term or rare harms, or safety at other severity levels or with comorbidities. The original Caution label and unverified direct safety data are retained. R01	Required direct details remain unverified within the current summary and unread external materials. Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events. This scope remains for user review.	Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events.	Long-term and rare harms require separate direct data with adequate follow-up and collection.
25	Partly verified	Full text not readStored summary read	N25 · Evidence conditionCan harm and symptom outcomes from the same trial be counted as independent replication?Required	Grip, pain, signs, tests, the parent safety narrative and the two tables from one trial share the same report and population. Multiple outcomes do not create independent replications of effects or harms. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials. This scope remains for user review.	Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials.	First distinguish whether new materials concern the same population or an independent one, then link them.
26	Partly verified	Full text not readStored summary read	N26 · Evidence conditionWhat are the direction, range and units of the pain scale?Required	The original description says that higher pain values indicate more pain and that the yoga group decreased from 5.0 to 2.9. The instrument name, minimum and maximum scale values, units and reference period remain unverified. Do not assume a 0–10 scale or another scale. R01	Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of original materials on the pain instrument, scale range, units, response period and collection procedure remains subject to user review.	Original materials on the pain instrument, scale range, units, response period and collection procedure.	Direct materials giving the precise measurement definition of pain are needed.
27	Partly verified	Full text not readStored summary read	N27 · Evidence conditionWhat kind of values are the original numbers 5.0 and 2.9?Required	The English product_facts states that the yoga group's mean decreased from 5.0 to 2.9. The original before-and-after values are preserved; splint-group values, variability, actual group denominators, between-group estimates, CI, P values and adjustment details remain unverified. R01	Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean remains subject to user review.	Group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean.	Materials directly showing the actual comparator and effect of interest are needed.
28	Unverified	Full text not readStored summary read	N28 · Evidence conditionIs within-group pain change the same as the between-group effect versus splinting?Required	The parent and subclaim describe a positive pain outcome, but the current numbers 5.0→2.9 refer to the yoga group's mean before and after treatment. Do not present them as a new between-group difference, adjusted effect or relative reduction. R01	The necessary direct details remain unverified within the current summary and unread external materials. The scope of original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators remains subject to user review.	Original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators.	An intervention's comparative effect must be answered with the actual comparator and between-group analysis materials.
29	Unverified	Full text not readStored summary read	N29 · Evidence conditionAre clinically meaningful pain thresholds, responders and durability verified?Required	There are currently no direct values for meaningful pain-change thresholds, responders, distributions, daily function, long-term durability or recurrence. Do not extend a lower mean to treatment for every patient, nerve recovery or long-term elimination of pain. R01	The necessary direct details remain unverified within the current summary and unread external materials. The scope of direct materials on responders, meaningful change, function, distributions and long-term follow-up remains subject to user review.	Direct materials on responders, meaningful change, function, distributions and long-term follow-up.	Patient-perceived response and durability require direct materials for the relevant outcome and period.
30	Unverified	Full text not readStored summary read	N30 · Evidence conditionWhat are the details of pain responses, blinding, expectations and concurrent treatment?Required	The original information mentions assessment by a single physician unaware of allocation, but details of pain respondents, instruments, expectations, instructional attention, analgesics, concurrent treatment, collection and missing data remain unverified. Do not turn assessor blinding into an absence of all bias in pain reporting. R01	The necessary direct details remain unverified within the current summary and unread external materials. The scope of original materials on pain responses, blinding, expectations, concurrent management, collection and missing data remains subject to user review.	Original materials on pain responses, blinding, expectations, concurrent management, collection and missing data.	The pain effect of interest requires actual measurement, comparator and concurrent-management materials.
31	Partly verified	Full text not readStored summary read	N31 · Evidence conditionDoes pain substitute for grip strength, Phalen's sign, sleep, Tinel's sign or nerve conduction?Required	Grip strength of 162→187 mmHg and some improvement in Phalen's sign are other outcomes. The original descriptions of no effect on sleep, Tinel's sign and nerve-conduction testing are preserved. Do not transfer pain improvement to improvement in these outcomes or recovery of nerve conduction. R01	Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome remains subject to user review.	Definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome.	Other symptoms and tests need materials that directly answer their own questions.
32	Partly verified	Full text not readStored summary read	N32 · Evidence conditionWhat historical scope underlies the lack of confirmatory replication and the 28-year statement?Required	The original explanation describes no confirmatory replication after the 1998 trial, and the synthesis says that independent replication had not been verified 28 years later. This is preserved only as history at the original cut-off; no new search or current certification of independence was performed. R01	Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of new bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question remains subject to user review.	New bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question.	When additional results emerge, distinguish their relationships with the same report and population from independent materials.
33	Unverified	Full text not readStored summary read	N33 · Evidence conditionCan the finding be extended to general yoga, long-term treatment or other pain conditions?Supplementary; required for extending applicability	The current scope is an 8-week preliminary comparison of a specific instructed program versus splinting for carpal tunnel syndrome. Direct pain outcomes for general yoga, other programs, severity levels, causes and long-term treatment effects remain unverified. R01	The necessary direct details remain unverified within the current summary and unread external materials. The scope of direct materials showing differences in diagnosis, program, comparator and duration remains subject to user review.	Direct materials showing differences in diagnosis, program, comparator and duration.	Pain effects under other conditions must be distinguished using the relevant question, comparator and actual exposure materials.
34	Partly verified	Full text not readStored summary read	N34 · Evidence conditionHow are the original pain direction, subclaim grade B and parent limitations preserved together?Required	The subclaim's grade B and note of a positive outcome in a small trial are preserved unchanged. The parent grade C50 history of completers, small size, 8 weeks, some positive outcomes and no replication is preserved alongside them. Do not assign the parent's grade to the subclaim or delete the positive pain outcome. R01	Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of original subclaim and parent texts, direct pain analyses and uncertainty materials remains subject to user review.	Original subclaim and parent texts, direct pain analyses and uncertainty materials.	Material updates must distinguish the original verdict and observations from the new preparation status.
35	Partly verified	Full text not readStored summary read	N35 · Evidence conditionWhat records are kept when pain materials or corrections are updated?Required (update boundaries)	Keep the original pain numbers, direction, language, dates, empty correction fields and the shared report relationship with the grip-strength sheet. For new materials, distinguish the full stored summary before modification, version and reasons from condition changes and events applying separate observations. R01	Some original-summary information was linked for preparation; clinical verification and review are not complete. Original locations, versions, questions, conditions, reasons for observation changes and additional direct materials. This scope remains for user review.	Original locations, versions, questions, conditions, reasons for observation changes and additional direct materials.	If new original materials are separately added, link them to the relevant item while retaining the user's review scope.

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35 itemsWhat the statuses mean

Assessment scope

Stored-material review date: Not recorded
Original evidence cut-off: 2026-08-26
Scope actually checked: Existing review summaries and stored records of methodological application. Full papers, supplements, registrations, plans and original data were not read.
What the dates mean: This is the date the stored materials were checked, not the date of a new search of the clinical literature.
Population: Improved grip strength and pain in carpal tunnel syndrome
Ingredient, formulation and route: An eight-week yoga program comprising 11 postures for strengthening, stretching and balancing upper-body joints, plus relaxation
Dose: Only the historical program conditions of eight weeks, 11 postures and relaxation are retained. Details of actual attendance, frequency and cumulative exposure remain unverified; no instructions on implementation, dose or recommendations are provided.
Comparator: Wrist-splint active control
Measured outcome: Pain at 8 weeks: original within-group mean values before and after yoga, with higher values indicating more pain; scale range, between-group effect and detailed CI unverified
Duration: The original eight-week trial. Direct data on persistence after treatment and long-term treatment effects remain unverified.
Questions outside this scope: Extending grip and pain findings to other tests, nerve recovery or all symptom outcomes; Calculating new between-group effects, CI, changes or ratios from original within-group values; Establishing effects for general yoga, all patients, long-term treatment or absence of harm; Instructions for exercise, yoga, splints, medicines, self-care or treatment substitution; Counting the same report, population, wrists, time points, two tables or outcomes as new independent trials or participants

Evidence and sources

The links below lead to the sources. A link alone does not mean the original source was read or its latest publication status verified.

R01 · Garfinkel MS, et al. JAMA. 1998;280:1601-1603. PMID: 9820263.

PubMed

Material type: Randomized single-blind active-control trial
Materials actually read: Summary read; external papers and plans not read
Findings recorded in the stored summary: Grip strength 162→187 mmHg, pain 5.0→2.9 and some Phalen-sign improvement; sleep, Tinel sign and nerve-conduction tests had null results
Record level: Reported values from the existing review summary. The original paper was not directly verified in this work.
Study overlap and independent replication: Grip strength and pain concern one Garfinkel 1998 report and population, PMID 9820263. They share 51 randomized, 42 analyzed, 9 withdrawn/excluded and other test results, and are not added as new independent replications.

Public availability, access and reading status by material
Material	Public availability	Access status	Actually read	Notes
Stored existing review summary	Stored summary	Locally stored existing review summary read for preparation	Summary read	The existing review summary was read. This does not mean the original external paper was obtained or read.
Paper abstract	External material unread; needed	Access not attempted; not obtained	Not read	Only the PMID bibliographic URL was linked; the abstract and result locations were not directly verified.
Full paper	External material unread; needed	Access not attempted; not obtained	Not read	The URL is a bibliographic link; full-text acquisition and accessibility were not verified.
Public registration and contemporaneous planning materials	External material unread; needed	Access not attempted; not obtained	Not read	Only the original status string, 'Not present because the study predates trial registration,' is retained. There is no valid registration ID in the record; no current search, registry access or verification of absence from every registry was performed.
Study protocol	External material unread; needed	Access not attempted; not obtained	Not read	The original plans for the program, control, exposure, eligibility, allocation, assessment, outcome hierarchy and follow-up have not been obtained.
Statistical analysis plan	External material unread; needed	Access not attempted; not obtained	Not read	Original plans for within-/between-group analyses, adjustment, completers, missing data, multiplicity and the effect of interest have not been obtained.
Original results and safety tables	External material unread; needed	Access not attempted; not obtained	Not read	Original tables are needed to verify units, denominators, variance, scales, CI, harms and missing data for each group and outcome.
Sponsorship and interest disclosures	External material unread; needed	Access not attempted; not obtained	Not read	The original scope of 'independent funding not established' is retained and not changed to no sponsorship. Details of funding, roles, data access and publication have not been obtained.

Report counts versus independent study counts

Grip strength and pain concern one Garfinkel 1998 report and population, PMID 9820263. They share 51 randomized, 42 analyzed, 9 withdrawn/excluded and other test results, and are not added as new independent replications.

Review criteria

Version 1.0 · Criteria record date 2026-10-06. These are Chamgap's own application conditions, informed by the referenced methods. They do not constitute official assessment-tool certification or a new efficacy score.

N01 · What are the selected subclaim and the question and record pointers?

Required materials and conditions: The selected source wording, question and record pointers, and parent and sibling context.
Conditions for verification: What are the selected subclaim and the question and record pointers? The selected source wording, question and record pointers, and parent and sibling context. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What are the selected subclaim and the question and record pointers? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N02 · How are the subclaim's actual grade and note, and absent score, status and axes, retained?

Required materials and conditions: The selected subclaim's actual fields and the parent's separate actual values.
Conditions for verification: How are the subclaim's actual grade and note, and absent score, status and axes, retained? The selected subclaim's actual fields and the parent's separate actual values. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Do not fill absent subclaim score/status/axes fields with the parent's grade C, 50 points or axes.
Why this condition is needed: How are the subclaim's actual grade and note, and absent score, status and axes, retained? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N03 · What are the parent assessment, axes, safety label, null, false and empty values?

Required materials and conditions: The parent assessment, axes, original evaluation, history and limits of applicability.
Conditions for verification: What are the parent assessment, axes, safety label, null, false and empty values? The parent assessment, axes, original evaluation, history and limits of applicability. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Do not turn historical defect lists, avoidability judgments or numerical criteria into a new automated score.
Why this condition is needed: What are the parent assessment, axes, safety label, null, false and empty values? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N04 · How are KO/EN text, dates, corrections and empty values preserved?

Required materials and conditions: The actual versions of each language's original text, evidence date, corrections and history.
Conditions for verification: How are KO/EN text, dates, corrections and empty values preserved? The actual versions of each language's original text, evidence date, corrections and history. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: How are KO/EN text, dates, corrections and empty values preserved? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N05 · What was actually read, and which external materials remain unread?

Required materials and conditions: Acquisition and reading scope for each material, and the locations of original results.
Conditions for verification: What was actually read, and which external materials remain unread? Acquisition and reading scope for each material, and the locations of original results. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Only the original URL is linked; link checks or certification of reading are not performed.
Why this condition is needed: What was actually read, and which external materials remain unread? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N06 · What are the identity, year and bibliographic details of the primary report?

Required materials and conditions: Original bibliographic details and materials linking the paper to the trial and population.
Conditions for verification: What are the identity, year and bibliographic details of the primary report? Original bibliographic details and materials linking the paper to the trial and population. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What are the identity, year and bibliographic details of the primary report? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N07 · How is the sharing of one report, population and outcomes across the two tables shown?

Required materials and conditions: Overlap information for reports, trials, people, wrists, groups, outcomes and time points.
Conditions for verification: How is the sharing of one report, population and outcomes across the two tables shown? Overlap information for reports, trials, people, wrists, groups, outcomes and time points. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: The number of material slots does not certify counts of unique clinical trials or independent participants.
Why this condition is needed: How is the sharing of one report, population and outcomes across the two tables shown? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N08 · What population and eligibility criteria were used for carpal tunnel syndrome?

Required materials and conditions: Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function.
Conditions for verification: What population and eligibility criteria were used for carpal tunnel syndrome? Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What population and eligibility criteria were used for carpal tunnel syndrome? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N09 · How much is known about baseline risk, representativeness and everyday exposure?

Required materials and conditions: Original information on baseline characteristics, group distributions, recruitment and concurrent exposures.
Conditions for verification: How much is known about baseline risk, representativeness and everyday exposure? Original information on baseline characteristics, group distributions, recruitment and concurrent exposures. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Supplementary; required for general application
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: How much is known about baseline risk, representativeness and everyday exposure? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N10 · What upper-body yoga program was used in the original study?

Required materials and conditions: Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications.
Conditions for verification: What upper-body yoga program was used in the original study? Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Retain only the original study exposure; do not provide instructions for exercise, yoga or self-care.
Why this condition is needed: What upper-body yoga program was used in the original study? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N11 · What were the original comparison conditions for the wrist-splint active control?

Required materials and conditions: Original information on the splint control's delivery, exposure, attention, adherence and concurrent care.
Conditions for verification: What were the original comparison conditions for the wrist-splint active control? Original information on the splint control's delivery, exposure, attention, adherence and concurrent care. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Do not make recommendations on splint use, replacing exercise or choosing treatment.
Why this condition is needed: What were the original comparison conditions for the wrist-splint active control? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N12 · What are the details of actual program exposure, adherence, discontinuation and concurrent treatment?

Required materials and conditions: Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation.
Conditions for verification: What are the details of actual program exposure, adherence, discontinuation and concurrent treatment? Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What are the details of actual program exposure, adherence, discontinuation and concurrent treatment? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N13 · How much is known about the randomized single-blind design and allocation procedures?

Required materials and conditions: Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance.
Conditions for verification: How much is known about the randomized single-blind design and allocation procedures? Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: How much is known about the randomized single-blind design and allocation procedures? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N14 · Is assessor blinding the same as blinding of pain responses and awareness of the intervention?

Required materials and conditions: Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures.
Conditions for verification: Is assessor blinding the same as blinding of pain responses and awareness of the intervention? Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: Is assessor blinding the same as blinding of pain responses and awareness of the intervention? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N15 · What were the original denominators for randomization, analysis and exclusions or withdrawals?

Required materials and conditions: Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data.
Conditions for verification: What were the original denominators for randomization, analysis and exclusions or withdrawals? Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Do not add people, wrists or repeated measurements as new participants.
Why this condition is needed: What were the original denominators for randomization, analysis and exclusions or withdrawals? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N16 · What are the gaps in completer analysis, missing data and sensitivity analyses?

Required materials and conditions: Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses.
Conditions for verification: What are the gaps in completer analysis, missing data and sensitivity analyses? Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Do not apply historical assessments of substantial attrition, sample size or duration as new criteria.
Why this condition is needed: What are the gaps in completer analysis, missing data and sensitivity analyses? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N17 · How are eight-week results distinguished from persistence after treatment ends?

Required materials and conditions: Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking.
Conditions for verification: How are eight-week results distinguished from persistence after treatment ends? Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: How are eight-week results distinguished from persistence after treatment ends? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N18 · What are the outcome hierarchy and multiplicity for grip, pain, other symptoms and tests?

Required materials and conditions: Original protocols, plans, outcome hierarchy, multiplicity and analysis materials.
Conditions for verification: What are the outcome hierarchy and multiplicity for grip, pain, other symptoms and tests? Original protocols, plans, outcome hierarchy, multiplicity and analysis materials. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What are the outcome hierarchy and multiplicity for grip, pain, other symptoms and tests? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N19 · How does the historical registration statement differ from actual registration verification?

Required materials and conditions: Original public materials on contemporaneous plans, registration status and analysis documents.
Conditions for verification: How does the historical registration statement differ from actual registration verification? Original public materials on contemporaneous plans, registration status and analysis documents. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Do not label the string as a registration ID, inaccessible material or direct verification.
Why this condition is needed: How does the historical registration statement differ from actual registration verification? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N20 · What is the original scope of 'independent funding not established'?

Required materials and conditions: Original disclosures on sponsorship, funding and provision of products or facilities.
Conditions for verification: What is the original scope of 'independent funding not established'? Original disclosures on sponsorship, funding and provision of products or facilities. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Do not carry the original I1 forward as current certification of funding or analytical independence.
Why this condition is needed: What is the original scope of 'independent funding not established'? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N21 · What interests and research roles did authors, instructors and institutions have?

Required materials and conditions: Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles.
Conditions for verification: What interests and research roles did authors, instructors and institutions have? Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What interests and research roles did authors, instructors and institutions have? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N22 · How much harm data were actually collected and reported for yoga and splints?

Required materials and conditions: Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data.
Conditions for verification: How much harm data were actually collected and reported for yoga and splints? Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Do not convert missing safety figures into zero adverse events or absence of harm.
Why this condition is needed: How much harm data were actually collected and reported for yoga and splints? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N23 · What are the timing, changes, missing data and alternative explanations for harms?

Required materials and conditions: Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation.
Conditions for verification: What are the timing, changes, missing data and alternative explanations for harms? Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What are the timing, changes, missing data and alternative explanations for harms? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N24 · What are the gaps in long-term harms, vulnerable populations and rare harms?

Required materials and conditions: Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events.
Conditions for verification: What are the gaps in long-term harms, vulnerable populations and rare harms? Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Supplementary; required for extending safety conclusions
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What are the gaps in long-term harms, vulnerable populations and rare harms? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N25 · Can harm and symptom outcomes from the same trial be counted as independent replication?

Required materials and conditions: Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials.
Conditions for verification: Can harm and symptom outcomes from the same trial be counted as independent replication? Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials. Distinguish the original scope, extent of direct verification and what remains unverified.
Requirement and applicability: Required
Application exceptions: Retain the new-unit increment of 0 and final independent count of null.
Why this condition is needed: Can harm and symptom outcomes from the same trial be counted as independent replication? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N26 · What are the direction, range and units of the pain scale?

Required materials and conditions: Original materials on the pain instrument, scale range, units, response period and collection procedure.
Conditions for verification: What are the direction, range and units of the pain scale? Distinguish the original scope, level of direct verification and unverified details in materials on the pain instrument, scale range, units, response period and collection procedure.
Requirement and applicability: Required
Application exceptions: Do not introduce a scale range, conversion or new unit absent from the original source.
Why this condition is needed: What are the direction, range and units of the pain scale? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N27 · What kind of values are the original numbers 5.0 and 2.9?

Required materials and conditions: Group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean.
Conditions for verification: What kind of values are the original numbers 5.0 and 2.9? Distinguish the original scope, level of direct verification and unverified details in group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What kind of values are the original numbers 5.0 and 2.9? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N28 · Is within-group pain change the same as the between-group effect versus splinting?

Required materials and conditions: Original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators.
Conditions for verification: Is within-group pain change the same as the between-group effect versus splinting? Distinguish the original scope, level of direct verification and unverified details in original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators.
Requirement and applicability: Required
Application exceptions: Do not calculate new reductions, proportions, CI or P values.
Why this condition is needed: Is within-group pain change the same as the between-group effect versus splinting? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N29 · Are clinically meaningful pain thresholds, responders and durability verified?

Required materials and conditions: Direct materials on responders, meaningful change, function, distributions and long-term follow-up.
Conditions for verification: Are clinically meaningful pain thresholds, responders and durability verified? Distinguish the original scope, level of direct verification and unverified details in direct materials on responders, meaningful change, function, distributions and long-term follow-up.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: Are clinically meaningful pain thresholds, responders and durability verified? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N30 · What are the details of pain responses, blinding, expectations and concurrent treatment?

Required materials and conditions: Original materials on pain responses, blinding, expectations, concurrent management, collection and missing data.
Conditions for verification: What are the details of pain responses, blinding, expectations and concurrent treatment? Distinguish the original scope, level of direct verification and unverified details in original materials on pain responses, blinding, expectations, concurrent management, collection and missing data.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: What are the details of pain responses, blinding, expectations and concurrent treatment? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N31 · Does pain substitute for grip strength, Phalen's sign, sleep, Tinel's sign or nerve conduction?

Required materials and conditions: Definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome.
Conditions for verification: Does pain substitute for grip strength, Phalen's sign, sleep, Tinel's sign or nerve conduction? Distinguish the original scope, level of direct verification and unverified details in definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: Does pain substitute for grip strength, Phalen's sign, sleep, Tinel's sign or nerve conduction? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N32 · What historical scope underlies the lack of confirmatory replication and the 28-year statement?

Required materials and conditions: New bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question.
Conditions for verification: What is the history behind the absence of confirmatory replication and the 28-year description? Distinguish the original scope, level of direct verification and unverified details in new bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question.
Requirement and applicability: Required
Application exceptions: Do not turn unverified replication into an absence of all subsequent research or a new count of independent studies.
Why this condition is needed: What historical scope underlies the lack of confirmatory replication and the 28-year statement? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N33 · Can the finding be extended to general yoga, long-term treatment or other pain conditions?

Required materials and conditions: Direct materials showing differences in diagnosis, program, comparator and duration.
Conditions for verification: Can the finding be extended to general yoga, long-term treatment or other pain conditions? Distinguish the original scope, level of direct verification and unverified details in direct materials showing differences in diagnosis, program, comparator and duration.
Requirement and applicability: Supplementary; required for extending applicability
Application exceptions: Do not create guidance on yoga, splints, analgesia, self-management or replacing treatment.
Why this condition is needed: Can the finding be extended to general yoga, long-term treatment or other pain conditions? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N34 · How are the original pain direction, subclaim grade B and parent limitations preserved together?

Required materials and conditions: Original subclaim and parent texts, direct pain analyses and uncertainty materials.
Conditions for verification: How are the original pain direction, subclaim grade B and parent limitations preserved together? Distinguish the original scope, level of direct verification and unverified details in original subclaim and parent texts, direct pain analyses and uncertainty materials.
Requirement and applicability: Required
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Why this condition is needed: How are the original pain direction, subclaim grade B and parent limitations preserved together? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

N35 · What records are kept when pain materials or corrections are updated?

Required materials and conditions: Original locations, versions, questions, conditions, reasons for observation changes and additional direct materials.
Conditions for verification: What records are kept when pain materials or corrections are updated? Distinguish the original scope, level of direct verification and unverified details in reasons for changes to the original location, version, question, conditions and observations, and in additional direct materials.
Requirement and applicability: Required (update boundaries)
Application exceptions: Do not create new calculations, effects/CI, grades or treatment guidance during this preparation.
Why this condition is needed: What records are kept when pain materials or corrections are updated? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

Referenced methods and the sections actually reviewed

M03 · Cochrane Handbook 6.5 (2024), chapter updated 2023-08

Official methodology · §3.1, §3.2.1–3.2.3, MECIR C5/C7/C13

Referenced principle: Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.
Extent of review: Methodological principles stated in existing pilot materials and condition templates were referenced. The methodological text was not reviewed again in this work.

M04 · Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03

Official methodology · §4.5, §4.6.1–4.6.3, MECIR C42

Referenced principle: Distinguish studies from reports and link them; do not omit a study solely because results are unreported.
Extent of review: Methodological principles stated in existing pilot materials and condition templates were referenced. The methodological text was not reviewed again in this work.

M08 · Cochrane Handbook 6.5 (2024), chapter updated 2019-10

Official methodology · §8.1–8.2.3, Table 8.2.a

Referenced principle: Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.
Extent of review: Methodological principles stated in existing pilot materials and condition templates were referenced. The methodological text was not reviewed again in this work.

M15 · Cochrane Handbook 6.5 (2024), chapter updated 2023-08

Official methodology · §15.2.4, §15.3.1–15.3.3

Referenced principle: Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.
Extent of review: Methodological principles stated in existing pilot materials and condition templates were referenced. The methodological text was not reviewed again in this work.

M19 · Cochrane Handbook 6.5 (2024), chapter updated 2019-10

Official methodology · §19.1.2, §19.2.1–19.2.4

Referenced principle: Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.
Extent of review: Methodological principles stated in existing pilot materials and condition templates were referenced. The methodological text was not reviewed again in this work.

What the statuses mean

Met: The original content has been reviewed as meeting the conditions. This status is not used in this preparation.
Partly verified: Some information in the stored summary was linked during preparation; clinical verification or review is not complete.
Unverified: Required direct values, definitions or materials have not been established within the current storage and reading scope. This does not mean zero effect, no papers or failed access.
Review incomplete: Awaiting user review, or actual review remains incomplete.
Not reported: Used only when original materials were actually read and the outcome was judged unreported. Not used for external materials unread in this work.
Inaccessible: Used only when an actual access attempt has a recorded failure. Not used for access that was not attempted in this work.
Insufficient evidence for the conditions: Indicates insufficient direct materials for the relevant scope or conditions; it is not a new grade.
Not applicable: Used when the reason it does not apply to the original question is stated.
Conflicting data: Retains the scope of conflicting statements in original materials; it is not an arbitrary reassessment.

Change history

2026-10-10 · Public page/material version 1.0

The public page and materials were prepared from the existing 35 items. No new clinical search, change in verification status or scoring was performed.

The stored-material review date (Not recorded) and original evidence cut-off (2026-08-26) were retained unchanged.

Researcher downloads

These materials provide the same evidence, scope and verification status as this page.

View all item details

N01 · What are the selected subclaim and the question and record pointers?

Current findings: The selected stored summary concerns pain improvement and distinguishes the selected claim from its verdict record. Other native records and the original parent context are preserved without creating a new main record, split or certification of independence.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. The selected source wording, question and record pointers, and parent and sibling context. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; The selected source wording, question and record pointers, and parent and sibling context.
Required materials and conditions: The selected source wording, question and record pointers, and parent and sibling context.
Materials to obtain first: The selected source wording, question and record pointers, and parent and sibling context.
Further research: If the original question or materials change, record the distinction between the existing scope and a separate question.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the selected subclaim and the question and record pointers? The selected source wording, question and record pointers, and parent and sibling context. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What are the selected subclaim and the question and record pointers? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

Related sources R01

N02 · How are the subclaim's actual grade and note, and absent score, status and axes, retained?

Current findings: The selected subclaim's grade B and note 'Positive in one small trial.' are retained. score, status and axes are absent from the original subclaim record; null and field absence are recorded. The parent's grade C, 50 points and axes are separate context.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. The selected subclaim's actual fields and the parent's separate actual values. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; The selected subclaim's actual fields and the parent's separate actual values.
Required materials and conditions: The selected subclaim's actual fields and the parent's separate actual values.
Materials to obtain first: The selected subclaim's actual fields and the parent's separate actual values.
Further research: If the subclaim is corrected, retain the full original text before the change and a record of the correction event.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How are the subclaim's actual grade and note, and absent score, status and axes, retained? The selected subclaim's actual fields and the parent's separate actual values. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: How are the subclaim's actual grade and note, and absent score, status and axes, retained? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not fill absent subclaim score/status/axes fields with the parent's grade C, 50 points or axes.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N03 · What are the parent assessment, axes, safety label, null, false and empty values?

Current findings: The parent's grade C, 50 points, B/P/R1/I1/E+/B2 and safety label Caution are retained. precision remains null; coprimary_split, big_hard_rct and no_human_study remain false; override_reason and override_reason_en remain empty strings. The original parent assessment and cross-checking narrative are not a new review or subclaim assessment.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. The parent assessment, axes, original evaluation, history and limits of applicability. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; The parent assessment, axes, original evaluation, history and limits of applicability.
Required materials and conditions: The parent assessment, axes, original evaluation, history and limits of applicability.
Materials to obtain first: The parent assessment, axes, original evaluation, history and limits of applicability.
Further research: If separate correction materials arrive, distinguish the original values, reasons for changes and correction events.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the parent assessment, axes, safety label, null, false and empty values? The parent assessment, axes, original evaluation, history and limits of applicability. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What are the parent assessment, axes, safety label, null, false and empty values? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not turn historical defect lists, avoidability judgments or numerical criteria into a new automated score.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N04 · How are KO/EN text, dates, corrections and empty values preserved?

Current findings: The parent's and subclaim's KO/EN text, verified_date 2026-08-26, the empty corrections array and the empty deliberation string are retained. The stored summary's historical evaluation is distinguished from the current preparation time.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. The actual versions of each language's original text, evidence date, corrections and history. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; The actual versions of each language's original text, evidence date, corrections and history.
Required materials and conditions: The actual versions of each language's original text, evidence date, corrections and history.
Materials to obtain first: The actual versions of each language's original text, evidence date, corrections and history.
Further research: Record a new correction as a separate event with the full original text before the change, version and reason.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How are KO/EN text, dates, corrections and empty values preserved? The actual versions of each language's original text, evidence date, corrections and history. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: How are KO/EN text, dates, corrections and empty values preserved? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N05 · What was actually read, and which external materials remain unread?

Current findings: The stored existing review summary was read. External abstracts, full papers, registrations, plans, SAPs, results and safety tables were not accessed. Earlier assessments and citations in the stored summary do not mean external materials were read or reviewed in this work.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Acquisition and reading scope for each material, and the locations of original results. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Acquisition and reading scope for each material, and the locations of original results.
Required materials and conditions: Acquisition and reading scope for each material, and the locations of original results.
Materials to obtain first: Acquisition and reading scope for each material, and the locations of original results.
Further research: If additional materials are read directly in a separate step, record the actual extent, scope, version and time.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What was actually read, and which external materials remain unread? Acquisition and reading scope for each material, and the locations of original results. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What was actually read, and which external materials remain unread? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Only the original URL is linked; link checks or certification of reading are not performed.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N06 · What are the identity, year and bibliographic details of the primary report?

Current findings: The primary report is the Garfinkel et al. 1998 randomized trial, JAMA 1998;280:1601-1603, PMID 9820263. The DOI, PMCID and detailed identity of the external full paper remain unverified.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Original bibliographic details and materials linking the paper to the trial and population. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original bibliographic details and materials linking the paper to the trial and population.
Required materials and conditions: Original bibliographic details and materials linking the paper to the trial and population.
Materials to obtain first: Original bibliographic details and materials linking the paper to the trial and population.
Further research: First establish whether a new report concerns the same trial and population or a different trial.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the identity, year and bibliographic details of the primary report? Original bibliographic details and materials linking the paper to the trial and population. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What are the identity, year and bibliographic details of the primary report? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N07 · How is the sharing of one report, population and outcomes across the two tables shown?

Current findings: Grip strength and pain are two stored questions from the same 1998 eight-week report and population. Phalen, sleep, Tinel, nerve conduction, the sibling table and parent context are not added as separate independent trials or participants.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Overlap information for reports, trials, people, wrists, groups, outcomes and time points. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Overlap information for reports, trials, people, wrists, groups, outcomes and time points.
Required materials and conditions: Overlap information for reports, trials, people, wrists, groups, outcomes and time points.
Materials to obtain first: Overlap information for reports, trials, people, wrists, groups, outcomes and time points.
Further research: When follow-up or companion reports are added, distinguish a shared population from independent data.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How is the sharing of one report, population and outcomes across the two tables shown? Overlap information for reports, trials, people, wrists, groups, outcomes and time points. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: How is the sharing of one report, population and outcomes across the two tables shown? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: The number of material slots does not certify counts of unique clinical trials or independent participants.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N08 · What population and eligibility criteria were used for carpal tunnel syndrome?

Current findings: The question concerns carpal tunnel syndrome. Detailed diagnostic criteria, age, severity, wrist-specific status and inclusion and exclusion criteria are absent from the current summary, so the findings are not extended to all patients or all wrist pain.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function.
Required materials and conditions: Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function.
Materials to obtain first: Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function.
Further research: Application to other populations or severity levels requires direct comparative data for those populations.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What population and eligibility criteria were used for carpal tunnel syndrome? Original information on diagnosis, recruitment, inclusion, exclusion, severity and baseline function. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What population and eligibility criteria were used for carpal tunnel syndrome? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N09 · How much is known about baseline risk, representativeness and everyday exposure?

Current findings: Baseline characteristics by group, occupation and repetitive use, comorbidities, concurrent treatments, baseline tests and recruitment setting remain unverified. A population label alone does not establish individual response or suitability for the intervention.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: Required direct details remain unverified within the current summary and unread external materials. Original information on baseline characteristics, group distributions, recruitment and concurrent exposures. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original information on baseline characteristics, group distributions, recruitment and concurrent exposures.
Required materials and conditions: Original information on baseline characteristics, group distributions, recruitment and concurrent exposures.
Materials to obtain first: Original information on baseline characteristics, group distributions, recruitment and concurrent exposures.
Further research: General application should be distinguished using data showing differences in the actual population and setting.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How much is known about baseline risk, representativeness and everyday exposure? Original information on baseline characteristics, group distributions, recruitment and concurrent exposures. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: How much is known about baseline risk, representativeness and everyday exposure? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N10 · What upper-body yoga program was used in the original study?

Current findings: The original intervention was eight weeks of yoga with 11 postures for strengthening, stretching and balancing upper-body joints, plus relaxation. These are the study conditions of a specific supervised program, not all yoga or stretching. No new instructions on posture, intensity, breathing or timing are provided.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications.
Required materials and conditions: Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications.
Materials to obtain first: Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications.
Further research: Differences between programs should be distinguished using direct comparative data.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What upper-body yoga program was used in the original study? Original information on the supervised program's identity, delivery, actual exposure, instructors and modifications. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What upper-body yoga program was used in the original study? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Retain only the original study exposure; do not provide instructions for exercise, yoga or self-care.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N11 · What were the original comparison conditions for the wrist-splint active control?

Current findings: The original comparator was a wrist splint. The trial used an active control only; wait-list or attention controls are not presented as groups that were actually used. Details of splint type, timing, actual use, instruction, expectations and differences in care remain unverified.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Original information on the splint control's delivery, exposure, attention, adherence and concurrent care. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original information on the splint control's delivery, exposure, attention, adherence and concurrent care.
Required materials and conditions: Original information on the splint control's delivery, exposure, attention, adherence and concurrent care.
Materials to obtain first: Original information on the splint control's delivery, exposure, attention, adherence and concurrent care.
Further research: Link other control conditions only after distinguishing whether they were actually used and for what purpose.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What were the original comparison conditions for the wrist-splint active control? Original information on the splint control's delivery, exposure, attention, adherence and concurrent care. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What were the original comparison conditions for the wrist-splint active control? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not make recommendations on splint use, replacing exercise or choosing treatment.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

Related sources R01

N12 · What are the details of actual program exposure, adherence, discontinuation and concurrent treatment?

Current findings: The eight-week duration and program components are recorded, but actual attendance, frequency, cumulative exposure, practice, splint adherence, concurrent medicines or procedures, discontinuation and modifications remain unverified. Complete individual adherence to the original program is not assumed.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: Required direct details remain unverified within the current summary and unread external materials. Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation.
Required materials and conditions: Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation.
Materials to obtain first: Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation.
Further research: Direct data distinguishing the assigned program from actual adherence are needed.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the details of actual program exposure, adherence, discontinuation and concurrent treatment? Group-specific records of actual exposure, adherence, modifications, concurrent treatment and discontinuation. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What are the details of actual program exposure, adherence, discontinuation and concurrent treatment? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N13 · How much is known about the randomized single-blind design and allocation procedures?

Current findings: The recorded design is a randomized single-blind active-control trial. External details of sequence generation, concealment, baseline balance between groups and allocation implementation have not been read. The design label alone does not certify adequacy.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance.
Required materials and conditions: Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance.
Materials to obtain first: Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance.
Further research: When allocation materials are added, distinguish what is known from what remains unverified.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How much is known about the randomized single-blind design and allocation procedures? Original plans and reports on sequence generation, allocation concealment, implementation and baseline balance. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: How much is known about the randomized single-blind design and allocation procedures? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N14 · Is assessor blinding the same as blinding of pain responses and awareness of the intervention?

Current findings: The original account states that one physician, unaware of allocation, performed assessments. Details of participant and instructor blinding, pain responses, measurement procedures and differences in expectations remain unverified. Assessor blinding is not extended to every person or outcome.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures.
Required materials and conditions: Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures.
Materials to obtain first: Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures.
Further research: Measurement, response and blinding data are needed for each outcome.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: Is assessor blinding the same as blinding of pain responses and awareness of the intervention? Original information on assessors, respondents, intervention awareness, tests, expectations and measurement procedures. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: Is assessor blinding the same as blinding of pain responses and awareness of the intervention? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N15 · What were the original denominators for randomization, analysis and exclusions or withdrawals?

Current findings: The original numbers are retained: 51 randomized, 42 analyzed and 9 withdrawn or excluded. Allocation, completion and reasons for exclusion by group, and the actual denominators for grip strength and pain, remain unverified. No new attrition rates or group counts are calculated.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data.
Required materials and conditions: Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data.
Materials to obtain first: Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data.
Further research: Original materials explaining the actual analysis population for each outcome are needed.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What were the original denominators for randomization, analysis and exclusions or withdrawals? Group-specific flow diagrams, inclusion and exclusion information, outcome denominators and missing data. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What were the original denominators for randomization, analysis and exclusions or withdrawals? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not add people, wrists or repeated measurements as new participants.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N16 · What are the gaps in completer analysis, missing data and sensitivity analyses?

Current findings: The original limitation of analysis of 42 completers is retained. Outcomes for all randomized participants, missing data by group, exclusion reasons, imputation and sensitivity analyses remain unverified. The 9 original exclusions are not converted into 9 clinical adverse events.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses.
Required materials and conditions: Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses.
Materials to obtain first: Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses.
Further research: Direct analysis materials addressing the effect of missing data after allocation are needed.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the gaps in completer analysis, missing data and sensitivity analyses? Definitions of completer and full analyses, group-specific missing data, reasons, handling and sensitivity analyses. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What are the gaps in completer analysis, missing data and sensitivity analyses? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not apply historical assessments of substantial attrition, sample size or duration as new criteria.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N17 · How are eight-week results distinguished from persistence after treatment ends?

Current findings: The original selected outcomes are grip strength and pain in an eight-week trial. Direct figures for persistence after treatment, recurrence and long-term function are absent from the current summary, so the findings are not extended to long-term treatment effects.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking.
Required materials and conditions: Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking.
Materials to obtain first: Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking.
Further research: Persistent outcomes require adequate follow-up and direct comparative data.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How are eight-week results distinguished from persistence after treatment ends? Direct information on the starting point, measurement schedule, follow-up, treatment changes and long-term tracking. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: How are eight-week results distinguished from persistence after treatment ends? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N18 · What are the outcome hierarchy and multiplicity for grip, pain, other symptoms and tests?

Current findings: The recorded endpoints are eight-week grip strength and pain, plus several symptoms and tests. The precise primary, secondary and exploratory hierarchy, prespecified plans, multiplicity and analysis versions remain unverified. The selected subclaim questions are not newly certified as individually registered primary outcomes.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: Required direct details remain unverified within the current summary and unread external materials. Original protocols, plans, outcome hierarchy, multiplicity and analysis materials. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original protocols, plans, outcome hierarchy, multiplicity and analysis materials.
Required materials and conditions: Original protocols, plans, outcome hierarchy, multiplicity and analysis materials.
Materials to obtain first: Original protocols, plans, outcome hierarchy, multiplicity and analysis materials.
Further research: Direct materials distinguishing prespecified plans from actual reporting for each outcome are needed.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the outcome hierarchy and multiplicity for grip, pain, other symptoms and tests? Original protocols, plans, outcome hierarchy, multiplicity and analysis materials. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What are the outcome hierarchy and multiplicity for grip, pain, other symptoms and tests? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N19 · How does the historical registration statement differ from actual registration verification?

Current findings: The original nct string states 'Not present because the study predates trial registration.' It is retained as a historical status statement, not a valid registration number. No registration search or access was performed in this work, and absence from every registration system is not newly certified.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: Required direct details remain unverified within the current summary and unread external materials. Original public materials on contemporaneous plans, registration status and analysis documents. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original public materials on contemporaneous plans, registration status and analysis documents.
Required materials and conditions: Original public materials on contemporaneous plans, registration status and analysis documents.
Materials to obtain first: Original public materials on contemporaneous plans, registration status and analysis documents.
Further research: When planning materials are added, record the relationship between that version and the report.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How does the historical registration statement differ from actual registration verification? Original public materials on contemporaneous plans, registration status and analysis documents. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: How does the historical registration statement differ from actual registration verification? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not label the string as a registration ID, inaccessible material or direct verification.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N20 · What is the original scope of 'independent funding not established'?

Current findings: The funding record states that independent funding was not established; the earlier assessment says the stored summary's Funding statement was not obtained. This does not establish no sponsorship, public funding or corporate funding, and is not current external verification.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Original disclosures on sponsorship, funding and provision of products or facilities. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original disclosures on sponsorship, funding and provision of products or facilities.
Required materials and conditions: Original disclosures on sponsorship, funding and provision of products or facilities.
Materials to obtain first: Original disclosures on sponsorship, funding and provision of products or facilities.
Further research: When sponsorship disclosures are added, distinguish the original unverified status from the new-information event.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What is the original scope of 'independent funding not established'? Original disclosures on sponsorship, funding and provision of products or facilities. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What is the original scope of 'independent funding not established'? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not carry the original I1 forward as current certification of funding or analytical independence.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N21 · What interests and research roles did authors, instructors and institutions have?

Current findings: Details of contracts, author-specific interests, program provision, data access, design, analysis and publication roles remain unverified. Failure to establish these details is not filled in as absence of interests.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: Required direct details remain unverified within the current summary and unread external materials. Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles.
Required materials and conditions: Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles.
Materials to obtain first: Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles.
Further research: Independence should be distinguished using materials showing the actual parties, involvement and data sharing.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What interests and research roles did authors, instructors and institutions have? Public information on conflicts of interest, sponsorship, program provision, data access, analysis and publication roles. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What interests and research roles did authors, instructors and institutions have? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N22 · How much harm data were actually collected and reported for yoga and splints?

Current findings: The original safety label is Caution; the parent safety narrative is retained as a historical stored summary. Direct study-specific tables of adverse-event counts, definitions, collection, severity, group denominators and follow-up are unavailable here. No new advice on stopping, treatment or self-care is given to individuals.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: Required direct details remain unverified within the current summary and unread external materials. Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data.
Required materials and conditions: Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data.
Materials to obtain first: Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data.
Further research: Harms from exercise and control exposures require direct event-specific verification and comparative data.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How much harm data were actually collected and reported for yoga and splints? Original safety-collection methods, events, group denominators, exposure, duration and discontinuation data. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: How much harm data were actually collected and reported for yoga and splints? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not convert missing safety figures into zero adverse events or absence of harm.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N23 · What are the timing, changes, missing data and alternative explanations for harms?

Current findings: The temporal relationships of actual movements, splint use, baseline severity, concurrent treatments and discontinuation with symptoms or harms remain unverified. The 9 withdrawals or exclusions are not assumed to be harms, and a single cause is not established.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: Required direct details remain unverified within the current summary and unread external materials. Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation.
Required materials and conditions: Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation.
Materials to obtain first: Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation.
Further research: Interpretation of harms should be supplemented by data on actual exposure, verification, comparisons and alternative explanations.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the timing, changes, missing data and alternative explanations for harms? Baseline risk, actual exposure, changes, event timing, verification, missing data and reasons for discontinuation. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What are the timing, changes, missing data and alternative explanations for harms? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N24 · What are the gaps in long-term harms, vulnerable populations and rare harms?

Current findings: A summary of a small selected population over eight weeks cannot establish long-term or rare harms, or safety at other severity levels or with comorbidities. The original Caution label and unverified direct safety data are retained.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: Required direct details remain unverified within the current summary and unread external materials. Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events.
Required materials and conditions: Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events.
Materials to obtain first: Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events.
Further research: Long-term and rare harms require separate direct data with adequate follow-up and collection.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the gaps in long-term harms, vulnerable populations and rare harms? Long-term follow-up and exposure, denominator and comparative data for vulnerable populations and rare events. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: What are the gaps in long-term harms, vulnerable populations and rare harms? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N25 · Can harm and symptom outcomes from the same trial be counted as independent replication?

Current findings: Grip, pain, signs, tests, the parent safety narrative and the two tables from one trial share the same report and population. Multiple outcomes do not create independent replications of effects or harms.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials.
Required materials and conditions: Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials.
Materials to obtain first: Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials.
Further research: First distinguish whether new materials concern the same population or an independent one, then link them.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: Can harm and symptom outcomes from the same trial be counted as independent replication? Relationships between reports, trials, populations, outcomes and follow-up, and the identity of new materials. Distinguish the original scope, extent of direct verification and what remains unverified.
Why this condition is needed: Can harm and symptom outcomes from the same trial be counted as independent replication? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Retain the new-unit increment of 0 and final independent count of null.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N26 · What are the direction, range and units of the pain scale?

Current findings: The original description says that higher pain values indicate more pain and that the yoga group decreased from 5.0 to 2.9. The instrument name, minimum and maximum scale values, units and reference period remain unverified. Do not assume a 0–10 scale or another scale.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of original materials on the pain instrument, scale range, units, response period and collection procedure remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; original materials on the pain instrument, scale range, units, response period and collection procedure.
Required materials and conditions: Original materials on the pain instrument, scale range, units, response period and collection procedure.
Materials to obtain first: Original materials on the pain instrument, scale range, units, response period and collection procedure.
Further research: Direct materials giving the precise measurement definition of pain are needed.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the direction, range and units of the pain scale? Distinguish the original scope, level of direct verification and unverified details in materials on the pain instrument, scale range, units, response period and collection procedure.
Why this condition is needed: What are the direction, range and units of the pain scale? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not introduce a scale range, conversion or new unit absent from the original source.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N27 · What kind of values are the original numbers 5.0 and 2.9?

Current findings: The English product_facts states that the yoga group's mean decreased from 5.0 to 2.9. The original before-and-after values are preserved; splint-group values, variability, actual group denominators, between-group estimates, CI, P values and adjustment details remain unverified.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean.
Required materials and conditions: Group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean.
Materials to obtain first: Group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean.
Further research: Materials directly showing the actual comparator and effect of interest are needed.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What kind of values are the original numbers 5.0 and 2.9? Distinguish the original scope, level of direct verification and unverified details in group-specific baseline and 8-week values, variability, denominators, original analyses, intervals and the definition of the mean.
Why this condition is needed: What kind of values are the original numbers 5.0 and 2.9? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N28 · Is within-group pain change the same as the between-group effect versus splinting?

Current findings: The parent and subclaim describe a positive pain outcome, but the current numbers 5.0→2.9 refer to the yoga group's mean before and after treatment. Do not present them as a new between-group difference, adjusted effect or relative reduction.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: The necessary direct details remain unverified within the current summary and unread external materials. The scope of original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators.
Required materials and conditions: Original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators.
Materials to obtain first: Original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators.
Further research: An intervention's comparative effect must be answered with the actual comparator and between-group analysis materials.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: Is within-group pain change the same as the between-group effect versus splinting? Distinguish the original scope, level of direct verification and unverified details in original yoga-versus-splint comparisons and analyses of within-group and between-group effects, adjustments, time points and denominators.
Why this condition is needed: Is within-group pain change the same as the between-group effect versus splinting? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not calculate new reductions, proportions, CI or P values.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N29 · Are clinically meaningful pain thresholds, responders and durability verified?

Current findings: There are currently no direct values for meaningful pain-change thresholds, responders, distributions, daily function, long-term durability or recurrence. Do not extend a lower mean to treatment for every patient, nerve recovery or long-term elimination of pain.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: The necessary direct details remain unverified within the current summary and unread external materials. The scope of direct materials on responders, meaningful change, function, distributions and long-term follow-up remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; direct materials on responders, meaningful change, function, distributions and long-term follow-up.
Required materials and conditions: Direct materials on responders, meaningful change, function, distributions and long-term follow-up.
Materials to obtain first: Direct materials on responders, meaningful change, function, distributions and long-term follow-up.
Further research: Patient-perceived response and durability require direct materials for the relevant outcome and period.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: Are clinically meaningful pain thresholds, responders and durability verified? Distinguish the original scope, level of direct verification and unverified details in direct materials on responders, meaningful change, function, distributions and long-term follow-up.
Why this condition is needed: Are clinically meaningful pain thresholds, responders and durability verified? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N30 · What are the details of pain responses, blinding, expectations and concurrent treatment?

Current findings: The original information mentions assessment by a single physician unaware of allocation, but details of pain respondents, instruments, expectations, instructional attention, analgesics, concurrent treatment, collection and missing data remain unverified. Do not turn assessor blinding into an absence of all bias in pain reporting.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: The necessary direct details remain unverified within the current summary and unread external materials. The scope of original materials on pain responses, blinding, expectations, concurrent management, collection and missing data remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; original materials on pain responses, blinding, expectations, concurrent management, collection and missing data.
Required materials and conditions: Original materials on pain responses, blinding, expectations, concurrent management, collection and missing data.
Materials to obtain first: Original materials on pain responses, blinding, expectations, concurrent management, collection and missing data.
Further research: The pain effect of interest requires actual measurement, comparator and concurrent-management materials.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What are the details of pain responses, blinding, expectations and concurrent treatment? Distinguish the original scope, level of direct verification and unverified details in original materials on pain responses, blinding, expectations, concurrent management, collection and missing data.
Why this condition is needed: What are the details of pain responses, blinding, expectations and concurrent treatment? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N31 · Does pain substitute for grip strength, Phalen's sign, sleep, Tinel's sign or nerve conduction?

Current findings: Grip strength of 162→187 mmHg and some improvement in Phalen's sign are other outcomes. The original descriptions of no effect on sleep, Tinel's sign and nerve-conduction testing are preserved. Do not transfer pain improvement to improvement in these outcomes or recovery of nerve conduction.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome.
Required materials and conditions: Definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome.
Materials to obtain first: Definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome.
Further research: Other symptoms and tests need materials that directly answer their own questions.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: Does pain substitute for grip strength, Phalen's sign, sleep, Tinel's sign or nerve conduction? Distinguish the original scope, level of direct verification and unverified details in definitions, time points, denominators, hierarchy, between-group estimates and original tables for each outcome.
Why this condition is needed: Does pain substitute for grip strength, Phalen's sign, sleep, Tinel's sign or nerve conduction? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N32 · What historical scope underlies the lack of confirmatory replication and the 28-year statement?

Current findings: The original explanation describes no confirmatory replication after the 1998 trial, and the synthesis says that independent replication had not been verified 28 years later. This is preserved only as history at the original cut-off; no new search or current certification of independence was performed.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of new bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; new bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question.
Required materials and conditions: New bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question.
Materials to obtain first: New bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question.
Further research: When additional results emerge, distinguish their relationships with the same report and population from independent materials.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What is the history behind the absence of confirmatory replication and the 28-year description? Distinguish the original scope, level of direct verification and unverified details in new bibliographic, population, intervention, comparator and direct-outcome materials for the same pain question.
Why this condition is needed: What historical scope underlies the lack of confirmatory replication and the 28-year statement? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not turn unverified replication into an absence of all subsequent research or a new count of independent studies.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N33 · Can the finding be extended to general yoga, long-term treatment or other pain conditions?

Current findings: The current scope is an 8-week preliminary comparison of a specific instructed program versus splinting for carpal tunnel syndrome. Direct pain outcomes for general yoga, other programs, severity levels, causes and long-term treatment effects remain unverified.
Verification status: Unverified
Materials actually read: Summary read; external materials not read
Why unverified: The necessary direct details remain unverified within the current summary and unread external materials. The scope of direct materials showing differences in diagnosis, program, comparator and duration remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; direct materials showing differences in diagnosis, program, comparator and duration.
Required materials and conditions: Direct materials showing differences in diagnosis, program, comparator and duration.
Materials to obtain first: Direct materials showing differences in diagnosis, program, comparator and duration.
Further research: Pain effects under other conditions must be distinguished using the relevant question, comparator and actual exposure materials.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: Can the finding be extended to general yoga, long-term treatment or other pain conditions? Distinguish the original scope, level of direct verification and unverified details in direct materials showing differences in diagnosis, program, comparator and duration.
Why this condition is needed: Can the finding be extended to general yoga, long-term treatment or other pain conditions? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not create guidance on yoga, splints, analgesia, self-management or replacing treatment.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N34 · How are the original pain direction, subclaim grade B and parent limitations preserved together?

Current findings: The subclaim's grade B and note of a positive outcome in a small trial are preserved unchanged. The parent grade C50 history of completers, small size, 8 weeks, some positive outcomes and no replication is preserved alongside them. Do not assign the parent's grade to the subclaim or delete the positive pain outcome.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some information from the original summary was linked during preparation; clinical verification and review are not complete. The scope of original subclaim and parent texts, direct pain analyses and uncertainty materials remains subject to user review.
Reason for missing information: External abstract, full text, plan and original tables not read; original subclaim and parent texts, direct pain analyses and uncertainty materials.
Required materials and conditions: Original subclaim and parent texts, direct pain analyses and uncertainty materials.
Materials to obtain first: Original subclaim and parent texts, direct pain analyses and uncertainty materials.
Further research: Material updates must distinguish the original verdict and observations from the new preparation status.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: How are the original pain direction, subclaim grade B and parent limitations preserved together? Distinguish the original scope, level of direct verification and unverified details in original subclaim and parent texts, direct pain analyses and uncertainty materials.
Why this condition is needed: How are the original pain direction, subclaim grade B and parent limitations preserved together? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Distinguish the original summary from unread external materials; do not create calculations, effects, CI or new assessments beyond the original text.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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N35 · What records are kept when pain materials or corrections are updated?

Current findings: Keep the original pain numbers, direction, language, dates, empty correction fields and the shared report relationship with the grip-strength sheet. For new materials, distinguish the full stored summary before modification, version and reasons from condition changes and events applying separate observations.
Verification status: Partly verified
Materials actually read: Summary read; external materials not read
Why unverified: Some original-summary information was linked for preparation; clinical verification and review are not complete. Original locations, versions, questions, conditions, reasons for observation changes and additional direct materials. This scope remains for user review.
Reason for missing information: External abstracts, full papers, plans and original tables not read; Original locations, versions, questions, conditions, reasons for observation changes and additional direct materials.
Required materials and conditions: Original locations, versions, questions, conditions, reasons for observation changes and additional direct materials.
Materials to obtain first: Original locations, versions, questions, conditions, reasons for observation changes and additional direct materials.
Further research: If new original materials are separately added, link them to the relevant item while retaining the user's review scope.
Remaining uncertainty: Unread external materials or missing information do not mean zero effect, zero events, no papers, failed access or a new assessment.
Conditions for verification: What records are kept when pain materials or corrections are updated? Distinguish the original scope, level of direct verification and unverified details in reasons for changes to the original location, version, question, conditions and observations, and in additional direct materials.
Why this condition is needed: What records are kept when pain materials or corrections are updated? This is needed to distinguish the relevant outcome, population and effect of interest from other scopes.
Application exceptions: Do not create new calculations, effects/CI, grades or treatment guidance during this preparation.
Referenced methods: These are study-family conditions linked to stored original text, not an application of an official clinical assessment method.

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