The Clinical Examination improved 2.37 points ( 95 % CI : 1.10 to 3.65 ) , P > .001 and the Laboratory Tests , 0.75 points ( 95 % CI : -0.15 to 1.66 ) , P = .10 ; The Overall Difference was 5.44 points ( 95 % Cl : 3.25 to 7.62 ) , P > .001 .