Skip to main content
. 2023 Apr 5;2023(4):CD009711. doi: 10.1002/14651858.CD009711.pub2

Schenk 2003.

Study characteristics
Methods
  • Study design: randomized controlled trial

  • Setting: hospital‐based outpatient clinic, New York, USA

Participants
  • Acute/subacute population

  • Inclusion criteria: participants classified with lumbar posterior derangement, aged 21‐76 years old

  • Exclusion criteria: participants classified with lumbar joint dysfunction

  • N = 25: treatment group = 15; control group = 10

  • Age, mean years: treatment group = 40.1; control group = 44.8

  • Sex (N): treatment group = 8 female, 7 male; control group = 2 female, 7 male

Interventions
  • Treatment group: McKenzie method (therapeutic exercises consisted of lumbar extension or lumbar flexion with the hips offset)

  • Control group: joint mobilization (passive movement applied to the spinal segments based on the patient's response to repeated movements and passive mobility testing)

  • The interventions for all subjects consisted of postural correction and ambulation on the treadmill for up to 20 minutes. Subjects in each group performed five sets of ten repetitions of the prescribed exercise or received five sets of ten repetitions of joint mobilization.

Outcomes
  • Pain (VAS)

  • Disability (ODI)

  • Timing of assessments: 3 weeks

Notes Participants were treated by the same physical therapist, who was certified in McKenzie method.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer randomization was used
Allocation concealment (selection bias) High risk The author was contacted and reported that the process of allocation concealment was carried out by drawing a slip of paper from a box.
Blinding (performance bias and detection bias)
All outcomes High risk The index and control groups are distinguishable for the patients.
Blinding of participants and personnel (performance bias)
All outcomes High risk The index and control groups are distinguishable for the care providers.
Blinding of outcome assessment (detection bias)
All outcomes High risk The primary outcomes are self‐reported outcomes, in which the patient (unblinded) is the outcome assessor.
Incomplete outcome data (attrition bias)
All outcomes Low risk There were no missing outcome data.
Intention to treat analysis Low risk There were no dropout or withdrawals and all patients were analysed in the groups to which they were allocated.
Selective reporting (reporting bias) Unclear risk No protocol available and the report does not include enough information to make this judgement.
Group similarity at baseline Low risk Demographic and clinical characteristics are similar between groups.
Co‐interventions Low risk The trial author was contacted and reported that there were no co‐interventions.
Compliance Low risk All participants were seen for three physical therapy visits
Timing of outcome assessment Low risk Both groups were measured at same time
Other bias Low risk Free of other sources of bias