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. 2023 Aug 30;2023(8):CD009365. doi: 10.1002/14651858.CD009365.pub2

Cho 2014.

Study characteristics
Methods Study design: RCT
Recruitment period: not reported
Recruitment mode: the subjects had been diagnosed with acute LBP by specialists
Statistical analysis: to examine differences between the 2 groups in accordance with the interventions, a paired t‐test was carried out. An independent t‐test was performed to compare the groups
Sample size calculation: not reported
Participants Sample size: total: 40; EG1: 20; EG2: 20
Setting: not reported
Country: Republic of Korea
Baseline characteristics
  • Age in years, mean (SD): not reported, participants were in their 20s

  • Sex, number (%) women: EG1: 0 (0%); EG2: 0 (0%)


Duration of LBP: diagnosed with acute LBP, not further specified
Inclusion criteria
  • Acute LBP diagnosis from a specialist


Exclusion criteria
  • Problems other than LBP

Interventions EG1: stretching
  • Description: the stretching group repetitively stretched their lower extremity joints, trunk joints, and upper extremity joints.

  • Materials/equipment: none

  • Non‐exercise component: not reported

  • Frequency and duration: 3 times per week, for 1 hour each time, for a total of 4 weeks. Warming‐up exercises for the first 10 minutes and cooling‐down exercises for the last 10 minutes, with stretching during the intervening 40‐minute period.

  • Delivery: generic group exercise; supervision: not reported

  • Provider: not reported


EG2: Tai Chi
  • Description: various motions, including ya ma boon jong, boong ri je an, baek hak yang si, su whi bi pa, nu seul y obo, je su sang se, and yeo bong sap ye. Participants performed this 20‐minute routine twice.

  • Materials/equipment: no

  • Non‐exercise component: not reported

  • Frequency and duration: 3 times per week, for 1 hour each time, for a total of 4 weeks. Warming‐up exercises for the first 10 minutes and cooling‐down exercises for the last 10 minutes. Tai Chi during the intervening 40‐minute period.

  • Delivery: generic group exercise; supervision: not reported

  • Provider: not reported

Outcomes Note: outcomes were not designated as major or minor outcomes
Pain: VAS (0–10; converted to a 0–100 scale)
  • Baseline, mean (SD): EG1: 34 (6); EG2: 31 (6)

  • 4 weeks, mean (SD): EG1: 28 (5); EG2: 21 (5)


Other: muscle activity by surface electromyography
Adverse events: not reported
Notes Authors' results and conclusions: Tai chi was effective in decreasing pain and muscle activity of males with LBP in their 20s.
Review authors' note: only a minimal difference was detected that was not clinically relevant. It is unclear whether the statistical test was performed between groups at 4 weeks.
Funding: not reported
Declaration of interest: no official disclosure regarding potential conflicts of interest
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Abstract states participants were randomly assigned, randomisation procedure not described.
Allocation concealment (selection bias) Unclear risk Not described.
Blinding
All outcomes ‐ Participants High risk No mention of attempts to blind participants.
Blinding
All outcomes ‐ Healthcare providers High risk 2 active interventions.
Blinding
All outcomes ‐ outcome assessors High risk The outcome measures were self‐reported and participants were unblinded.
Influence of co‐interventions Unclear risk Not reported.
Group similarity at baseline Unclear risk Only pain and muscle activity were reported.
Compliance Unclear risk Not reported.
Timing of outcome assessments Unclear risk Pre‐ and post‐treatment.
Incomplete outcome data (attrition bias)
Dropouts – all outcomes Unclear risk Study does not report number of dropouts in each group.
Intention‐to‐treat‐analysis Unclear risk No flow chart or other description of the number of participants before and after treatment.
Selective reporting (reporting bias) High risk Study reported pain but not functional status. No protocol published.
Other bias Unclear risk No funding sources reported. No official disclosure regarding potential conflicts of interest.