Donchin 1990.
Methods | RCT | |
Participants | 138 participants. 1. Back School group n = 46. 2. Calisthenics exercises group n = 46. 3. Waiting‐list control group n = 46. Inclusion criteria: at least 3 annual episodes of low back pain. Exclusion criteria: not described. |
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Interventions | 1. Back School group: 4, 90‐minute sessions during a 2‐week period plus a 5th session after 2 months. Each group of 10 to 12 participants was supervised by a physiotherapist (education and exercises for back and abdominal muscles). 2. Calisthenics exercises group: 45‐minute sessions biweekly for 3 months in groups of 10 to 12 participants (flexion and pelvic tilt exercises in order to strengthen the abdominal muscles, expanding spinal forward flexion). 3. Waiting‐list control group. |
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Outcomes | Disability: Oswestry Low Back Pain Questionnaire. | |
Notes | Occupational setting. Funding: N/A. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | After being examined, the participants were allocated to the 3 groups by a systematic random sampling method. |
Allocation concealment (selection bias) | Unclear risk | The sequence generation procedure or the method of allocation were not mentioned. The title and abstract indicate that it is an RCT. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | No mention of any attempts to blind the participants |
Blinding (performance bias and detection bias) All outcomes | High risk | No mention of any attempts to blind the care providers |
Blinding of outcome assessment (detection bias) All outcomes | High risk | No mention of any attempts to blind the assessors |
Incomplete outcome data (attrition bias) All outcomes | Low risk | The percentage of withdrawals and dropouts was within the acceptable rate (less than 20%). |
Intention‐to‐treat Analysis | Unclear risk | Not mentioned |
Selective reporting (reporting bias) | Unclear risk | It was unclear if the published report included all expected outcomes. |
Similarity of baseline characteristics? | Low risk | Demographic and clinical baseline characteristics of the study population are presented in Table 1. Demographic and clinical baseline characteristics were similar for both groups. |
Co‐interventions avoided or similar? | Unclear risk | There were few reported co‐interventions in the study. |
Compliance acceptable? | Low risk | Based on the description of both groups, compliance was acceptable. |
Timing outcome assessments similar? | Low risk | All important outcomes assessments for both groups were measured at the same time. |