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. 2017 Aug 3;2017(8):CD011674. doi: 10.1002/14651858.CD011674.pub2

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.
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.
Outcomes Disability: Oswestry Low Back Pain Questionnaire.
Notes Occupational setting.
Funding: N/A.
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.