Methods |
Randomly assigned |
Participants |
126 patients included two months after their first lumbar disc surgery and not pain free (VAS > 10 mm) |
Interventions |
(I) Home exercise programme after one instruction session for 12 months. Instructions for stretching and stabilisation exercises, instructed to stretch three times AND strength training, instructed to perform two series of exercises twice a week
(C) Home exercise programme after one instruction session for 12 months. Instructions for stretching and stabilisation exercises, instructed to stretch three times |
Outcomes |
At 12 months' follow‐up: improvement in back pain (100‐mm VAS): (I) 4 mm (IQR: ‐11 to 5) versus (C) 1 mm (IQR : ‐7 to 9); leg pain (100‐mm VAS): (I) ‐2 (IQR: ‐7 to 7) versus (C) ‐2 (IQR: ‐7 to 3). Improvement in disability (ODI) (I): 3 mm (IQR: ‐6 to 1) versus (C): ‐2 (‐5 to 1) |
Notes |
|
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
High risk |
Randomly assigned |
Allocation concealment (selection bias) |
Unclear risk |
Unclear from text |
Blinding (performance bias and detection bias)
All outcomes ‐ patients? |
Unclear risk |
Unclear from text |
Blinding (performance bias and detection bias)
All outcomes ‐ care providers? |
Unclear risk |
Unclear from text |
Blinding (performance bias and detection bias)
All outcomes ‐ outcome assessors? |
Unclear risk |
Unclear from text |
Incomplete outcome data (attrition bias)
All outcomes ‐ drop‐outs? |
Unclear risk |
Unclear from text |
Incomplete outcome data (attrition bias)
All outcomes ‐ ITT analysis? |
Unclear risk |
Unclear from text |
Selective reporting (reporting bias) |
Low risk |
VAS, Oswestry and Million’s Disability Indices (outcome measurements/results) |
Similarity of baseline characteristics? |
Low risk |
Table 1 |
Co‐interventions avoided or similar? |
Unclear risk |
Unclear from text |
Compliance acceptable? |
High risk |
Results paragraph two, Figure 2 |
Timing outcome assessments similar? |
Low risk |
Six, 12 months |