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. 2021 Sep 28;2021(9):CD009790. doi: 10.1002/14651858.CD009790.pub2

Alayat 2014.

Study characteristics
Methods Study design: RCT
Setting: Saudi Arabia, healthcare
Exercise groups: 2
Comparison groups: 1
Participants Number of participants: 72 (E1 = 28, E2 = 24, C1 = 20)
Chronic LBP duration: 13.9 months (moderate)
Neurological/radicular symptoms: Not specified
Mean age (years): 33
Sex (female): 0%
Interventions Exercise Group 1 (E1): Exercises for strengthening, stretching, mobilising, co‐ordinating, and stabilising abdominal, back, and pelvic muscles; type = core strengthening; duration = 4 weeks; dose = high; design = individualised; delivery = individual; additional intervention = electrotherapy
Exercise Group 2 (E2): Exercises for strengthening, stretching, mobilising, co‐ordinating, and stabilising abdominal, back, and pelvic muscles; type = mixed; duration = 4 weeks; dose = high; design = individualised; delivery = individual; additional intervention = placebo
Comparison Group 1 (C1): Other conservative treatment (electrotherapy)
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Roland‐Morris Disability Questionnaire)
Follow‐up time periods available for syntheses: 4 weeks (short); 12 weeks (short)
Notes Conflicts of interest: None to declare
Funding source: Not reported
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were assigned a specific ID# and randomised using a GraphPad programme.
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes Low risk Patients did not know which group they were assigned to or which treatment they would be offered.
Blinding of care provider (performance bias) High risk Single‐blinded only
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias)
All outcomes Low risk No dropouts
Participants analysed in group allocated (attrition bias) Low risk Support for judgement was not available.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk There were no significant differences between the three treatment groups at baseline.
Co‐interventions avoided or similar (performance bias) Unclear risk Not described
Compliance acceptable in all groups (performance bias) Low risk Family members were responsible to record when the study participant performed the home exercises and all reported no deficiencies.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.