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

Alp 2014.

Study characteristics
Methods Study design: RCT
Setting: Turkey, healthcare
Exercise groups: 2
Comparison groups: 0
Participants Number of participants: 48 (E1 = 24, E2 = 24)
Chronic LBP duration: Not specified (moderate)
Neurological/radicular symptoms: No participants
Mean age (years): 50
Sex (female): 100%
Interventions Exercise Group 1 (E1): Core stabilisation exercises: stabilisation exercises for the multifidus and transversus abdominis muscles (30 minutes), warm‐up (5 minutes), stretching (5 minutes), cool down (5 minutes); type = core strengthening; duration = 6 weeks; dose = low; design = standardised; delivery = group; additional intervention = none
Exercise Group 2 (E2): Conventional exercise: lumbar isometric and lumbar flexion‐extension exercises, 1 set of 20 repetitions daily; type = flexibility/mobilising; duration = 6 weeks; dose = low; design = standardised; delivery = independent with follow‐up; additional intervention = none
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Roland‐Morris Disability Questionnaire); HRQoL (36‐Item Short Form Survey)
Follow‐up time periods available for syntheses: 13 weeks (moderate)
Notes Conflicts of interest: None to declare
Funding source: No funding received
Other: Information modified for author contact, SDs imputed
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated table of numbers
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes High risk Assumed not possible
Blinding of care provider (performance bias) High risk Assumed not possible
Blinding of outcome assessment (detection bias)
All outcomes High risk Support for judgement was not available.
Incomplete outcome data (attrition bias)
All outcomes Low risk All of the patients completed the programme, and none of the patients had radicular pain.
Participants analysed in group allocated (attrition bias) Low risk All of the participants were included in the statistical analysis.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk At baseline evaluation, the groups were determined to be homogeneous for patient characteristics and clinical measurements (except 36‐Item Short Form Health Survey phydimension)
Co‐interventions avoided or similar (performance bias) Low risk Patients instructed not to take non‐steroidal anti‐inflammatory drugs or any analgesic during the intervention period
Compliance acceptable in all groups (performance bias) Low risk Two subjects in the core‐stabilization exercise group and three subjects in the home‐based conventional exercise group missed some of the exercise sessions.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.