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

Chen 2014.

Study characteristics
Methods Study design: RCT
Setting: Taiwan, occupational
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 127 (E1 = 64, C1 = 63)
Chronic LBP duration: 4.09 years (long)
Neurological/radicular symptoms: Not specified
Mean age (years): 34
Sex (female): Not reported
Interventions Exercise Group 1 (E1): Stretching exercise programme: warm‐up exercise (10 minutes), back pain exercise and core muscle training (30 minutes), and relaxation exercises (10 minutes); type = mixed; duration = 26 weeks; dose = high; design = standardised; delivery = group; additional intervention = none
Comparison Group 1 (C1): Usual care/no treatment (usual activities for 50 minutes per time, 3 times per week)
Outcomes Core outcomes reported: Pain (Visual Analogue Scale)
Follow‐up time periods available for syntheses: 26 weeks (moderate)
Notes Conflicts of interest: Not reported
Funding source: Not reported
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Low risk Each participant was provided with an unmarked and sealed envelope containing a randomly generated allocation number.
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not described
Blinding of care provider (performance bias) Unclear risk Not described
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias)
All outcomes Low risk Eleven participants in the experimental group and 13 in the control group failed to complete the study.
Participants analysed in group allocated (attrition bias) Low risk The presented analyses involved using intention‐to‐treat, with missing data being substituted with the last‐observation‐carried‐forward procedure.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) High risk Difference in participant age (P = 0.01; Table 2)
Co‐interventions avoided or similar (performance bias) Unclear risk Not described
Compliance acceptable in all groups (performance bias) Unclear risk Not described
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.