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

Devasahayam 2014.

Study characteristics
Methods Study design: RCT
Setting: Singapore, general population
Exercise groups: 2
Comparison groups: 0
Participants Number of participants: 28 (E1 = 14, E2 = 14)
Chronic LBP duration: 57 months (long)
Neurological/radicular symptoms: No participants
Mean age (years): 54
Sex (female): Not reported
Interventions Exercise Group 1 (E1): Functional back exercises, practising functional tasks, and home exercises; type = other (not specified); duration = 4 weeks; dose = low; design = partially individualised; delivery = group; additional intervention = advice/education & psychological therapy
Exercise Group 2 (E2): Generic mat exercise: stretches (cat/camel, quads, hamstrings, hip rotators), core stability exercises (bridging, dead bugs, etc.) and home exercises; type = mixed; duration = 4 weeks; dose = low; design = standardised; delivery = group; additional intervention = none
Outcomes Core outcomes reported: Pain (Numeric Rating Scale); function (Roland‐Morris Disability Questionnaire); Global Perceived Health or Recovery (Global Perceived Health or Recovery (Global Perceived Effect scale))
Follow‐up time periods available for syntheses: 4 weeks (short)
Notes Conflicts of interest: Not reported
Funding source: Not reported
Other: SDs imputed
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The participants were randomised using a sealed envelope.
Allocation concealment (selection bias) Low risk Sealed envelope
Blinding of participants and personnel (performance bias)
All outcomes Low risk Support for judgement was not available.
Blinding of care provider (performance bias) Unclear risk The physiotherapists who instructed the exercise classes were blinded to the data collected from their groups.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Support for judgement was not available.
Incomplete outcome data (attrition bias)
All outcomes Low risk Thirteen of 28 subjects did not complete the follow‐up measures, but all completed treatment.
Participants analysed in group allocated (attrition bias) High 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) Unclear risk Chronicity seemed very different across groups.
Co‐interventions avoided or similar (performance bias) Low risk Participants in both groups were advised not to seek any other treatments in order to standardise the treatments received.
Compliance acceptable in all groups (performance bias) Unclear risk The physiotherapist attending the experimental group reported greater compliance among participants.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.