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

Gladwell 2006.

Study characteristics
Methods Study design: RCT
Setting: England, general population
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 34 (E1 = 20, C1 = 14)
Chronic LBP duration: 10 years (long)
Neurological/radicular symptoms: No participants
Mean age (years): 41
Sex (female): 79%
Interventions Exercise Group 1 (E1): Ten Pilates exercises using neutral spine and pelvis, recruitment of core muscles; type = Pilates; duration = 6 weeks; dose = low; design = partially individualised; delivery = group; additional intervention = none
Comparison Group 1 (C1): Usual care/no treatment (control group: continued with normal activity)
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Oswestry Disability Index); HRQoL (12‐Item Short Form Survey)
Follow‐up time periods available for syntheses: 6 weeks (short)
Notes Conflicts of interest: Not reported
Funding source: Not reported
Other: Information modified for author contact
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Author contact: random number allocated to physical therapy corresponding with allocation
Allocation concealment (selection bias) High 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 Low risk Pre and post the six weeks intervention, a questionnaire‐based assessment and a functional assessment were performed.
Incomplete outcome data (attrition bias)
All outcomes High risk Twenty‐five participants were allocated to the Pilates group and 24 to the control group. Fifteen participants did not complete the trial.
Participants analysed in group allocated (attrition bias) High risk Thirty‐four participants completed all aspects of the trial with 20 in Pilates group and 14 in the control group.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) High risk No significant differences were found between the control group and Pilates group in baseline data.
Co‐interventions avoided or similar (performance bias) Low risk Pilates was applied as an additional intervention to the current drug treatment, including analgesics, with both groups encouraged to make no changes.
Compliance acceptable in all groups (performance bias) Low risk The attendance of classes by the Pilates group was excellent with an overall attendance of 16/20 participants attending all sessions.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.