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

Gunay 2014.

Study characteristics
Methods Study design: RCT
Setting: Turkey, healthcare
Exercise groups: 2
Comparison groups: 0
Participants Number of participants: 63 (E1 = 31, E2 = 32)
Chronic LBP duration: 20.4 months (moderate)
Neurological/radicular symptoms: No participants
Mean age (years): 40
Sex (female): 84%
Interventions Exercise Group 1 (E1): Muscle endurance training with 4 levels of stability exercises, 300 repetitions held for 10 seconds with regular rest; type = core strengthening; duration = 6 weeks; dose = high; design = standardised; delivery = not specified; additional intervention = advice/education & heat/ice
Exercise Group 2 (E2): Stretching and strengthening of abdominal, back and gluteal muscles (described as classical strengthening exercises); type = strengthening & stretching; duration = 6 weeks; dose = high; design = standardised; delivery = not specified; additional intervention = advice/education & heat/ice
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Oswestry Disability Index)
Follow‐up time periods available for syntheses: 6 weeks (short)
Notes Conflicts of interest: None to declare
Funding source: No funding received
Other: Information modified for author contact
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Author contact: block randomisation by computer‐generated random number list
Allocation concealment (selection bias) Low risk Cards in unmarked envelopes
Blinding of participants and personnel (performance bias)
All outcomes Low risk The patients were blind to the intervention.
Blinding of care provider (performance bias) High risk Assumed not possible
Blinding of outcome assessment (detection bias)
All outcomes Low risk Author contact: 'assessor blinded'; self‐report with author report that patients were blinded to 'good' intervention
Incomplete outcome data (attrition bias)
All outcomes Low risk Fourteen (of 77) patients withdrew because they were not able to complete the treatment programme.
Participants analysed in group allocated (attrition bias) High risk Only the 63 who completed were shown.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk There was no significant difference between the two groups.
Co‐interventions avoided or similar (performance bias) Unclear risk Author contact: medications were allowed, advised no other treatment or exercises
Compliance acceptable in all groups (performance bias) Unclear risk Author contact: not assessed formally (but observed compliance)
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.