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

Kankaanpaa 1999.

Study characteristics
Methods Study design: RCT
Setting: Finland, occupational
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 54 (E1 = 30, C1 = 24)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: No participants
Mean age (years): 40
Sex (female): 35%
Interventions Exercise Group 1 (E1): Strengthening (machines) with stretching, co‐ordination, David Beck Clinic programme (functional restoration); type = mixed; duration = 12 weeks; dose = high; design = individualised; delivery = group; additional intervention = advice/education & psychological therapy
Comparison Group 1 (C1): Other conservative treatment (physical therapy)
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Pain Disability Index)
Follow‐up time periods available for syntheses: 12 weeks (short); 26 weeks (moderate); 52 weeks (long)
Notes Conflicts of interest: Device status category: 2
Funding source: Ministry of Education; Academy of Finland; Finnish Work Environmental Fund; The Finnish Medical Society Duodecim; Yrjo Jahnsson; Eemil Aaltonen; Instrumentarium Science Foundations; Kuopio University EVO Fund (496115)
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Support for judgement is not available
Allocation concealment (selection bias) Low risk Support for judgement is not available
Blinding of participants and personnel (performance bias)
All outcomes High risk Support for judgement is not available
Blinding of care provider (performance bias) High risk Support for judgement is not available
Blinding of outcome assessment (detection bias)
All outcomes High risk Support for judgement is not available
Incomplete outcome data (attrition bias)
All outcomes Low risk Support for judgement is not available
Participants analysed in group allocated (attrition bias) High risk Support for judgement is not available
Selective reporting (reporting bias) Low risk Support for judgement is not available
Groups similar at baseline (selection bias) Low risk Support for judgement is not available
Co‐interventions avoided or similar (performance bias) Unclear risk Support for judgement is not available
Compliance acceptable in all groups (performance bias) Low risk Support for judgement is not available
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement is not available