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

Kell 2009.

Study characteristics
Methods Study design: RCT
Setting: Canada, general population
Exercise groups: 2
Comparison groups: 1
Participants Number of participants: 27 (E1 = 9, E2 = 9, C1 = 9)
Chronic LBP duration: 27.6 months (moderate)
Neurological/radicular symptoms: No participants
Mean age (years): 37
Sex (female): 40%
Interventions Exercise Group 1 (E1): Resistance training for upper and lower body using free weights, machines, and body weight; type = strengthening; duration = 16 weeks; dose = high; design = partially individualised; delivery = group; additional intervention = none
Exercise Group 2 (E2): Aerobic training including any form of aerobic exercise which was of interest to the participant (i.e. elliptical trainer, treadmill walking or jogging); type = aerobic; duration = 16 weeks; dose = high; design = individualised; delivery = group; additional intervention = none
Comparison Group 1 (C1): Usual care/no treatment (control group: no description)
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Oswestry Disability Index); HRQoL (36‐Item Short Form Survey)
Follow‐up time periods available for syntheses: 16 weeks (moderate)
Notes Conflicts of interest: Not reported
Funding source: Saskatchewan Health Research Foundation (New Investigator Grant); University of Alberta, Augustana Campus (travel grant)
Other: SDs imputed
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The 27 subjects were randomly assigned to one of three groups.
Allocation concealment (selection bias) High risk Not described
Blinding of participants and personnel (performance bias)
All outcomes High risk Not described
Blinding of care provider (performance bias) High risk Not described
Blinding of outcome assessment (detection bias)
All outcomes High risk Not described
Incomplete outcome data (attrition bias)
All outcomes High risk Initially, there were 33 subjects in the study, but six subjects dropped out, leaving 27 who completed the 16‐week study.
Participants analysed in group allocated (attrition bias) High risk Not described
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk No significant differences were apparent among the groups at baseline, week eight, or week 16 for body composition (Table 1).
Co‐interventions avoided or similar (performance bias) Unclear risk The present study sought to eliminate this problem by isolating two forms of exercise rehabilitation, resistance training and aerobic training, and stopping all other exercise modes.
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.