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

Kumar 2009a.

Study characteristics
Methods Study design: RCT
Setting: India, healthcare
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 102 (E1 = 51, C1 = 51)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: Not specified
Mean age (years): 34
Sex (female): 0%
Interventions Exercise Group 1 (E1): Dynamic muscular stabilisation: segmental stability training delivered in 4 stages: 1) abdominal hollowing; 2) stability exercises static load; 3) progressed to controlled movement; 4) high speed movement; type = core strengthening; duration = 5 weeks; dose = low; design = standardised; delivery = individual; additional intervention = none
Comparison Group 1 (C1): Other conservative treatment (physical therapy)
Outcomes Core outcomes reported: Pain (Visual Analogue Scale)
Follow‐up time periods available for syntheses: 25 weeks (moderate)
Notes Conflicts of interest: None to declare
Funding source: Indian Council of Medical Research, New Delhi
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk The subjects were randomly assigned equally into two groups by a lottery.
Allocation concealment (selection bias) Unclear risk Not clear whether the papers were opaque or able to be read before picking
Blinding of participants and personnel (performance bias)
All outcomes High risk After group allocations, respective subjects were treated either with conventional treatment or dynamic muscular stabilization techniques in a single‐blind manner.
Blinding of care provider (performance bias) High risk Not described
Blinding of outcome assessment (detection bias)
All outcomes High risk Severity or level of pain, back pressure changes and abdominal pressure changes were assessed by same tester and same physiotherapist supervising the test procedure at baseline.
Incomplete outcome data (attrition bias)
All outcomes Low risk No dropouts
Participants analysed in group allocated (attrition bias) Low risk No dropouts
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk The baseline characteristics across groups were found to be the same.
Co‐interventions avoided or similar (performance bias) Low risk The subjects were not allowed to receive any other treatment, including painkillers.
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.