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

Kumar 2010.

Study characteristics
Methods Study design: RCT
Setting: India, healthcare
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 141 (E1 = 72, C1 = 69)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: Not specified
Mean age (years): 35
Sex (female): 35%
Interventions Exercise Group 1 (E1): 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); function (Waddell Disability Index); HRQoL (36‐Item Short Form Survey)
Follow‐up time periods available for syntheses: 12 weeks (short)
Notes Conflicts of interest: None to declare
Funding source: Indian Council of Medical Research, New Delhi
Other: Sufficient data not available for inclusion in meta‐analyses
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk The subjects were randomised equally in two groups by lottery method.
Allocation concealment (selection bias) Unclear risk No indication of whether patients could see what was on the paper
Blinding of participants and personnel (performance bias)
All outcomes High risk After group allocations, respective subjects were treated either with conventional techniques 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 Outcome variables such as pain severity, physical strength, functional ability
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Not described
Participants analysed in group allocated (attrition bias) Unclear risk Not described
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk Demographic characteristics (Table 2) of two treatment groups were assessed at baseline and found not to be significant.
Co‐interventions avoided or similar (performance bias) Low risk The subjects were not allowed to get any other treatment options including the 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.