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

Lomond 2014.

Study characteristics
Methods Study design: RCT (NCT01611792)
Setting: USA, not specified
Exercise groups: 2
Comparison groups: 0
Participants Number of participants: 38 (E1 = 20, E2 = 18)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: Not specified
Mean age (years): 41
Sex (female): 53%
Interventions Exercise Group 1 (E1): Strength and conditioning physical therapy including general trunk strengthening and endurance exercises; type = strengthening; duration = 10 weeks; dose = high; design = standardised; delivery = not specified; additional intervention = not specified
Exercise Group 2 (E2): Stabilisation physical therapy including specific exercises to improve control of deep trunk muscles; type = core strengthening; duration = 10 weeks; dose = high; design = standardised; delivery = not specified; additional intervention = not specified
Outcomes Core outcomes reported: Pain (Numeric Rating Scale); function (Oswestry Disability Index)
Follow‐up time periods available for syntheses: 11 weeks (short); 26 weeks (moderate)
Notes Conflicts of interest: Not reported
Funding source: National Institutes of Health NIH2R01HD040909 (PI: Henry SM)
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 Randomised based on a covariate adaptive randomisation scheme
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes High risk Assumed not possible
Blinding of care provider (performance bias) High risk Treatment assignments were transmitted to the study treating physiotherapist.
Blinding of outcome assessment (detection bias)
All outcomes High risk Assumed not possible
Incomplete outcome data (attrition bias)
All outcomes High risk Dropout rate was high (6/29 in stabilisation group and 7/29 in strengthening group completed).
Participants analysed in group allocated (attrition bias) Unclear risk Paper reported yes, but Figure seemed to be missing some subjects.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk Support for judgement was not available.
Co‐interventions avoided or similar (performance bias) Unclear risk Not described
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.