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

Miller 2005.

Study characteristics
Methods Study design: RCT
Setting: USA, healthcare
Exercise groups: 2
Comparison groups: 0
Participants Number of participants: 29 (E1 = 15, E2 = 14)
Chronic LBP duration: 26 months (moderate)
Neurological/radicular symptoms: Some participants
Mean age (years): 49
Sex (female): 48%
Interventions Exercise Group 1 (E1): Stabilisation exercises for strengthening the lumbar multifidus and transversus abdominis muscles, home exercises; type = core strengthening; duration = 6 weeks; dose = low; design = partially individualised; delivery = individual; additional intervention = not specified
Exercise Group 2 (E2): McKenzie approach with individual assessments, end‐range repeated movements of the spine, home exercises; type = Mckenzie; duration = 6 weeks; dose = low; design = partially individualised; delivery = individual; additional intervention = advice/education & manual therapy
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Functional Status Questionnaire)
Follow‐up time periods available for syntheses: 6 weeks (short)
Notes Conflicts of interest: Not reported
Funding source: Not reported
Other: Information modified for author contact
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation was done using a random number generator to assign each subject a number.
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 The examiners were not blinded during data collection.
Incomplete outcome data (attrition bias)
All outcomes Low risk Of the 30 subjects, 29 completed the study.
Participants analysed in group allocated (attrition bias) High risk Twenty‐nine of 30 subjects analysed
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk The sample consisted of 14 females and 15 males between the ages of 19 and 87 years with a mean age of 47 years.
Co‐interventions avoided or similar (performance bias) Unclear risk Authors contact: "believed they were compliant but did not assess"
Compliance acceptable in all groups (performance bias) Unclear risk Author contact: tried to monitor compliance but patients not compliant in completing logs
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.