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

Moseley 2002.

Study characteristics
Methods Study design: RCT
Setting: Australia, healthcare
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 57 (E1 = 29, C1 = 28)
Chronic LBP duration: 8.8 weeks (moderate)
Neurological/radicular symptoms: Not specified
Mean age (years): 41
Sex (female): 59%
Interventions Exercise Group 1 (E1): Specific trunk muscle training: individualised with home exercise programme (Richardson & Jull); type = core strengthening; duration = 4 weeks; dose = low; design = individualised; delivery = individual; additional intervention = advice/education & manual therapy
Comparison Group 1 (C1): Usual care/no treatment (usual general practitioner care; no physiotherapy)
Outcomes Core outcomes reported: Pain (Numeric Rating Scale); function (Roland‐Morris Disability Questionnaire)
Follow‐up time periods available for syntheses: 4 weeks (short); 52 weeks (long)
Notes Conflicts of interest: Not reported
Funding source: Not reported
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Flip of a coin by independent person.
Allocation concealment (selection bias) Low risk Independent person assigned to group.
Blinding of participants and personnel (performance bias)
All outcomes High risk Support for judgement was not available.
Blinding of care provider (performance bias) High risk Support for judgement was not available.
Blinding of outcome assessment (detection bias)
All outcomes High risk Support for judgement was not available.
Incomplete outcome data (attrition bias)
All outcomes High risk Sixty‐seven per cent completed one year follow‐up.
Participants analysed in group allocated (attrition bias) High risk Reported intention to treat, but not clear that the 29/28 subjects were all included in the analysis.
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) Low risk Unclear if they sought other physiotherapy treatment; did not measure co‐interventions in the intervention group.
Compliance acceptable in all groups (performance bias) Low risk Compliance not assessed in the home programme; not mentioned regarding other component.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.