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

Moussouli 2014.

Study characteristics
Methods Study design: RCT
Setting: Greece, general population
Exercise groups: 2
Comparison groups: 1
Participants Number of participants: 39 (E1 = 13, E2 = 13, C1 = 13)
Chronic LBP duration: Not specified (moderate)
Neurological/radicular symptoms: No participants
Mean age (years): 57
Sex (female): 100%
Interventions Exercise Group 1 (E1): Isometric stabilisation exercises: isometric contractions without motion of core muscle groups, warm‐up (5‐10 minutes) and cool‐down (5‐7 minutes); type = core strengthening; duration = 4 weeks; dose = low; design = standardised; delivery = not specified; additional intervention = none
Exercise Group 2 (E2): Isotonic stabilisation exercises: dynamic contractions of core muscle groups, warm‐up (5‐10 minutes) and cool‐down (5‐7 minutes); type = core strengthening; duration = 4 weeks; dose = low; design = standardised; delivery = group; additional intervention = none
Comparison Group 1 (C1): Usual care/no treatment (control group: no intervention)
Outcomes Core outcomes reported: Pain (36‐Item Short Form Survey); function (36‐Item Short Form Survey); HRQoL (36‐Item Short Form Survey)
Follow‐up time periods available for syntheses: 4 weeks (short); 26 weeks (moderate)
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) High risk Author contact: only patients in experimental group randomised, control group not randomised
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 Assumed not possible
Blinding of outcome assessment (detection bias)
All outcomes High risk Assumed not possible
Incomplete outcome data (attrition bias)
All outcomes Low risk No dropouts
Participants analysed in group allocated (attrition bias) High risk Support for judgement was not available.
Selective reporting (reporting bias) High risk Only outcomes with significant differences (pain and vitality) were reported.
Groups similar at baseline (selection bias) High risk The control group displayed a greater mean age of approximately 62 years compared with the two exercise groups with an average age of 53 years.
Co‐interventions avoided or similar (performance bias) Unclear risk Not described
Compliance acceptable in all groups (performance bias) Low risk No missing responses were observed.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.