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

Nemcic 2013.

Study characteristics
Methods Study design: RCT
Setting: Croatia, healthcare
Exercise groups: 2
Comparison groups: 0
Participants Number of participants: 72 (E1 = 36, E2 = 36)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: No participants
Mean age (years): 46
Sex (female): 50%
Interventions Exercise Group 1 (E1): Water‐based exercise: warm‐up, range of motion, strengthening, and stretching exercises, water walking; type = mixed; duration = 3 weeks; dose = low; design = standardised; delivery = group; additional intervention = electrotherapy & manual therapy
Exercise Group 2 (E2): Land‐based exercise: warm‐up, strengthening and stretching exercises; type = mixed; duration = 3 weeks; dose = low; design = standardised; delivery = group; additional intervention = electrotherapy & manual therapy
Outcomes Core outcomes reported: Function (Pain Disability Index)
Follow‐up time periods available for syntheses: 3 weeks (short)
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) Unclear risk Randomised into two groups; equally divided according to gender
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 Low risk The Physical Disability Index is an observer‐administered, performance‐based instrument so outcome assessors could be blinded.
Incomplete outcome data (attrition bias)
All outcomes Low risk Assumed no dropouts
Participants analysed in group allocated (attrition bias) Low risk Support for judgement was not available.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk There were no statistically significant differences in baseline sociodemographic and anthropometric characteristics between the two groups.
Co‐interventions avoided or similar (performance bias) Low risk No painkillers (paracetamol, tramadol, nonsteroidal anti‐inflammatory drugs) were allowed to be changed during the study.
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.