Study characteristics |
Methods |
Study design: RCT
Setting: Nigeria, healthcare
Exercise groups: 3
Comparison groups: 0 |
Participants |
Number of participants: 63 (E1 = 21, E2 = 21, E3 = 21)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: Not specified
Mean age (years): 52
Sex (female): 65% |
Interventions |
Exercise Group 1 (E1): Stabilisation in prone and supine: exercises focussed on back and core muscles, performed in both prone and supine positions; type = core strengthening; duration = 8 weeks; dose = low; design = standardised; delivery = individual; additional intervention = manual therapy & other
Exercise Group 2 (E2): Stabilisation in prone: exercises focussed on back and core muscles, performed in prone position; type = core strengthening; duration = 8 weeks; dose = low; design = standardised; delivery = individual; additional intervention = manual therapy & other
Exercise Group 3 (E3): Stabilisation in supine: exercises focussed on back and core muscles, performed in supine position; type = core strengthening; duration = 8 weeks; dose = low; design = standardised; delivery = individual; additional intervention = manual therapy & other |
Outcomes |
Core outcomes reported: Pain (Verbal Rating Scale); function (Roland‐Morris Disability Questionnaire)
Follow‐up time periods available for syntheses: 8 weeks (short) |
Notes |
Conflicts of interest: None to declare
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 |
Fishbowl technique; participants drawing group from bowl |
Allocation concealment (selection bias) |
Low risk |
Participants chose their own lot from the bowl. |
Blinding of participants and personnel (performance bias)
All outcomes |
Low risk |
1. Patients could not be blinded to allocation due to the nature of the treatments; 2. Unlikely that lack of patient blinding caused deviations from intended interventions; all of the treatments were very similar. |
Blinding of care provider (performance bias) |
Low risk |
1. Care providers could not be blinded to allocation due to the nature of the treatments; 2. All exercises were explicitly different; unlikely to be able to change exercise programme. |
Blinding of outcome assessment (detection bias)
All outcomes |
Unclear risk |
1. Outcome assessors for pain and function were the patients themselves, who could not be blinded due to the nature of the treatments; 2. Pain and functional questionnaires are subjective, and responses could be altered by awareness of intervention; 3. Neither treatment was obviously better than the other; no reason to alter patient response |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
1. Dropout rate was 11% (7/63). |
Participants analysed in group allocated (attrition bias) |
Low risk |
1. Appeared that patients were analysed according to the treatment group to which they were randomised |
Selective reporting (reporting bias) |
Low risk |
1. No linked protocol or statistical analysis plan found: within this publication, all outcomes and analyses were fully reported; no obvious omissions |
Groups similar at baseline (selection bias) |
Low risk |
Both treatment groups were similar on all relevant baseline characteristics, except sex was not reported. |
Co‐interventions avoided or similar (performance bias) |
Low risk |
No mention of co‐interventions in this study |
Compliance acceptable in all groups (performance bias) |
Low risk |
Presentation was confusing; seemed that 5 were not completely compliant but no reporting over attendance/compliance |
Timing of outcome assessment similar in all groups (detection bias) |
Low risk |
1. Outcome assessments were identical for all patients, regardless of treatment group; 2. Oswestry Disability Index (for function), and Visual Analogue Scale (for pain) are all well‐validated tools in the low back pain context. |
Other bias |
Low risk |
Appeared free from other sources of bias |