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

Puppin 2011.

Study characteristics
Methods Study design: RCT
Setting: Brazil, healthcare
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 55 (E1 = 30, C1 = 25)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: Some participants
Mean age (years): 38
Sex (female): 55%
Interventions Exercise Group 1 (E1): Stretching of various muscle groups, in 6 sequences, followed by 30 seconds rest periods between stretches; type = stretching; duration = 8 weeks; dose = low; design = standardised; delivery = individual; additional intervention = none
Comparison Group 1 (C1): Usual care/no treatment (control group: no intervention)
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Oswestry Disability Index)
Follow‐up time periods available for syntheses: 8 weeks (short); 16 weeks (moderate)
Notes Conflicts of interest: None to declare
Funding source: No funding received
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Randomised in order of arriving at clinic
Allocation concealment (selection bias) Unclear 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 Not described
Incomplete outcome data (attrition bias)
All outcomes Low risk Seven/62 dropped out ‐ mainly because of return to work after sick leave.
Participants analysed in group allocated (attrition bias) High 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 No significant differences between baseline characteristics
Co‐interventions avoided or similar (performance bias) Unclear risk Not described
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.