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

Saper 2013.

Study characteristics
Methods Study design: RCT (NCT01761617)
Setting: USA, mixed
Exercise groups: 2
Comparison groups: 0
Participants Number of participants: 95 (E1 = 46, E2 = 49)
Chronic LBP duration: Not specified (moderate)
Neurological/radicular symptoms: Some participants
Mean age (years): 48
Sex (female): 75%
Interventions Exercise Group 1 (E1): Two yoga classes per week and home practice; type = yoga; duration = 12 weeks; dose = high; design = standardised; delivery = group; additional intervention = relaxation
Exercise Group 2 (E2): One yoga class per week and home practice; type = yoga; duration = 12 weeks; dose = low; design = standardised; delivery = group; additional intervention = relaxation
Outcomes Core outcomes reported: Pain (Numeric Rating Scale); function (Roland‐Morris Disability Questionnaire); HRQoL (36‐Item Short Form Survey); Global Perceived Health or Recovery (Global Perceived Health or Recovery (overall improvement (7‐point))
Follow‐up time periods available for syntheses: 12 weeks (short)
Notes Conflicts of interest: Not reported
Funding source: National Center for Complementary and Alternative Medicine (Grant 1R01AT005956), National Institutes of Health
Other: Information modified for author contact
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk The 1:1 randomisation schedule was created in StudyTrax using a permuted block design with randomly determined block sizes (4, 8, 12).
Allocation concealment (selection bias) High risk Due to the nature of the interventions, participants and study staff who scheduled classes could not be masked to treatment allocation.
Blinding of participants and personnel (performance bias)
All outcomes High risk Due to the nature of the interventions, participants and study staff who scheduled classes could not be masked to treatment allocation.
Blinding of care provider (performance bias) High risk Due to the nature of the interventions, participants and study staff who scheduled classes could not be masked to treatment allocation.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Support for judgement was not available.
Incomplete outcome data (attrition bias)
All outcomes Low risk See flow chart
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 A couple of characteristics were different but they were used as confounders.
Co‐interventions avoided or similar (performance bias) Low risk Reported and seem to be similar across the groups
Compliance acceptable in all groups (performance bias) High risk Thirty‐two (65%) and 20 (44%) participants assigned to once‐weekly and twice‐weekly classes, respectively, achieved treatment adherence.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.