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

Sjogren 2006a.

Study characteristics
Methods Study design: Cluster‐RCT (cross‐over)
Setting: Finland, occupational
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 36 (E1 = 21, C1 = 15)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: Some participants
Mean age (years): Not reported
Sex (female): 80%
Interventions Exercise Group 1 (E1): Light resistance training: 6 dynamic symmetrical movements, extension and flexion of upper extremities, trunk and knees; type = strengthening; duration = 15 weeks; dose = high; design = partially individualised; delivery = independent with follow‐up; additional intervention = advice/education
Comparison Group 1 (C1): Usual care/no treatment (control group: no intervention)
Outcomes Core outcomes reported: Function (Support Needs Questionnaire)
Follow‐up time periods available for syntheses: 15 weeks (moderate)
Notes Conflicts of interest: Not reported
Funding source: Chydenius Institute; University of Jyvaskyla; Palokka health centre; Finnish Work Environment Fund; Juho Vainio Foundation
Other: Sufficient data not available for inclusion in meta‐analyses
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk After the baseline measurements the blinded measurers allocated the workers in each department into the two treatment sequence groups.
Allocation concealment (selection bias) Low risk The sequence was concealed from the participants for as long as possible.
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 In the Low Back Symptoms Group, three subjects were lost to follow‐up during the physical exercise intervention.
Participants analysed in group allocated (attrition bias) Low risk In the Low Back Symptoms Group, three subjects were lost to follow‐up during the physical exercise intervention.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Unclear risk Not described
Co‐interventions avoided or similar (performance bias) Low risk Excluding the light resistance training, the participants were asked to keep the level of intensity and amount of their physical activity unchanged.
Compliance acceptable in all groups (performance bias) Low risk Training adherence (69%) was a percentage ratio of self‐reported training time and guided target training time.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.