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

Smith 2011.

Study characteristics
Methods Study design: RCT
Setting: England, healthcare
Exercise groups: 3
Comparison groups: 0
Participants Number of participants: 46 (E1 = 16, E2 = 17, E3 = 13)
Chronic LBP duration: Not specified (moderate)
Neurological/radicular symptoms: Some participants
Mean age (years): 43
Sex (female): Not reported
Interventions Exercise Group 1 (E1): Lumbar extension training: one set of approximately 8‐12 repetitions through the participant's full range of motion with pelvic stabilisation; type = strengthening; duration = 12 weeks; dose = low; design = partially individualised; delivery = individual; additional intervention = none
Exercise Group 2 (E2): Lumbar extension training: 1 set of approximately 8‐12 repetitions through the participant's full range of motion without pelvic stabilisation; type = strengthening; duration = 12 weeks; dose = low; design = partially individualised; delivery = individual; additional intervention = not specified
Exercise Group 3 (E3): McKenzie protocol, muscle imbalance protocol, home exercises; type = mixed; duration = 12 weeks; dose = low; design = standardised; delivery = individual; additional intervention = advice/education & manual therapy
Outcomes Core outcomes reported: Pain (Visual Analogue Scale); function (Oswestry Disability Index)
Follow‐up time periods available for syntheses: 12 weeks (short)
Notes Conflicts of interest: Not reported
Funding source: Not reported
Other: Information modified for author contact
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants were randomly allocated to one of three groups.
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes High risk Support for judgement was not available.
Blinding of care provider (performance bias) High risk Support for judgement was not available.
Blinding of outcome assessment (detection bias)
All outcomes High risk Author contact: outcome assessor was not blinded.
Incomplete outcome data (attrition bias)
All outcomes Low risk Four dropouts from 46
Participants analysed in group allocated (attrition bias) High risk Not described
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk Author contact: no significant differences
Co‐interventions avoided or similar (performance bias) Unclear risk Author contact: people continued physical therapy.
Compliance acceptable in all groups (performance bias) Low risk Author contact: participants only missed one or two sessions.
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.