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

Stephan 2011.

Study characteristics
Methods Study design: RCT
Setting: Germany, general population
Exercise groups: 1
Comparison groups: 1
Participants Number of participants: 74 (E1 = 58, C1 = 16)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: Some participants
Mean age (years): 44
Sex (female): 55%
Interventions Exercise Group 1 (E1): Progressive hypertrophy‐oriented strength training on machines with variable resistance, lumbar extensor training with the pelvis stabilised for all muscle groups; type = strengthening; duration = 24 weeks; dose = high; design = partially individualised; delivery = independent with follow‐up; additional intervention = none
Comparison Group 1 (C1): Usual care/no treatment (waiting‐list group)
Outcomes Core outcomes reported: Pain (MOS Pain Severity); function (Oswestry Disability Index)
Follow‐up time periods available for syntheses: 26 weeks (moderate)
Notes Conflicts of interest: Anika Stephan and Dr. Sven Goebel work for the Research and Development Department at Kieser Training AG. Prof. Dr. Dietmar Schmidtbleicher has been remunerated for his consultancy by Kieser Training AG.
Funding source: Not reported
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
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 Unclear risk Twenty‐two of the 80 participants in the training group dropped out.
Participants analysed in group allocated (attrition bias) High risk Fifty‐six/80 analysed only
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk Table 1 described the sample and the characteristics of the sample group at the start of the intervention (no significant differences).
Co‐interventions avoided or similar (performance bias) Unclear risk Not described
Compliance acceptable in all groups (performance bias) Unclear risk Participants dropped out if they didn't have good compliance; others not discussed
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement was not available.