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

Turner 1990.

Study characteristics
Methods Study design: RCT
Setting: USA, mixed
Exercise groups: 2
Comparison groups: 2
Participants Number of participants: 96 (E1 = 24, E2 = 24, C1 = 23, C2 = 25)
Chronic LBP duration: 670 weeks (long)
Neurological/radicular symptoms: No participants
Mean age (years): 44
Sex (female): 48%
Interventions Exercise Group 1 (E1): Progressive aerobic fitness (fast walking to slow jogging), warm‐up, cool‐down stretching, with spousal support; type = aerobic & stretching; duration = 8 weeks; dose = low; design = partially individualised; delivery = group; additional intervention = none
Exercise Group 2 (E2): Progressive aerobic fitness (fast walking to slow jogging), warm‐up, cool‐down stretching; type = aerobic & stretching; duration = 8 weeks; dose = low; design = partially individualised; delivery = group; additional intervention = psychological therapy
Comparison Group 1 (C1): Usual care/no treatment (control group: continued with normal activity and treatment)
Comparison Group 2 (C2): Other conservative treatment (psychological therapy)
Outcomes Core outcomes reported: Pain (McGill Pain Score); function (Sickness Impact Profile)
Follow‐up time periods available for syntheses: 8 weeks (short); 26 weeks (moderate); 52 weeks (long)
Notes Conflicts of interest: Not reported
Funding source: National Institute of Neurological and Communicative Disorders and Stroke (Grants 2 RO1 NS19619 and PO1 NS 16329)
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Support for judgement is not available
Allocation concealment (selection bias) Low risk Support for judgement is not available
Blinding of participants and personnel (performance bias)
All outcomes High risk Support for judgement is not available
Blinding of care provider (performance bias) High risk Support for judgement is not available
Blinding of outcome assessment (detection bias)
All outcomes High risk Support for judgement is not available
Incomplete outcome data (attrition bias)
All outcomes High risk Support for judgement is not available
Participants analysed in group allocated (attrition bias) High risk Support for judgement is not available
Selective reporting (reporting bias) Low risk Support for judgement is not available
Groups similar at baseline (selection bias) Low risk Support for judgement is not available
Co‐interventions avoided or similar (performance bias) High risk Support for judgement is not available
Compliance acceptable in all groups (performance bias) High risk Support for judgement is not available
Timing of outcome assessment similar in all groups (detection bias) Low risk Support for judgement is not available