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

Xueqiang 2012.

Study characteristics
Methods Study design: RCT
Setting: China, healthcare
Exercise groups: 2
Comparison groups: 0
Participants Number of participants: 60 (E1 = 28, E2 = 32)
Chronic LBP duration: Not specified (not specified)
Neurological/radicular symptoms: Some participants
Mean age (years): 39
Sex (female): 42%
Interventions Exercise Group 1 (E1): Muscle strengthening exercises: abdominal and trunk extensor muscles, warm‐up (5 minutes), abdominal extensor exercises (15 minutes), trunk extensor exercises (15 minutes), cool down (5 minutes); type = core strengthening; duration = 12 weeks; dose = high; design = standardised; delivery = group; additional intervention = not specified
Exercise Group 2 (E2): Co‐ordination and control of, and strength and endurance of the trunk muscles, neural control and neutral spine exercises (bridging with legs lifts, reverse bridge, etc.); type = core strengthening; duration = 12 weeks; dose = high; design = standardised; delivery = group; additional intervention = not specified
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: National Science Foundation for Distinguished Young Scholars (Grant: 81101391); Science and Technology Foundation Program of Shanghai University of Sport (Grant: YJSCX201120); Shanghai Natural Science Foundation of Chine (Grant: 11ZR1434900)
Other: None
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk All subjects were randomly assigned by using a computer‐generated random number sequence to either core stability training group or control group
Allocation concealment (selection bias) Low risk With the use of opaque closed envelopes and stratified by centre, included patients were randomised to core stability training group or control group by an independent co‐ordinator.
Blinding of participants and personnel (performance bias)
All outcomes Low risk This study was a two‐armed randomised, controlled trial with blinding of patients and assessors with respect to the nature of therapy.
Blinding of care provider (performance bias) High risk Assumed not possible
Blinding of outcome assessment (detection bias)
All outcomes Low risk All assessments were done by three independent, experienced physical therapists, who were not working in the participating rehabilitation centres.
Incomplete outcome data (attrition bias)
All outcomes Low risk After 12‐week programme, there were 55 subjects.
Participants analysed in group allocated (attrition bias) Unclear risk Two patients did not attend the final evaluation session.
Selective reporting (reporting bias) Low risk Support for judgement was not available.
Groups similar at baseline (selection bias) Low risk The groups were well matched at the baseline assessment, with no differences in key outcome variables.
Co‐interventions avoided or similar (performance bias) Unclear risk Not described
Compliance acceptable in all groups (performance bias) Unclear risk Not described
Timing of outcome assessment similar in all groups (detection bias) Low risk Post‐treatment (12 weeks)