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. 2022 Aug 22;2022(8):CD013485. doi: 10.1002/14651858.CD013485.pub2

Manzak 2020.

Study characteristics
Methods Study design: RCT
Total duration of study: 8 weeks
Details of any run‐in period: None stated
Number of study centres and location: Single site. Turkey
Study setting: Home based
Withdrawals: Not stated
Date of study: Commenced February 2019
Participants Number recruited: Not stated
Number completed: Intervention group (14). Control group (16)
Mean (SD) age: Intervention group 42 (12.7) years. Control group 44.5 (13.2) years
Age range: Not stated
Gender (M/F): Not stated
Mean (SD) BMI: Intervention group 28.1 (6.8) kg/m2. Control group 30.8 (8.6) kg/m2
Severity of condition: Not stated
Diagnostic criteria: Not stated
Baseline lung function: Not stated
Smoking history: Not stated
Asthma treatment: Not stated
Inclusion criteria: Diagnosis of asthma. Age 18 to 65 years
Exclusion criteria: Presence of an orthopaedic, neurological, or systemic disease that prevents exercise. Presence of mental, communicative, and behavioural disorders that may cause problems in understanding commands and questions or practising exercises. Exercising 3 or more days a week
Interventions Intervention: 8 weeks home‐based PRP consisting of stretching exercises, strengthening exercises for upper and lower extremities, breathing exercises, and regular physical activity such as walking. Minimum of 3 days per week, with 1 session supervised by a physiotherapist. Also provided with a pedometer and exercise diary
Comparison: Booklets on breathing exercises and physical activity in addition to 1 education session on the course of the disease. Also provided with a pedometer and exercise diary
Concomitant medications: Not stated
Excluded medications: Not stated
Outcomes Primary outcomes: Functional capacity (Change in 6MWD from baseline to 8 weeks). Lung function (change in PEF and FEV1 from baseline to 8 weeks). Asthma control (change in ACT score from baseline to 8 weeks). Dyspnoea (change in MRCD score from baseline to 8 weeks)
Secondary outcomes: Lower extremity strength and balance (change in 30‐second sit to stand test from baseline to 8 weeks). Health‐related quality of life (change in SGRQ from baseline to 8 weeks). Activities of daily living (change in LCADL score from baseline to 8 weeks)
Time points reported: Baseline and 8 weeks
Notes Funding: Not stated
Notable conflicts of interest: Not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of randomisation not stated.
Allocation concealment (selection bias) Unclear risk No detail on allocation concealment provided.
Blinding of participants and personnel (performance bias)
Subjectively reported outcomes High risk “Masking: None (open label)”
Blinding of participants and personnel (performance bias)
Not subjectively reported outcomes High risk “Masking: None (open label)”
Blinding of outcome assessment (detection bias)
Subjectively reported outcomes Unclear risk Blinding not stated in trials registry.
Blinding of outcome assessment (detection bias)
Not subjectively assessed outcomes Unclear risk Blinding not stated in trials registry.
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Abstract data only. Dropouts not reported upon.
Selective reporting (reporting bias) Unclear risk Abstract data only. Dyspnea (primary outcome) and LCADL (secondary outcome) not reported.
Other bias Unclear risk Insufficient detail provided to accurately determine other bias (abstract only). Retrospectively registered ‐ study start date was before trial registration date on www.clinicaltrials.gov