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The management of lower back pain using Pilates method: assessment of content exercise reporting in RCTs [with consumer summary]
de Barros BS, Imoto AM, O' Neil J, Duquette-Laplante F, Perrier MF, Dorion M, Franco ESB, Brosseau L, Peccin MS
Disability and Rehabilitation 2020;44(11):2428-2436
systematic review

PURPOSE: To evaluate the quality of the reporting of exercise interventions with Pilates method for the treatment of lower back pain (LBP) in adults. MATERIALS AND METHODS: Two independent evaluators selected randomized controlled trials (RCTs) of moderate and high methodological quality included in a Cochrane Systematic Review (SR) and from an additional updated search in the following databases: CENTRAL, Medline, Embase, CINAHL, PEDro and SPORTDiscus. Three assessment tools (Consensus on Therapeutic Exercise Training (CONTENT) scale, Template for Intervention Description and Replication (TIDieR) checklist and Consensus on Exercise Reporting Template (CERT) checklist) were utilized by three pairs of two independent researchers trained. The scales' concordance was measured using the Kappa coefficient. RESULTS: Ten RCTs were included. The CONTENT scale score was 5.3 (+/- 1.33) out of 9 points; the TIDieR checklist was 8.5 (+/- 1.71) out of 12 points and the CERT checklist was 9.5 (+/- 3.62) out of 19 points. The CONTENT and CERT had moderate concordance, while there was fair concordance between the other tools. CONCLUSIONS: The overall reporting quality for the Pilates exercises in ten moderate-to-high quality RTCs for the management of LBP was low according to CONTENT scale and CERT checklist and high according to TIDieR checklist.

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