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Table 7 Risk of Bias of Randomized Controlled Trials Based on the ROB 1 Tool Criteria

From: Rehabilitation of back pain in the pediatric population: a mixed studies systematic review

Study

Selection bias

Performance bias

Detection bias

Attrition bias

Reporting bias

Selection bias

Other bias

Over all risk of bias

Method of randomization

Treatment allocation concealed

Patient blinded to the intervention

Care provider blinded to the intervention

Outcome assessor blinded to the intervention

Drop-out rate

Intention to treat analysis

Free from selective outcome reporting

Similarity of group baseline characteristics

Co-interventions avoided or comparable

Compliance acceptable in all groups

Timing of outcome assessment similar

outcome measurement tools, conflicts of interest and funding

Ahlqwist et al. (2008) [32]

Low

Low

Unclear

Unclear

Unclear

Unclear

Unclear

Low

High

Unclear

Unclear

Low

Low

High

Evans et al. (2018) [33]

Low

Low

Unclear

Unclear

Unclear

12 weeks:

SMT + ET: 1/93 (1.1%)

ET: 4/92 (4.3%)

Low

Low

Low

Low

Low

Low

Low

Unclear

Fanucci et al. (2009) [34]

Low

Low

High

High

High

3 months:

Exercise: 0%; No treatment: 3%

Unclear

Low

Unclear

Unclear

Low

Low

Low

High

Jones et al. (2007) [35, 36]

Unclear

Low

High

High

High

Control: 13%

Exercise: 13%

High

Low

Unclear

Unclear

Low

Low

Unclear

High

Jung et al. (2020) [37]

Low

Unclear

Unclear

Unclear

Unclear

Unclear

Unclear

Unclear

Unclear

Unclear

Unclear

Low

Unclear

High

Ng et al. (2015) [38]

Low

Low

High

Low

High

8 weeks:

Cognitive functional approach: 11.8%

Active control: 5.3%

12 weeks:

Cognitive functional approach: 11.8%

Active control: 5.3%

Unclear

Low

Low

Unclear

Low

Low

Low

High

Selhorst et al. (2015) [22]

Low

Unclear

Unclear

Low

Unclear

4 weeks (PSFS, NPRS):

Sham + Exercise: 35.2%

Manipulation + Exercise: 22.2%

6 months (chronic symptoms, recurrence of symptoms, additional treatment):

Sham + Exercise: 11.8%

Manipulation + Exercise: 5.6%

Low

Low

Unclear

Unclear

Unclear

Low

Low

High

Vitman et al. (2022) [39]

Unclear

Unclear

Unclear

Unclear

Unclear

Total drop-out: 7.4%. Unclear about the group allocation of the drop-outs

High

Low

Unclear

Unclear

Unclear

Low

Low

High