title: Quality of systematic reviews on specific spinal stabilization exercise for chronic low back pain.
abstract: METHODS
  Systematic literature review.
  
  
  OBJECTIVE
  To evaluate the quality of systematic reviews (SRs) on specific stabilization exercises for chronic low back pain (LBP).
  
  
  BACKGROUND
  Multiple SRs regarding the effectiveness of lumbar stabilization exercises for people with chronic LBP have been published. As more SRs are published, the more it is recognized that, like other forms of research, methodological quality affects the validity of, and conclusions drawn from, the data.
  
  
  METHODS
  A search of MEDLINE, CINAHL, and Embase was completed. Additionally, the PEDro database was screened and hand searching was completed. Included SRs had to contain randomized controlled trials examining a specific stabilization exercise program for the treatment of chronic LBP. Additionally, the assessed outcome measures had to include pain and/or disability measures. Literature reviews and clinical practice guidelines were excluded. Three reviewers independently assessed each SR for methodological quality.
  
  
  RESULTS
  The search produced 665 SRs for review, of which 8 fulfilled the inclusion criteria. Consensus quality assessment scores ranged from 13/26 to 26/26, with an average of 20.7 points. Percent agreement and kappa values for individual criteria scores ranged from 50% to 92% and 0.25 to 0.85, respectively. Agreement was moderate to substantial across individual items, except for criterion 1. The intraclass correlation coefficient for overall score was 0.98 (95% confidence interval: 0.96, 0.99).
  
  
  CONCLUSIONS
  This review of SRs identified several high-quality reviews that indicated some benefit of specific stabilization exercise programs for patients with nonspecific chronic LBP.
  
  
  METHODS
  Therapy, level 1a.
authors: Department of Physical Therapy, MGH Institute of Health Professions, Boston, MA 02129, USA. dhaladay@mghihp.edu
authors: Douglas E
authors: DE
authors: Haladay
authors: Sayers J
authors: SJ
authors: Miller
authors: John
authors: J
authors: Challis
authors: Craig R
authors: CR
authors: Denegar
mesh_terms: D002908:Chronic Disease; D002986:Clinical Trials as Topic / Q000379:methods* / Q000592:standards*; D005081:Exercise Therapy; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*