RT Journal Article
SR Electronic
T1 Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 1579
OP 1579
DO 10.1136/bjsports-2014-5555rep
VO 48
IS 21
A1 Uthman, Olalekan A
A1 van der Windt, Danielle A
A1 Jordan, Joanne L
A1 Dziedzic, Krysia S
A1 Healey, Emma L
A1 Peat, George M
A1 Foster, Nadine E
YR 2014
UL http://bjsm.bmj.com/content/48/21/1579.abstract
AB STUDY QUESTION Which types of exercise intervention are most effective in relieving pain and improving function in people with lower limb osteoarthritis? SUMMARY ANSWER As of 2002 sufficient evidence had accumulated to show significant benefit of exercise over no exercise. An approach combining exercises to increase strength, flexibility, and aerobic capacity is most likely to be effective for relieving pain and improving function. WHAT IS KNOWN AND WHAT THIS PAPER ADDS Current international guidelines recommend therapeutic exercise (land or water based) as “core” and effective management of osteoarthritis. Evidence from this first network meta-analysis, largely based on studies in knee osteoarthritis, indicates that an intervention combining strengthening exercises with flexibility and aerobic exercise is most likely to improve outcomes of pain and function. Further trials of exercise versus no exercise are unlikely to overturn this positive result.