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Exercise for lower limb osteoarthritis : systematic review incorporating trial sequential analysis and network meta-analysis
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Uthman, Olalekan A., van der Windt, Danielle A., Jordan, Joanne L., Dziedzic, Krysia S., Healey, Emma L., Peat, George M. and Foster, Nadine E. (2014) Exercise for lower limb osteoarthritis : systematic review incorporating trial sequential analysis and network meta-analysis. British Journal of Sports Medicine, 48 (21). 1579. doi:10.1136/bjsports-2014-5555rep ISSN 0306-3674.
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Official URL: http://doi.org/10.1136/bjsports-2014-5555rep
Abstract
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 โcoreโ 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.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RD Surgery |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Osteoarthritis , Osteoarthritis -- Treatment, Knee -- Diseases, Knee -- Diseases -- Treatment, Hip joint -- Diseases, Hip joint -- Diseases -- Treatment | ||||||
Journal or Publication Title: | British Journal of Sports Medicine | ||||||
Publisher: | B M J Group | ||||||
ISSN: | 0306-3674 | ||||||
Official Date: | 2014 | ||||||
Dates: |
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Volume: | 48 | ||||||
Number: | 21 | ||||||
Article Number: | 1579 | ||||||
DOI: | 10.1136/bjsports-2014-5555rep | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
RIOXX Funder/Project Grant: |
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