Exercise and ultrasonography are effective in treating adults with knee osteoarthritis .
This report has been verified
by one or more authors of the
original publication.
تم تحديد هذه الدراسة على أنها ذات تأثير كبير محتمل.
يُقدّر مقياس التأثير العالي الذي يعتمد على الذكاء الاصطناعي من OE التأثير المحتمل لورقة بحثية ما من خلال دمج الإشارات من كل من المجلة التي نُشرت فيها والمحتوى العلمي للمقالة نفسها.
تم تطوير نموذج OE High Impact باستخدام أحدث تقنيات معالجة اللغة الطبيعية، ويتنبأ نموذج OE High Impact بدقة أكبر بأداء الاقتباس المستقبلي للدراسة أكثر من معامل تأثير المجلة وحده.
وهذا يتيح التعرف المبكر على الأبحاث ذات المغزى السريري ويساعد القراء على التركيز على المقالات التي من المرجح أن تشكل الممارسة المستقبلية.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(11):177 Ann Intern Med. 2012 Nov 6;157(9):632-44. doi: 10.7326/0003-4819-157-9-201211060-00007This meta-analysis and systematic review included 193 studies (84 randomized controlled trials were assessed in the meta-analysis) comparing physical therapy to a control group in patients with knee osteoarthritis (OA). The most effective interventions were ultrasonography, and aerobic, aquatic, strengthening, and proprioception exercise. Education, orthotics, taping, tai chi, and pulsed electromagnetic fields had no clinically significant effect on any of the patient-centered or functional outcomes of interest. Few adverse events occurred in the studies.
Were the search methods used to find evidence (original research) on the primary question or questions stated?
Was the search for evidence reasonably comprehensive?
Were the criteria used for deciding which studies to include in the overview reported?
Was the bias in the selection of studies avoided?
Were the criteria used for assessing the validity of the included studies reported?
Was the validity of all of the studies referred to in the text assessed with use of appropriate criteria (either in selecting the studies for inclusion or in analyzing the studies that were cited)?
Were the methods used to combine the findings of the relevant studies (to reach a conclusion) reported?
Were the findings of the relevant studies combined appropriately relative to the primary question that the overview addresses?
Were the conclusions made by the author or authors supported by the data and or analysis reported in the overview?
How would you rate the scientific quality of this evidence?
نعم = 1
غير مؤكد = 0.5
غير ذي صلة = 0
لا = 0
يقيّم تقييم معايير الإبلاغ الشفافية التي يبلغ بها المؤلفون عن الخصائص المنهجية والتجريبية للتجربة في المنشور. ينقسم التقييم إلى خمس فئات معروضة أدناه.
4/4
Introduction
4/4
Accessing Data
4/4
Analysing Data
4/4
Results
3/4
Discussion
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
مؤشر الهشاشة هو أداة تساعد في تفسير النتائج المهمة، وتوفر مقياسًا لقوة النتيجة. ويمثل مؤشر الهشاشة عدد الأحداث المتتالية التي يجب إضافتها إلى نتيجة ثنائية التفرع لجعل النتيجة غير مهمة. يمثل الرقم الصغير نتيجة أضعف ويمثل الرقم الكبير نتيجة أقوى.
لماذا كانت هناك حاجة لهذه الدراسة الآن؟
Although osteoarthritis (OA) is already one of the foremost causes of disability among noninstitutionalized adults today, its prevalence continues to increase as the population ages. Nonsurgical treatments for OA such as physical therapy are prescribed in the hopes of reducing pain and disability, and improving function and quality of life. This meta-analysis and systematic review aimed to be the first to evaluate the effectiveness of different exercise types and nonsurgical interventions in order to determine which physical therapy treatments are best for patients with osteoarthritis of the knee.
ما هو سؤال البحث الرئيسي؟
Is physical therapy more effective than a control treatment with respect to patient-centered outcomes, function, and complications in patients with osteoarthritis of the knee?
- Education, orthotics, taping, tai chi, and pulsed electromagnetic fields had no clinically significant effect on any of the outcomes of interest
- There was a significant reduction in pain when patients received proprioception exercise (4 studies; SMD, -0.71 [95% CI, -1.31 to 0.11]) or diathermy (5 studies; significant at 1 month only; SMD, -0.53 [CI, -0.96 to -0.10]); the two interventions did not demonstrate significant effects for any other outcomes
- Massage led to a significant improvement in composite function (3 studies; SMD, -0.55 [CI, -0.93 to -0.18])
- Aquatic exercise resulted in significantly reduced disability (3 studies; SMD, -0.28 [CI, -0.51 to -0.05])
- According to 11 studies, aerobic exercise significantly reduced long term pain (SMD, -0.21 [CI, -0.35 to -0.08]; this was not clinically significant), disability (SMD, -0.21 [CI, -0.37 to -0.04]), composite function within 3 months (WOMAC function score -15.4 [CI -24.8 to -5.92]), and gait function over 12 months (walking speed difference -0.11 m/s [CI, -0.17 to -0.05])
- Results from 9 studies demonstrated that strengthening exercise resulted in clinically significant reduction in pain (SMD, 0.68 [CI, -1.23 to -0.14]) and improvement in composite function (SMD, -1.00 [CI, -1.95 to 0.05])
- electrical stimulation significantly improved global assessment scores in two studies and muscle strength at 3 months in two studies (values not provided)
- According to 6 studies, ultrasonography led to clinically significant improvement in pain (SMD, -0.74 [CI, 0.95 to -0.53]), composite function (SMD, -1.14 [CI, 1.85 to -0.42]), and gait function (SMD, -1.48 [CI, 2.08 to -0.89])
ما الذي يجب أن أتذكره أكثر؟
Aerobic, aquatic, strengthening, and proprioception exercise, as well as ultrasonography were shown to be effective in improving patient-centered outcomes and/or function.
كيف سيؤثر ذلك على رعاية مرضاي؟
This study demonstrated with low-strength evidence that aerobic and aquatic exercise improved disability and that aerobic exercise, strengthening exercise, and ultrasonography reduced pain and improved function. However, further investigation is required based on the limited evidence for individualized treatment decisions.
تنويه
هذا المحتوى الموجود في هذه الصفحة هو لأغراض إعلامية فقط وليس الغرض منه أن يكون بديلاً عن المشورة الطبية المتخصصة أو التشخيص أو العلاج. إذا كنت بحاجة إلى علاج طبي، اطلب دائمًا مشورة طبيبك أو اذهب إلى أقرب قسم طوارئ إليك. الآراء والمعتقدات ووجهات النظر التي يعبر عنها الأفراد في المحتوى الموجود في هذه الصفحة لا تعكس آراء ومعتقدات ووجهات نظر أورثوإيفيدنس.
0 من 4 مقالات مجانية شهرية غير مقفلة
