A systematic review exploring the evidence reported to underpin exercise dose in clinical trials of rheumatoid arthritis.

RCT dose response exercise intervention rheumatoid arthritis systematic review

Journal

Rheumatology (Oxford, England)
ISSN: 1462-0332
Titre abrégé: Rheumatology (Oxford)
Pays: England
ID NLM: 100883501

Informations de publication

Date de publication:
01 11 2020
Historique:
received: 03 01 2020
revised: 06 02 2020
accepted: 09 03 2020
pubmed: 12 8 2020
medline: 12 2 2021
entrez: 12 8 2020
Statut: ppublish

Résumé

We aimed to evaluate the evidence reported to underpin exercise dose in randomised controlled trials (RCTs) using strengthening exercise in RA. We searched six different databases between 1 January 2000 and 3 April 2019. We included RCTs, where a main component of the intervention and/or control used strengthening exercise. Evidence sources cited to underpin dose were judged for their quality, consistency and applicability. Thirty-two RCTs were reviewed. Four (12.5%) piloted the intervention without using dose-escalation designs to determine optimal dose-response. Twenty (62.5%) reported no evidence underpinning dose. Where reported, quality, consistency and applicability of the underpinning evidence was a cause for methodological concern. The majority of RCTs did not report the evidence underpinning dose. When reported, the evidence was often not applicable to the clinical population. Frequently, the dose used differed to the dose reported/recommended by the underpinning evidence. Our findings illustrate exercise dose may not be optimised for use with clinical populations prior to evaluation by RCT.

Identifiants

pubmed: 32780816
pii: 5891275
doi: 10.1093/rheumatology/keaa150
pmc: PMC7590408
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3147-3157

Subventions

Organisme : Cancer Research UK
ID : C49297/A27294
Pays : United Kingdom

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press on behalf of the British Society for Rheumatology.

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Auteurs

Graham Boniface (G)

Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences (NDORMS), Centre for Rehabilitation Research in Oxford (RRIO), University of Oxford, Oxford.

Varsha Gandhi (V)

Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences (NDORMS), Centre for Rehabilitation Research in Oxford (RRIO), University of Oxford, Oxford.

Meriel Norris (M)

Department of Clinical Sciences, Brunel University London, Uxbridge, UK.

Esther Williamson (E)

Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences (NDORMS), Centre for Rehabilitation Research in Oxford (RRIO), University of Oxford, Oxford.

Shona Kirtley (S)

Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences (NDORMS), Centre for Rehabilitation Research in Oxford (RRIO), University of Oxford, Oxford.

Neil E O'Connell (NE)

Department of Clinical Sciences, Brunel University London, Uxbridge, UK.

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