Does a home-based exercise program play any role in the treatment of knee osteoarthritis? A meta-analysis

Wang, Jibing; Xie, Dongfeng; Cai, Zhihua; Luo, Meimei; Chen, Bin; Sun, Yuguang; Liu, Huixia

doi:10.17219/acem/151753

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…Additionally, the terms inactive and insufficiently active discourage "all-or-nothing" messaging by acknowledging and positively reinforcing small increases in PA that are likely to produce health benefits, even if persons do not meet recommendations. Finally, encouraging adults with arthritis to gradually include PA into everyday activities (eg, occupational, transportation, household), and promote leisure-time activities that they enjoy or can do safely at home (eg, walking, gardening) increases confidence, motivation, and success in reducing sedentary behavior and increasing PA. 2,[6][7][8] Adults with arthritis and comorbid chronic diseases have great need for evidence-based PA interventions to help them begin and maintain PA. The Centers for Disease Control and Prevention (CDC) partners with the Osteoarthritis Action Alliance (OAAA) to recognize effective interventions such as AAEBIs for PA and self-management education, demonstrating positive impact on at least 2 arthritis-related health outcomes (eg, pain, balance, function, weight) maintained for at least 3 months post intervention.…”

Section: To the Editormentioning

confidence: 99%

Stepping Up Counseling and Referral to Effective Physical Activity Interventions for Adults With Osteoarthritis

Fallon,

Brown,

Callahan

et al. 2023

J Rheumatol

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In "Stepping Forward: A Scoping Review of Physical Activity in Osteoarthritis," White and colleagues1aimed to help patients, policymakers, investigators, and healthcare providers (HCPs) better understand how physical activity (PA) is defined and measured, the benefits of PA for knee osteoarthritis (KOA), the potential role of PA in the development and/or progression of KOA, and the PA guidelines for Americans.2This correspondence aims to reinforce the importance of PA for adults with arthritis; clarify definitions for "inactive" and "insufficiently active" from the PA guidelines for Americans2and supplement White and colleagues' scoping review by (1) highlighting arthritis-appropriate evidence-based interventions (AAEBIs) for PA and self-management education; and (2) providing resources to facilitate HCP screening, counseling, and referral to evidencebased PA interventions for adults with arthritis.

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Section: To the Editormentioning

confidence: 99%

Stepping Up Counseling and Referral to Effective Physical Activity Interventions for Adults With Osteoarthritis

Fallon,

Brown,

Callahan

et al. 2023

J Rheumatol

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“…In recent years, a shift from pharmacologic therapy to nonpharmacologic therapy has occurred due to the limited efficacy of the former and mounting evidence indicating that nonpharmacologic modalities have superior long-term symptom relief and can delay or prevent functional decline for KOA. Among nonpharmacologic therapy, both center-based exercise (CBE) and home-based exercise (HBE) have been found to reduce pain and improve function in people with KOA compared to no intervention or usual care (4)(5)(6)(7)(8). HBE refers to exercise that takes place in an informal and flexible setting, generally in patients' homes (9,10), which offers a sense of familiarity within one's surroundings, providing comfort and accessibility while also reducing costs, environmental challenges, and travel time to a healthcare center (11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Zhang,

Huang,

Tian

et al. 2024

Front. Public Health

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BackgroundHome-based exercise (HBE) represents an alternative to increase the accessibility of rehabilitation programs and relieve the burden on the health care system for people with knee osteoarthritis.ObjectivesTo summarize for the first time the effectiveness of HBE as compared to center-based exercise (CBE), both with and without HBE, on patient-reported and performance-based outcomes in people with KOA.MethodsSearches were conducted on PubMed, Cochrane, Embase, Web of Science, and Scopus until March 10, 2023, without date or language restrictions. Randomized controlled trials investigating HBE versus CBE or HBE combined with CBE for people with KOA were eligible. The primary outcomes were patient-reported: pain, physical disability, and quality of life. The secondary outcomes were performance-based: walking ability, lower limb muscle strength, and balance function. Risk of bias was assessed with the Cochrane Risk of Bias tool and quality of evidence according to the GRADE.ResultsEleven trials involving 956 participants were included. There was no difference in short-term pain (SMD, 0.22 [95% CI, −0.04 to 0.47], p = 0.09; I2 = 0%), physical disability (SMD, 0.17 [95% CI, −0.19 to 0.54], p = 0.35; I2 = 0%), walking ability (SMD, −0.21 [95% CI, −0.64 to 0.22], p = 0.33; I2 = 35%) and lower limb muscle strength (SMD, −0.24 [95% CI, −0.88 to 0.41], p = 0.47; I2 = 69%) between HBE and CBE. HBE combined with CBE has better benefits compared with HBE alone in short-term pain (SMD, 0.89 [95% CI, 0.60 to 1.17], p < 0.001; I2 = 11%) and physical disability (SMD, 0.25 [95% CI, 0.00 to 0.50], p = 0.05; I2 = 0%).ConclusionBased on limited evidence, HBE is as effective as CBE on short-term pain, physical disability, walking ability, and lower limb muscle strength in people with knee osteoarthritis. Furthermore, combining HBE with CBE may enhance the overall efficacy of the intervention.Systematic review registrationPROSPERO, CRD42023416548.

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Current Status and Research Progress in Diagnosis and Treatment of Osteoarthritis

易

2024

ACM

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Does a home-based exercise program play any role in the treatment of knee osteoarthritis? A meta-analysis

Abstract: Wang J, Xie D, Cai Z, et al. Does a home-based exercise program play any role in the treatment of knee osteoarthritis? A meta-analysis [published online as ahead of print on August 24, 2022].

Cited by 4 publications

References 25 publications

Stepping Up Counseling and Referral to Effective Physical Activity Interventions for Adults With Osteoarthritis

Stepping Up Counseling and Referral to Effective Physical Activity Interventions for Adults With Osteoarthritis

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Current Status and Research Progress in Diagnosis and Treatment of Osteoarthritis

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