Exercise adherence in trials of therapeutic exercise interventions for common musculoskeletal conditions: A scoping review

Kenny, Matthew; Ranabahu, Tharindu; Vallance, Patrick; Zhang, Yuxin; Gurr, Jacqueline; Färnqvist, Kenneth; Rathi, Sangeeta; Cridland, Kate; Munteanu, Shannon E.; Malliaras, Peter

doi:10.1016/j.msksp.2023.102748

Cited by 5 publications

(1 citation statement)

References 31 publications

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“…27,40 Further complicating, it is difficult to assess the impact of poor adherence to a prescribed exercise dose on OA outcomes because fewer than half of exercise trials for musculoskeletal conditions measure adherence, and nearly 25% of these studies do not report exercise adherence results. 41 In the current analysis, the lack of relationship between outcomes with adherence for both knee and hip OA indicates that participant adherence has minimal effect on outcomes, regardless of the intervention duration.…”

Section: Discussionmentioning

confidence: 67%

Are the Effects of Resistance Exercise on Pain and Function in Knee and Hip Osteoarthritis Dependent on Exercise Volume, Duration, and Adherence? A Systematic Review and Meta‐Analysis

Marriott,

Hall,

Maciukiewicz

et al. 2024

Arthritis Care & Research

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ObjectiveThe purpose of this study was to determine dose parameters for resistance exercise associated with improvements in pain and physical function in knee and hip osteoarthritis (OA); and whether these improvements were related to adherence.MethodsWe searched 6 databases, from inception to January 28 2023, for randomized controlled trials (RCTs) comparing land‐based, resistance exercise‐only interventions with no intervention or any other intervention. There were four subgroups of intervention duration: 0 to <3 months, 3‐6 months, >6 to <12 months, ≥12 months. The between‐group effect was calculated for immediate post‐intervention pain and physical function (activities of daily living (ADL) and sports/recreation (SPORT)).ResultsFor both knee and hip, data from 280 studies showed moderate benefit for pain, physical function ADL and physical function SPORT in favour of interventions 3‐6 months. For the knee, there was also a moderate benefit for physical function ADL in favour of interventions >6 to <12 months. From 151 knee and hip studies that provided total exercise volume data (frequency, time, duration), there was no association between volume with the effect size for pain and physical function. 74 studies (69 knee, 5 hip) reported usable adherence data. There was no association between adherence with the effect size for pain and physical function.ConclusionIn knee and hip OA, resistance exercise interventions 3 to 6 months (and for the knee >6 to <12 months) duration improve pain and physical function. Improvements do not depend on exercise volume or adherence, suggesting exercise does not require rigid adherence to a specific dose.image

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Section: Discussionmentioning

confidence: 67%