Osteoarthritis

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

Arthritis Care Res (Hoboken)Published Systematic review and meta-analysis of randomised trials

Authors' conclusion

In 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

Study context

Population
Knee and hip osteoarthritis (OA)280 studies
Comparison
Land-based resistance exercise-only interventions vs no intervention or any other intervention
Outcome
Between-group effect on pain and physical function (ADL and SPORT), by dose parameters (duration, volume) and adherence
Follow-up
Immediate postintervention
Methodological detailssubgroups by intervention duration (0 to <3 months, 3 to 6 months, >6 to <12 months, ≥12 months), Six databases searched from inception to January 28, 2023
  • Subgroups by intervention duration (0 to <3 months, 3 to 6 months, >6 to <12 months, ≥12 months)
  • Six databases searched from inception to January 28, 2023

Pooled result

As reported in the abstract

Pain and physical function (ADL, SPORT), knee and hip
  • Moderate benefit for pain, physical function ADL and physical function SPORT in favour of interventions 3 to 6 months (knee and hip)
  • Knee: moderate benefit for physical function ADL in favour of interventions >6 to <12 months

Further pooled results

Association of total exercise volume with effect size for pain and physical function (151 studies)

No association between volume and effect size for pain and physical function

Association of adherence with effect size for pain and physical function (74 studies: 69 knee, 5 hip)

No association between adherence and effect size for pain and physical function

Original publication

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. Arthritis Care Res (Hoboken). Published 15 April 2024. doi:10.1002/acr.25313

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