Osteoarthritis

Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta‐Analysis

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

Authors' conclusion

Higher or lower compliance with ACSM exercise prescription guidelines did not influence exercise outcomes.

Study context

Population
RCTs of resistance and/or aerobic exercise for knee osteoarthritis (OA)
Comparison
Higher vs lower compliance with American College of Sports Medicine (ACSM) exercise prescription guidelines
Outcome
Pain and function
Methodological detailsstratified by compliance with ACSM guidelines
  • Stratified by compliance with ACSM guidelines

Pooled result

As reported in the abstract

Pain, combined resistance and aerobic programs (25 trials, 3,290 participants)
GroupSMD95% CI
Higher compliance−0.38−0.59 to −0.17
Lower compliance−0.31−0.45 to −0.16

SMD

Higher compliance−0.38
Lower compliance−0.31

95% CI

Higher compliance−0.59 to −0.17
Lower compliance−0.45 to −0.16

Further pooled results

OutcomeHigher complianceLower compliance
Function, combined resistance and aerobic programs
SMD−0.43−0.36
95% CI−0.64 to −0.21−0.58 to −0.14
Pain, resistance exercise (66 trials, 5,231 participants)
SMD−0.60−0.93
95% CI−0.81 to −0.39−1.27 to −0.59
Function, resistance exercise
SMD−0.64−0.85
95% CI−0.83 to −0.44−1.20 to −0.49
Pain, aerobic exercise (12 trials, 958 participants)
SMD−0.79−1.00
95% CI−1.20 to −0.38−2.52 to 0.53
Function, aerobic exercise
SMD−0.83−0.76
95% CI−1.27 to −0.38−2.02 to 0.50

Pain, resistance exercise (66 trials, 5,231 participants)

No differences between higher and lower compliance

Pain, aerobic exercise (12 trials, 958 participants)

No differences between higher and lower compliance

Original publication

Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta‐Analysis. Arthritis Care Res (Hoboken). Published 15 November 2024. doi:10.1002/acr.25451

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