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Functional Capacity SMD (95% CI) 0.58 (0.41, 0.74) 0.46 (0.25, 0.67) 0.32 (0.23, 0.41) 0.31 (0.08, 0.54) 0.21 (0.08, 0.33) 1.63 (0.50, 2.76 2.18 (0.86, 3.49) 0.37 (0.25, 0.49) 0.33 (0.18, 0.49) 0.02 (−0.28, 0.31) 0.07 (−0.26, 0.12) 0.86 (0.52, 1.20) 0.17 (−0.93, 1.26) 0.37 (−0.09, 0.84) 0.30 (−0.92, 1.53) 0.40 (−0.12, 0.92) 0.18 (−0.89, 1.24) 0.17 (−0.91, 1.25) 0.63 (0.10, 1.16) 0.43 (−0.56, 1.41) 0.61 (−0.52, 1.75) 0.07 (−1.36, 1.23)
TABLE 1 Standardized Mean Differences Reported in Reviews of Randomized Controlled Trials on the Effect of Exercise on Osteoarthritis-Related Pain and Disability Outcomes
Outcomes Trials a (no.) 6 2 11 6 6 2 2 32 8 5 7 6 1 16 2 10 3 3 10 3 1 2 1 3 5
SMD (95% CI) 0.39 (0.28, 0.50) 0.52 (0.34, 0.70) 0.32 (0.23, 0.42) 0.40 (0.24, 0.56) 0.16 (0.03, 0.28) 0.98 (0.29, 1.66) 1.70 (0.31, 3.09) 0.40 (0.30, 0.50) 0.35 (0.18, 0.52) 0.38 (0.09, 0.67) ND 0.79 (0.39, 1.19) 0.66 (0.00, 1.33) 0.81 (0.50, 1.13) 0.41 (0.30, 1.13) 0.50 (0.16, 0.85) 0.26 (−0.47, 1.00) 0.13 (−0.61, 0.88) 0.69 (0.35, 1.04) 0.75 (0.07, 1.42) 0.96 (0.28, 1.64) 0.07 (−0.83, 0.98) 0.92 (−0.25, 2.08) 0.45 (−0.11, 1.02
Pain
Trials a (no.) 7 4 10 c 6 6 3 3 32 8 5 ND 6 2 16 3 11 3 3 12 3 2 2 1 3 5
Any exercise versus no exercise Walking versus no exercise (short term) (long term) Landbased exercise versus no exercise Strength training versus control Exercise versus no exercise Aquatic versus landbased exercise Tai chi versus control Flexibility versus control Strength versus control Aerobic versus control Strength and flexibility versus control Aerobic and flexibility versus control Strength and aerobic versus control Combined versu
Comparisons Quadriceps strengthening versus no exercise Exercise versus control (after initial training) Exercise versus control (longterm followup) Exercise and booster sessions versus control Exercise and booster sessions versus control Aquatic strength and flexibility versus control Aquatic aerobic and flexibility versus control Aquatic aerobic and strength versus control
Inclusion Criteria, Type of Exercise (Range of Years Considered in Review) Patients with clinically or radiologically diagnosed knee or hip OA. Exercise defined as activity designed to improve strength ROM, endurance, or mobility. (Study years 1966–1997) Patients with knee OA. Exercises performed at home and mode was either primarily walking or quadriceps strengthening. (Study Patients with clinically or radiologically diagnosed knee or hip OA. Exerc
years 1966–2003) 2005) control. (Study years up to 2007) to 2009) 2012)
First Author VanBarr 49, b Roddy 50 Pisters 51, b Fransen 52 Lathan 53 Fransen 54 Batterham 55 Kang 56 Uthman 57 Lauche 58
Row No. 1 2 3 4 5 6 7 8 9 10
98 | JSOM Volume 18, Edition 3 / Fall 2018

