Document Detail


Effectiveness of exercise therapy: a best-evidence summary of systematic reviews.
MedLine Citation:
PMID:  15924510     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this project was to summarise the available evidence on the effectiveness of exercise therapy for patients with disorders of the musculoskeletal, nervous, respiratory, and cardiovascular systems. Systematic reviews were identified by means of a comprehensive search strategy in 11 bibliographic databases (08/2002), in combination with reference tracking. Reviews that included (i) at least one randomised controlled trial investigating the effectiveness of exercise therapy, (ii) clinically relevant outcome measures, and (iii) full text written in English, German or Dutch, were selected by two reviewers. Thirteen independent and blinded reviewers participated in the selection, quality assessment and data-extraction of the systematic reviews. Conclusions about the effectiveness of exercise therapy were based on the results presented in reasonable or good quality systematic reviews (quality score > or = 60 out of 100 points). A total of 104 systematic reviews were selected, 45 of which were of reasonable or good quality. Exercise therapy is effective for patients with knee osteoarthritis, sub-acute (6 to 12 weeks) and chronic (> or = 12 weeks) low back pain, cystic fibrosis, chronic obstructive pulmonary disease, and intermittent claudication. Furthermore, there are indications that exercise therapy is effective for patients with ankylosing spondylitis, hip osteoarthritis, Parkinson's disease, and for patients who have suffered a stroke. There is insufficient evidence to support or refute the effectiveness of exercise therapy for patients with neck pain, shoulder pain, repetitive strain injury, rheumatoid arthritis, asthma, and bronchiectasis. Exercise therapy is not effective for patients with acute low back pain. It is concluded that exercise therapy is effective for a wide range of chronic disorders.
Authors:
Nynke Smidt; Henrica C W de Vet; Lex M Bouter; Joost Dekker; Johan H Arendzen; Rob A de Bie; Sita M A Bierma-Zeinstra; Paul J M Helders; Samyra H J Keus; Gert Kwakkel; Ton Lenssen; Rob A B Oostendorp; Raymond W J G Ostelo; Max Reijman; Caroline B Terwee; Carlo Theunissen; Siep Thomas; Margriet E van Baar; Alex van 't Hul; Roland P S van Peppen; Arianne Verhagen; Daniëlle A W M van der Windt;
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Australian journal of physiotherapy     Volume:  51     ISSN:  0004-9514     ISO Abbreviation:  Aust J Physiother     Publication Date:  2005  
Date Detail:
Created Date:  2005-05-31     Completed Date:  2005-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370615     Medline TA:  Aust J Physiother     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  71-85     Citation Subset:  IM    
Affiliation:
n.smidt@vumc.nl
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MeSH Terms
Descriptor/Qualifier:
Chronic Disease / rehabilitation*
Evidence-Based Medicine / methods
Exercise Therapy*
Humans
Treatment Outcome
Comments/Corrections
Comment In:
Aust J Physiother. 2005;51(3):195; author reply 195   [PMID:  16137245 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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