Findings

What do systematic reviews say?

23 questions · 26 findings · 3 reviews · Musculoskeletal

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No studies found 0 · 0%GRADE not reported 2 · 7.7%Very low 9 · 34.6%Low 4 · 15.4%Moderate 7 · 26.9%High 4 · 15.4%

Hand exercise vs no exercise

Hand pain Self‐report questionnaires Scale from 0 to 10 (0 represents no pain) · patients with hand osteoarthritis

1 finding from 1 review

Exercise for hand osteoarthritis 2017 · Cochrane Headline outcomes only
no estimate extracted
5 studies · 381 participants
Low

Hand exercise vs no exercise

Hand function Self‐report questionnaires Scale from 0 to 36 (0 represents no physical disability) · patients with hand osteoarthritis

1 finding from 1 review

Exercise for hand osteoarthritis 2017 · Cochrane Headline outcomes only
no estimate extracted
4 studies · 369 participants
Low

Hand exercise vs no exercise

Radiographic joint structure changes Not measured · patients with hand osteoarthritis

1 finding from 1 review

Exercise for hand osteoarthritis 2017 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Hand exercise vs no exercise

Quality of Life: self‐report · patients with hand osteoarthritis

1 finding from 1 review

Exercise for hand osteoarthritis 2017 · Cochrane Headline outcomes only
no estimate extracted
1 study · 113 participants
Very low

Hand exercise vs no exercise

Finger joint stiffness Self‐reported questionnaires Scale from 0 to 10 (0 represents no stiffness). · patients with hand osteoarthritis

1 finding from 1 review

Exercise for hand osteoarthritis 2017 · Cochrane Headline outcomes only
no estimate extracted
4 studies · 368 participants
Low

Hand exercise vs no exercise

Adverse events · patients with hand osteoarthritis

It is very uncertain whether hand exercise changes adverse events compared with no exercise (very low certainty).

1 finding from 1 review

Exercise for hand osteoarthritis 2017 · Cochrane Headline outcomes only
RR 4.55 [0.53, 39.31]
3 studies · 309 participants
Very low

Hand exercise vs no exercise

Withdrawals due to adverse events · patients with hand osteoarthritis

It is very uncertain whether hand exercise changes withdrawal due to adverse events compared with no exercise (very low certainty).

1 finding from 1 review

Exercise for hand osteoarthritis 2017 · Cochrane Headline outcomes only
RR 2.88 [0.3, 27.18]
3 studies · 309 participants
Very low

Exercise vs no exercise

Hand function ‐ short term (less than 3 months) Grip function test scale of 0 to 80 points (higher score indicates better grip function) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 24 participants
Very low

Exercise vs no exercise

Hand impairment ‐ power grip strength of both hands (kg) ‐ long term (12 months and beyond) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 355 participants
High

Exercise vs no exercise

Hand impairment ‐ pinch grip strength (kg) ‐ left hand ‐ short term (less than 3 months) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 120 participants
Very low

Exercise vs no exercise

Hand impairment ‐ pinch grip strength (kg) ‐ right hand ‐ short term (less than 3 months) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 120 participants
Very low

Exercise vs no exercise

Hand impairment ‐ pinch grip strength of both hands (kg) ‐ medium term (3 to 11 months) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 396 participants
High

Exercise vs no exercise

Hand impairment ‐ pinch grip strength of both hands (kg) ‐ long term (12 months and beyond) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 351 participants
High

Exercise vs no exercise

Adverse events due to exercise · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 490 participants
Moderate

Hand function ‐ long term (12 months and beyond) Overall hand function subscale of the Michigan Hand Questionnaire, 0 to 100 (higher scores mean better hand function) · rheumatoid arthritis of the hand

2 findings from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 449 participants
Moderate
Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 438 participants
Moderate

Exercise vs no exercise

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · rheumatoid arthritis of the hand

2 findings from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 124 participants
Very low
Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 445 participants
Moderate

Exercise vs no exercise

Pain ‐ long term (12 months and beyond) Pain subscale of Michigan Hand Outcomes Questionnaire (0 to 100 points, higher score means more pain) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 437 participants
Moderate

Exercise vs no exercise

Hand impairment ‐ power grip strength (kg) ‐ left hand ‐ short term (less than 3 months) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 141 participants
Very low

Exercise vs no exercise

Hand impairment ‐ power grip strength (kg) ‐ right hand ‐ short term (less than 3 months) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 141 participants
Very low

Exercise vs no exercise

Hand impairment ‐ power grip strength of both hands (kg) ‐ medium term (3 to 11 months) · rheumatoid arthritis of the hand

1 finding from 1 review

Exercise for rheumatoid arthritis of the hand 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 400 participants
High