Cochrane · systematic review · CD003832
Exercise for rheumatoid arthritis of the hand
Williams, MA, Srikesavan, C, Heine, PJ, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
17
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 5.6%Very low 6 · 33.3%Low 0 · 0%Moderate 7 · 38.9%High 4 · 22.2%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Exercise compared to no exercise for rheumatoid arthritis of the hand
Population: rheumatoid arthritis of the hand
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hand function ‐ short term (less than 3 months) Grip function test scale of 0 to 80 points (higher score indicates better grip function) Exercise vs no exercise | no estimate extracted | 1 study · 24 participants | Very low Downgraded: risk of bias, imprecision |
Hand function ‐ medium term (3 to 11 months) Overall hand function subscale of the Michigan Hand Questionnaire, 0 to 100 (higher scores mean better hand function) Exercise vs no exercise | no estimate extracted | 1 study · 449 participants | Moderate Downgraded: risk of bias |
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) Exercise vs no exercise | no estimate extracted | 1 study · 438 participants | Moderate Downgraded: risk of bias |
Pain ‐ short term (less than 3 months) visual analogue scale (0 to 100 mm, higher score means more pain) Exercise vs no exercise | no estimate extracted | 2 studies · 124 participants | Very low Downgraded: risk of bias, imprecision |
Pain ‐ medium term (3 to 11 months) Pain subscale of Michigan Hand Outcomes Questionnaire (0 to 100 points, higher score means more pain) Exercise vs no exercise | no estimate extracted | 1 study · 445 participants | Moderate Downgraded: risk of bias |
Pain ‐ long term (12 months and beyond) Pain subscale of Michigan Hand Outcomes Questionnaire (0 to 100 points, higher score means more pain) Exercise vs no exercise | no estimate extracted | 1 study · 437 participants | Moderate Downgraded: risk of bias |
Hand impairment ‐ power grip strength (kg) ‐ left hand ‐ short term (less than 3 months) Exercise vs no exercise | no estimate extracted | 3 studies · 141 participants | Very low Downgraded: risk of bias, imprecision |
Hand impairment ‐ power grip strength (kg) ‐ right hand ‐ short term (less than 3 months) Exercise vs no exercise | no estimate extracted | 3 studies · 141 participants | Very low Downgraded: risk of bias, imprecision |
Hand impairment ‐ power grip strength of both hands (kg) ‐ medium term (3 to 11 months) Exercise vs no exercise | no estimate extracted | 1 study · 400 participants | High |
Hand impairment ‐ power grip strength of both hands (kg) ‐ long term (12 months and beyond) Exercise vs no exercise | no estimate extracted | 1 study · 355 participants | High |
Hand impairment ‐ pinch grip strength (kg) ‐ left hand ‐ short term (less than 3 months) Exercise vs no exercise | no estimate extracted | 2 studies · 120 participants | Very low Downgraded: risk of bias, imprecision |
Hand impairment ‐ pinch grip strength (kg) ‐ right hand ‐ short term (less than 3 months) Exercise vs no exercise | no estimate extracted | 2 studies · 120 participants | Very low Downgraded: risk of bias, imprecision |
Hand impairment ‐ pinch grip strength of both hands (kg) ‐ medium term (3 to 11 months) Exercise vs no exercise | no estimate extracted | 1 study · 396 participants | High |
Hand impairment ‐ pinch grip strength of both hands (kg) ‐ long term (12 months and beyond) Exercise vs no exercise | no estimate extracted | 1 study · 351 participants | High |
ACR50 response Exercise vs no exercise | no estimate extracted | 0 studies · 0 participants | Ungraded |
Participant adherence ‐ medium term (3 to 11 months) Exercise vs no exercise | RR 1.31 [1.15, 1.48] | 1 study · 438 participants | Moderate Downgraded: risk of bias |
Participant adherence ‐ long term (12 months and beyond) Exercise vs no exercise | RR 1.09 [0.93, 1.28] | 1 study · 422 participants | Moderate Downgraded: risk of bias |
Adverse events due to exercise Exercise vs no exercise | no estimate extracted | 1 study · 490 participants | Moderate Downgraded: risk of bias |