Cochrane · systematic review · CD003907

Strength training and aerobic exercise training for muscle disease

Voet, NBM, van der Kooi, EL, van Engelen, BGM, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Neuromuscular2 versionsAMSTAR 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
72
current version
GRADE rated
46
No studies
26
Included studies
NR
No studies 26 · 36.1%Ungraded 0 · 0%Very low 29 · 40.3%Low 17 · 23.6%Moderate 0 · 0%High 0 · 0%

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

Show all 2 versions

Strength training compared to no training for myotonic dystrophy

Population: people with myotonic dystrophy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength
Strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Aerobic capacity
Strength training vs no training
no estimate extractedNRNo studies
Time‐scored functional assessments of muscle performance
Strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency
Quality of life
Strength training vs no training
no estimate extractedNRNo studies
Pain
Strength training vs no training
no estimate extractedNRNo studies
Experienced fatigue
Strength training vs no training
no estimate extractedNRNo studies
Adverse effects requiring withdrawal
Strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision

Strength training compared to no training for facioscapulohumeral muscular dystrophy

Population: people with facioscapulohumeral muscular dystrophy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength: maximum voluntary isometric contraction
Strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Aerobic capacity
Strength training vs no training
no estimate extractedNRNo studies
Time‐scored functional assessments of muscle performance
Strength training vs no training
no estimate extractedNRNo studies
Quality of life
Strength training vs no training
no estimate extractedNRNo studies
Pain
Strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Experienced fatigue
Strength training vs no training
no estimate extractedNRNo studies
Adverse effects requiring withdrawal
Strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision

Aerobic exercise compared to no training for dermatomyositis and polymyositis

Population: people with dermatomyositis and polymyositis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength
Aerobic exercise vs no training
no estimate extractedNRNo studies
Aerobic capacity: VO2 max (defined as the highest O2 consumption)
Aerobic exercise vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, indirectness
Time‐scored functional assessments of muscle performance: disability
Aerobic exercise vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, indirectness
Quality of life
Aerobic exercise vs no training
no estimate extractedNRNo studies
Pain
Aerobic exercise vs no training
no estimate extractedNRNo studies
Experienced fatigue
Aerobic exercise vs no training
no estimate extractedNRNo studies
Adverse effects requiring withdrawal
Aerobic exercise vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, indirectness

Aerobic exercise compared to no training for Duchenne muscular dystrophy (DMD)

Population: boys with DMD
7 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength: hip extensors, knee extensors, ankle dorsiflexors, shoulder abductors and elbow extensors
Aerobic exercise vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Aerobic capacity
Aerobic exercise vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Time‐scored functional assessments of muscle performance: functional abilities in 3 different dimensions, standing positions and transfers, axial and proximal motor functions and distal motor function
Aerobic exercise vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Quality of life
Aerobic exercise vs no training
no estimate extractedNRNo studies
Pain
Aerobic exercise vs no training
no estimate extractedNRNo studies
Experienced fatigue
Aerobic exercise vs no training
no estimate extractedNRNo studies
Adverse effects requiring withdrawal
Aerobic exercise vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision

Aerobic exercise compared to no training for facioscapulohumeral muscular dystrophy

Population: people with facioscapulohumeral muscular dystrophy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength: maximum voluntary isometric knee extension strength
Aerobic exercise vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Aerobic capacity: VO2 peak
Aerobic exercise vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Time‐scored functional assessments of muscle performance: distance walked
Aerobic exercise vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Quality of life
Aerobic exercise vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Pain Asssesed with a Visual Analogue Scale Scale from 0 to 100
Aerobic exercise vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Experienced fatigue Assesed with Checklist Individual Strength Scale from 7 to 56
Aerobic exercise vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Adverse effects requiring withdrawal
Aerobic exercise vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision

Aerobic exercise and strength training compared to no training for mitochondrial myopathy

Population: people with mitochondrial myopathy
8 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength: the heaviest weight that could be lifted throughout the complete range of movement (1RM test)
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Aerobic capacity: measures of (physical) work capacity
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Aerobic capacity: distance walked until exhaustion
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Time‐scored functional assessments of muscle performance
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Quality of life
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Pain
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Experienced fatigue
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Adverse effects requiring withdrawal
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision

Aerobic exercise and strength training compared to no training for myotonic dystrophy type 1

Population: people with myotonic dystrophy type 1
7 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Aerobic capacity
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Time‐scored functional assessments of muscle performance: distance walked
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Quality of life
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Pain
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Experienced fatigue
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Adverse effects requiring withdrawal
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision

Aerobic exercise and strength training compared to no training for dermatomyositis and polymyositis

Population: people with dermatomyositis and polymyositis
8 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength 21 participants (1 RCT)
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Aerobic capacity, expressed in measures of (physical) work capacity
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Aerobic capacity: VO2 max
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: imprecision
Time‐scored functional assessments of muscle performance: muscle performance
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: imprecision
Quality of life
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Pain
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Experienced fatigue
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Adverse effects requiring withdrawal
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision

Aerobic exercise and strength training compared to no training for facioscapulohumeral muscular dystrophy

Population: people with facioscapulohumeral muscular dystrophy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength: MVC quadriceps at rest
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Aerobic capacity
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Time‐scored functional assessments of muscle performance: distance walked
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Quality of life
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Pain
Aerobic exercise and strength training vs no training
no estimate extractedNRNo studies
Experienced fatigue
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Adverse effects requiring withdrawal
Aerobic exercise and strength training vs no training
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision

Aerobic exercise and strength training compared to no training for juvenile dermatomyositis

Population: children and adolescents with juvenile dermatomyositis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Muscle strength
Aerobic exercise and strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Aerobic capacity
Aerobic exercise and strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Time‐scored functional assessments of muscle performance: distance walked in meters
Aerobic exercise and strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Quality of life
Aerobic exercise and strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Pain
Aerobic exercise and strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Experienced fatigue
Aerobic exercise and strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Adverse effects requiring withdrawal
Aerobic exercise and strength training vs no training
no estimate extractedNRLow
Downgraded: risk of bias, imprecision