Cochrane · systematic review · CD010388

Exercise for hand osteoarthritis

Østerås, N, Kjeken, I, Smedslund, G, et al. · Cochrane Database of Systematic Reviews · 2017 · 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
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 3 · 42.9%Low 3 · 42.9%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

Hand exercise compared with no exercise for hand osteoarthritis (immediately post treatment/short term)

Population: patients with hand osteoarthritis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Hand pain Self‐report questionnaires Scale from 0 to 10 (0 represents no pain)
Hand exercise vs no exercise
no estimate extracted5 studies · 381 participantsLow
Downgraded: risk of bias, imprecision
Hand function Self‐report questionnaires Scale from 0 to 36 (0 represents no physical disability)
Hand exercise vs no exercise
no estimate extracted4 studies · 369 participantsLow
Downgraded: risk of bias, imprecision
Radiographic joint structure changes Not measured
Hand exercise vs no exercise
no estimate extracted0 studies · 0 participantsUngraded
Quality of life Self‐report questionnaires Scale from 0 to 100 (100 represents maximum quality of life)
Hand exercise vs no exercise
no estimate extracted1 study · 113 participantsVery low
Downgraded: risk of bias, imprecision
Finger joint stiffness Self‐reported questionnaires Scale from 0 to 10 (0 represents no stiffness).
Hand exercise vs no exercise
no estimate extracted4 studies · 368 participantsLow
Downgraded: risk of bias, imprecision
Adverse events
Hand exercise vs no exercise
RR 4.55 [0.53, 39.31]3 studies · 309 participantsVery low
Downgraded: risk of bias, imprecision
Withdrawal due to adverse events
Hand exercise vs no exercise
RR 2.88 [0.3, 27.18]3 studies · 309 participantsVery low
Downgraded: risk of bias, imprecision