Cochrane · systematic review · CD010842

Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review

Hurley, M, Dickson, K, Hallett, R, 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 4 · 57.1%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

Physical and psychosocial outcomes in people with hip, knee or hip and knee osteoarthritis

Population: people with chronic hip, knee or hip and knee osteoarthritis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain. WOMAC normalised to 0‐20 pain scale based on largest study reporting the 0‐20 scale (Hurley 2007). Lower score indicated less pain. Mean duration of
no estimate extracted9 studies · 1058 participantsModerate
Downgraded: risk of bias
Physical function. WOMAC function scales normalised to 0‐100. Lower score indicated improved physical function. Mean duration of
no estimate extracted13 studies · 1599 participantsModerate
Downgraded: risk of bias, inconsistency
Self‐efficacy. Self‐efficacy scores transformed to exercise beliefs score with score range from 17 to 85. Higher score indicated greater self‐efficacy. Mean duration of
no estimate extracted11 studies · 1138 participantsLow
Downgraded: risk of bias, inconsistency
Depression. Depression scores were transformed to the HADS depression scale with score range of 0‐21. Lower score indicated less depression. Mean duration of
no estimate extracted7 studies · 919 participantsModerate
Downgraded: risk of bias, inconsistency
Anxiety. HADS scale of 0‐21. Lower score indicated lower anxiety levels. Mean duration of
no estimate extracted4 studies · 704 participantsModerate
Downgraded: risk of bias, inconsistency
SF‐36 social function. Domain of SF‐36 considered representative of quality of life: mental health domain largely covered by depression and anxiety above: scale of 0‐100. Higher score indicated improved social function. Mean duration of
no estimate extracted5 studies · 576 participantsLow
Downgraded: risk of bias, inconsistency
Adverse effects of treatment
no estimate extractedNRNo studies