Cochrane · systematic review · CD011321

Exercise programmes for ankylosing spondylitis

Regnaux, JP, Davergne, T, Palazzo, C, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
14
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 7.1%Very low 6 · 42.9%Low 3 · 21.4%Moderate 4 · 28.6%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

Exercise programmes compared to no intervention for ankylosing spondylitis

Population: adults with ankylosing spondylitis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Physical function
Exercise programmes vs no intervention
no estimate extracted7 studies · 312 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Pain
Exercise programmes vs no intervention
no estimate extracted6 studies · 288 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Patient global assessment of disease activity
Exercise programmes vs no intervention
no estimate extracted6 studies · 262 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Spinal mobility
Exercise programmes vs no intervention
no estimate extracted5 studies · 232 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Fatigue
Exercise programmes vs no intervention
no estimate extracted2 studies · 72 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Adverse effects associated with exercises Exercise programme duration: range 3 to 24 weeks
Exercise programmes vs no intervention
Peto OR 6.25 [0.1, 320.4]2 studies · 110 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Withdrawals because of adverse events Exercise programme duration: range 3 to 24 weeks
Exercise programmes vs no intervention
Peto OR 1.08 [0.74, 1.57]8 studies · 1343 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Exercise programmes compared to usual care for ankylosing spondylitis

Population: adults with ankylosing spondylitis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Physical function
Exercise programmes vs usual care
no estimate extracted5 studies · 1068 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Pain
Exercise programmes vs usual care
no estimate extracted2 studies · 911 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Patient global assessment of disease activity
Exercise programmes vs usual care
no estimate extracted5 studies · 1068 participantsLow
Spinal mobility
Exercise programmes vs usual care
no estimate extracted2 studies · 85 participantsVery low
Fatigue
Exercise programmes vs usual care
no estimate extracted0 studies · 0 participantsUngraded
Adverse effects associated with exercises Exercise programme duration: range 3 to 24 weeks
Exercise programmes vs usual care
Peto OR 6.25 [0.1, 320.4]2 studies · 110 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse events Exercise programme duration: range 3 to 24 weeks
Exercise programmes vs usual care
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency