Effectiveness of exercise therapy: A best-evidence summary of systematic reviews

Nynke Smidt, Henrica C.W. de Vet, Lex M. Bouter, Joost Dekker, Johan H. Arendzen, Rob A. de Bie, Sita M.A. Bierma-Zeinstra, Paul J.M. Helders, Samyra H.J. Keus, Gert Kwakkel, Ton Lenssen, Rob A.B. Oostendorp, Raymond W.J.G. Ostelo, Max Reijman, Caroline B. Terwee, Carlo Theunissen, Siep Thomas, Margriet E. van Baar, Alex van't Hul, Roland P.S. van Peppen & 2 others Arianne P. Verhagen, Daniëlle A.W.M. van der Windt

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

The purpose of this project was to summarise the available evidence on the effectiveness of exercise therapy for patients with disorders of the musculoskeletal, nervous, respiratory, and cardiovascular systems. Systematic reviews were identified by means of a comprehensive search strategy in 11 bibliographic databases (08/2002), in combination with reference tracking. Reviews that included (i) at least one randomised controlled trial investigating the effectiveness of exercise therapy, (ii) clinically relevant outcome measures, and (iii) full text written in English, German or Dutch, were selected by two reviewers. Thirteen independent and blinded reviewers participated in the selection, quality assessment and data-extraction of the systematic reviews. Conclusions about the effectiveness of exercise therapy were based on the results presented in reasonable or good quality systematic reviews (quality score ≥ 60 out of 100 points). A total of 104 systematic reviews were selected, 45 of which were of reasonable or good quality. Exercise therapy is effective for patients with knee osteoarthritis, sub-acute (6 to 12 weeks) and chronic (≥ 12 weeks) low back pain, cystic fibrosis, chronic obstructive pulmonary disease, and intermittent claudication. Furthermore, there are indications that exercise therapy is effective for patients with ankylosing spondylitis, hip osteoarthritis, Parkinson's disease, and for patients who have suffered a stroke. There is insufficient evidence to support or refute the effectiveness of exercise therapy for patients with neck pain, shoulder pain, repetitive strain injury, rheumatoid arthritis, asthma, and bronchiectasis. Exercise therapy is not effective for patients with acute low back pain. It is concluded that exercise therapy is effective for a wide range of chronic disorders.

Original languageEnglish
Pages (from-to)71-85
Number of pages15
JournalAustralian Journal of Physiotherapy
Volume51
Issue number2
DOIs
Publication statusPublished - 1 Jan 2005

Cite this

Smidt, Nynke ; de Vet, Henrica C.W. ; Bouter, Lex M. ; Dekker, Joost ; Arendzen, Johan H. ; de Bie, Rob A. ; Bierma-Zeinstra, Sita M.A. ; Helders, Paul J.M. ; Keus, Samyra H.J. ; Kwakkel, Gert ; Lenssen, Ton ; Oostendorp, Rob A.B. ; Ostelo, Raymond W.J.G. ; Reijman, Max ; Terwee, Caroline B. ; Theunissen, Carlo ; Thomas, Siep ; van Baar, Margriet E. ; van't Hul, Alex ; van Peppen, Roland P.S. ; Verhagen, Arianne P. ; van der Windt, Daniëlle A.W.M. / Effectiveness of exercise therapy : A best-evidence summary of systematic reviews. In: Australian Journal of Physiotherapy. 2005 ; Vol. 51, No. 2. pp. 71-85.
@article{1f95e08e1dc94837b4e35555c5cbbcbe,
title = "Effectiveness of exercise therapy: A best-evidence summary of systematic reviews",
abstract = "The purpose of this project was to summarise the available evidence on the effectiveness of exercise therapy for patients with disorders of the musculoskeletal, nervous, respiratory, and cardiovascular systems. Systematic reviews were identified by means of a comprehensive search strategy in 11 bibliographic databases (08/2002), in combination with reference tracking. Reviews that included (i) at least one randomised controlled trial investigating the effectiveness of exercise therapy, (ii) clinically relevant outcome measures, and (iii) full text written in English, German or Dutch, were selected by two reviewers. Thirteen independent and blinded reviewers participated in the selection, quality assessment and data-extraction of the systematic reviews. Conclusions about the effectiveness of exercise therapy were based on the results presented in reasonable or good quality systematic reviews (quality score ≥ 60 out of 100 points). A total of 104 systematic reviews were selected, 45 of which were of reasonable or good quality. Exercise therapy is effective for patients with knee osteoarthritis, sub-acute (6 to 12 weeks) and chronic (≥ 12 weeks) low back pain, cystic fibrosis, chronic obstructive pulmonary disease, and intermittent claudication. Furthermore, there are indications that exercise therapy is effective for patients with ankylosing spondylitis, hip osteoarthritis, Parkinson's disease, and for patients who have suffered a stroke. There is insufficient evidence to support or refute the effectiveness of exercise therapy for patients with neck pain, shoulder pain, repetitive strain injury, rheumatoid arthritis, asthma, and bronchiectasis. Exercise therapy is not effective for patients with acute low back pain. It is concluded that exercise therapy is effective for a wide range of chronic disorders.",
keywords = "Exercise movement techniques, Exercise therapy, Meta-analysis, Physical therapy techniques",
author = "Nynke Smidt and {de Vet}, {Henrica C.W.} and Bouter, {Lex M.} and Joost Dekker and Arendzen, {Johan H.} and {de Bie}, {Rob A.} and Bierma-Zeinstra, {Sita M.A.} and Helders, {Paul J.M.} and Keus, {Samyra H.J.} and Gert Kwakkel and Ton Lenssen and Oostendorp, {Rob A.B.} and Ostelo, {Raymond W.J.G.} and Max Reijman and Terwee, {Caroline B.} and Carlo Theunissen and Siep Thomas and {van Baar}, {Margriet E.} and {van't Hul}, Alex and {van Peppen}, {Roland P.S.} and Verhagen, {Arianne P.} and {van der Windt}, {Dani{\"e}lle A.W.M.}",
year = "2005",
month = "1",
day = "1",
doi = "10.1016/S0004-9514(05)70036-2",
language = "English",
volume = "51",
pages = "71--85",
journal = "Australian Journal of Physiotherapy",
issn = "0004-9514",
number = "2",

}

Smidt, N, de Vet, HCW, Bouter, LM, Dekker, J, Arendzen, JH, de Bie, RA, Bierma-Zeinstra, SMA, Helders, PJM, Keus, SHJ, Kwakkel, G, Lenssen, T, Oostendorp, RAB, Ostelo, RWJG, Reijman, M, Terwee, CB, Theunissen, C, Thomas, S, van Baar, ME, van't Hul, A, van Peppen, RPS, Verhagen, AP & van der Windt, DAWM 2005, 'Effectiveness of exercise therapy: A best-evidence summary of systematic reviews' Australian Journal of Physiotherapy, vol. 51, no. 2, pp. 71-85. https://doi.org/10.1016/S0004-9514(05)70036-2

Effectiveness of exercise therapy : A best-evidence summary of systematic reviews. / Smidt, Nynke; de Vet, Henrica C.W.; Bouter, Lex M.; Dekker, Joost; Arendzen, Johan H.; de Bie, Rob A.; Bierma-Zeinstra, Sita M.A.; Helders, Paul J.M.; Keus, Samyra H.J.; Kwakkel, Gert; Lenssen, Ton; Oostendorp, Rob A.B.; Ostelo, Raymond W.J.G.; Reijman, Max; Terwee, Caroline B.; Theunissen, Carlo; Thomas, Siep; van Baar, Margriet E.; van't Hul, Alex; van Peppen, Roland P.S.; Verhagen, Arianne P.; van der Windt, Daniëlle A.W.M.

In: Australian Journal of Physiotherapy, Vol. 51, No. 2, 01.01.2005, p. 71-85.

Research output: Contribution to journalReview articleAcademicpeer-review

TY - JOUR

T1 - Effectiveness of exercise therapy

T2 - A best-evidence summary of systematic reviews

AU - Smidt, Nynke

AU - de Vet, Henrica C.W.

AU - Bouter, Lex M.

AU - Dekker, Joost

AU - Arendzen, Johan H.

AU - de Bie, Rob A.

AU - Bierma-Zeinstra, Sita M.A.

AU - Helders, Paul J.M.

AU - Keus, Samyra H.J.

AU - Kwakkel, Gert

AU - Lenssen, Ton

AU - Oostendorp, Rob A.B.

AU - Ostelo, Raymond W.J.G.

AU - Reijman, Max

AU - Terwee, Caroline B.

AU - Theunissen, Carlo

AU - Thomas, Siep

AU - van Baar, Margriet E.

AU - van't Hul, Alex

AU - van Peppen, Roland P.S.

AU - Verhagen, Arianne P.

AU - van der Windt, Daniëlle A.W.M.

PY - 2005/1/1

Y1 - 2005/1/1

N2 - The purpose of this project was to summarise the available evidence on the effectiveness of exercise therapy for patients with disorders of the musculoskeletal, nervous, respiratory, and cardiovascular systems. Systematic reviews were identified by means of a comprehensive search strategy in 11 bibliographic databases (08/2002), in combination with reference tracking. Reviews that included (i) at least one randomised controlled trial investigating the effectiveness of exercise therapy, (ii) clinically relevant outcome measures, and (iii) full text written in English, German or Dutch, were selected by two reviewers. Thirteen independent and blinded reviewers participated in the selection, quality assessment and data-extraction of the systematic reviews. Conclusions about the effectiveness of exercise therapy were based on the results presented in reasonable or good quality systematic reviews (quality score ≥ 60 out of 100 points). A total of 104 systematic reviews were selected, 45 of which were of reasonable or good quality. Exercise therapy is effective for patients with knee osteoarthritis, sub-acute (6 to 12 weeks) and chronic (≥ 12 weeks) low back pain, cystic fibrosis, chronic obstructive pulmonary disease, and intermittent claudication. Furthermore, there are indications that exercise therapy is effective for patients with ankylosing spondylitis, hip osteoarthritis, Parkinson's disease, and for patients who have suffered a stroke. There is insufficient evidence to support or refute the effectiveness of exercise therapy for patients with neck pain, shoulder pain, repetitive strain injury, rheumatoid arthritis, asthma, and bronchiectasis. Exercise therapy is not effective for patients with acute low back pain. It is concluded that exercise therapy is effective for a wide range of chronic disorders.

AB - The purpose of this project was to summarise the available evidence on the effectiveness of exercise therapy for patients with disorders of the musculoskeletal, nervous, respiratory, and cardiovascular systems. Systematic reviews were identified by means of a comprehensive search strategy in 11 bibliographic databases (08/2002), in combination with reference tracking. Reviews that included (i) at least one randomised controlled trial investigating the effectiveness of exercise therapy, (ii) clinically relevant outcome measures, and (iii) full text written in English, German or Dutch, were selected by two reviewers. Thirteen independent and blinded reviewers participated in the selection, quality assessment and data-extraction of the systematic reviews. Conclusions about the effectiveness of exercise therapy were based on the results presented in reasonable or good quality systematic reviews (quality score ≥ 60 out of 100 points). A total of 104 systematic reviews were selected, 45 of which were of reasonable or good quality. Exercise therapy is effective for patients with knee osteoarthritis, sub-acute (6 to 12 weeks) and chronic (≥ 12 weeks) low back pain, cystic fibrosis, chronic obstructive pulmonary disease, and intermittent claudication. Furthermore, there are indications that exercise therapy is effective for patients with ankylosing spondylitis, hip osteoarthritis, Parkinson's disease, and for patients who have suffered a stroke. There is insufficient evidence to support or refute the effectiveness of exercise therapy for patients with neck pain, shoulder pain, repetitive strain injury, rheumatoid arthritis, asthma, and bronchiectasis. Exercise therapy is not effective for patients with acute low back pain. It is concluded that exercise therapy is effective for a wide range of chronic disorders.

KW - Exercise movement techniques

KW - Exercise therapy

KW - Meta-analysis

KW - Physical therapy techniques

UR - http://www.scopus.com/inward/record.url?scp=20444444306&partnerID=8YFLogxK

U2 - 10.1016/S0004-9514(05)70036-2

DO - 10.1016/S0004-9514(05)70036-2

M3 - Review article

VL - 51

SP - 71

EP - 85

JO - Australian Journal of Physiotherapy

JF - Australian Journal of Physiotherapy

SN - 0004-9514

IS - 2

ER -