Evidence map›Paper›PMID 30593178›Full record

SynthesisMedicine2018

Is aquatic exercise more effective than land-based exercise for knee osteoarthritis?

Rui Dong, Yunyao Wu, Shibing Xu, Lei Zhang, Jun Ying, Hongting Jin, Pinger Wang, Luwei Xiao, Peijian Tong

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Review
  8. Review
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  13. Review
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  16. Article
  17. Article
  18. Article
  19. Healthcare and Scientific Treatment of Knee Osteoarthritis.Journal of healthcare engineering · 2022
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rui DongThe First Clinical Medical College of Zhejiang Chinese Medical University.
Yunyao WuThe Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi.
Shibing XuThe First People's Hospital of Xiaoshan.
Lei ZhangXiaoshan Traditional Chinese Medical Hospital.
Jun YingThe First Clinical Medical College of Zhejiang Chinese Medical University.
Hongting JinThe First Clinical Medical College of Zhejiang Chinese Medical University.
Pinger WangThe First Clinical Medical College of Zhejiang Chinese Medical University.
Luwei XiaoThe First Clinical Medical College of Zhejiang Chinese Medical University.
Peijian TongThe First Clinical Medical College of Zhejiang Chinese Medical University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to systemically review the effectiveness of aquatic exercise (AQE) compared to land-based exercise (LBE) in treating knee osteoarthritis (OA).

methodsThe Medline, Embase, Web of Science, Cochrane Central Register of Controlled Clinical Trials, CINAHL, and psyclNFO databases were comprehensively searched for randomized controlled trials (RCTs) evaluating the effectiveness of AQE and LBE for knee OA from their inception date to September 24, 2018. The risk of bias was examined using the Cochrane Collaboration Tool, and Review Manager 5.3 was used for data collation and analysis.

resultsEight RCTs were included, involving a total of 579 patients. The meta-analysis showed that there was no significant difference between AQE and LBE for pain relief, physical function, and improvement in the quality of life, for both short- and long-term interventions, in patients with knee OA. However, the adherence and satisfaction level for AQE was higher than for LBE. Compared to no intervention, AQE showed a mild effect for elevating activities of daily living (standardized mean difference [SMD]: -0.55, 95% confidence interval [CI] [-0.94, -0.16], P = .005) and a high effect for improving sports and recreational activities (SMD: -1.03, 95% CI [-1.82, -0.25], P = .01).

conclusionAQE is comparable to LBE for treating knee OA.

Indexed as

Activities of Daily LivingAgedExercise TherapyFemaleHumansHydrotherapyMaleMiddle AgedOsteoarthritis, KneeRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID30593178
PMCPMC6314737

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.