Evidence map›Paper›PMID 41387830›Full record

SynthesisBMC musculoskeletal disorders2025

Optimal resistance training strategies for knee osteoarthritis symptom relief: a systematic review and network meta-analysis.

Yong Yang, Junyu Wang, Tao Wang, Yuan Yuan, Bopeng Qiu, Wenke Hu, Fuhong Wang, Zhihong Tang, Shu-Cheng Lin

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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.

Yong Yang *Laboratory of Kinesiology and Rehabilitation, School of Physical Education and Sport, Chaohu University, Hefei, China.
Junyu Wang *School of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Tao WangCollege of Physical Education and Health, Southwest University of Science and Technology, Mianyang, China.
Yuan YuanDepartment of Sport Industry Studies, Yonsei University, Seoul, Republic of Korea.
Bopeng QiuSchool of Strength and Conditioning, Beijing Sport University, Beijing, China.
Wenke HuDatuan Community Health Service Center, Shanghai, China.
Fuhong WangLaboratory of Kinesiology and Rehabilitation, School of Physical Education and Sport, Chaohu University, Hefei, China. 060043@chu.edu.cn.
Zhihong TangDatuan Community Health Service Center, Shanghai, China. tangzh889@163.com.
Shu-Cheng LinSchool of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan. s0975835@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine the most effective resistance training (RT) type and the optimal intensity, duration, and number of repetitions for patients with knee osteoarthritis (KOA).

methodsPubMed, MEDLINE, Embase, CENTRAL, and Web of Science were searched from inception to April 2025 for randomized controlled trials (RCTs) of exercise for KOA. Bayesian network meta-analyses were conducted. The outcomes of pain, stiffness, and function were expressed as standardized mean differences (SMDs) with 95% credible intervals (CrI).

resultsThe analysis included 46 RCTs with 3463 participants. High-speed RT was identified as the most effective type, significantly improving pain (SMD: -1.35, 95% CrI: -1.89 to -0.81), stiffness (SMD: -1.26, 95% CrI: -1.81 to -0.70), and function (SMD: 1.70, 95% CrI: 0.96 to 2.45). Dose-response analysis indicated that moderate-intensity RT (43-47% 1RM) for 35-37 weeks with 610-640 weekly repetitions was optimal for reducing pain (SMD: -0.76, 95% CrI: -1.03 to -0.44) and improving function (SMD: 1.29, 95% CrI: 0.92 to 1.68). For stiffness, a higher number of repetitions and shorter duration (12 weeks, 1200 weekly repetitions) were more effective (SMD: -1.11, 95% CrI: -1.58 to -0.64).

conclusionsThis study identifies high-speed RT as the most effective type for managing KOA and provides optimal RT dosages for different symptoms. These findings emphasize the need for tailored RT programs and provide crucial insights for clinical guidelines and individualized patient care. PROSPERO NUMBER: CRD42024535806.

Indexed as

Osteoarthritis, KneeResistance TrainingHumansRandomized Controlled Trials as TopicTreatment OutcomeKnee osteoarthritisMiddle-aged and older adults; Dose responseResistance training

Identifiers

PMID41387830
PMCPMC12821314

What Socratic holds

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LicenceCC BY
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Registered trials

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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.