Evidence map›Paper›PMID 42465088›Full record

SynthesisFrontiers in medicine2026

Comparative efficacy of traditional and modern mind-body exercises in middle-aged and older adults with knee osteoarthritis: a network meta-analysis of randomized controlled trials.

Rui Pan, Ao Mi, Hui Cheng

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Rui PanPhysical Education College of Tianshui Normal University, Tianshui, China.
Ao MiPhysical Education College of Tianshui Normal University, Tianshui, China.
Hui ChengPhysical Education College of Tianshui Normal University, Tianshui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Traditional and modern Mind-body exercise methods are widely used in the rehabilitation treatment of knee osteoarthritis (KOA), this network meta-analysis (NMA) compared the relative efficacy of various Mind-body exercise methods on KOA-related pain, function and stiffness, as well as psychological and physical outcomes. Methods: PubMed, EMBASE, Cochrane Library, and Web of Science were searched up to December 1, 2025. The main outcome measures included WOMAC pain score, WOMAC physical function score and WOMAC stiffness score. Secondary outcome indicators included mental health status, 6-min walking test (6MWT) and timed up-and-go test (TUG). RoB 2 was used to evaluate the risk of bias, and CINeMA was used to evaluate the certainty of network evidence. This research scheme has been registered in PROSPERO (CRD420261281876). Results: A total of 29 RCTs ( Conclusion: Different Mind-body exercises may provide outcome-specific benefits for KOA, particularly in middle-aged and older adults. Tai Chi and Wuqinxi appeared more favorable for pain relief, Pilates had the highest probability of improving physical function, Baduanjin appeared favorable for stiffness, and Yijinjing showed the highest ranking probability for mental health. Given the clinical diversity across trials and the low or very low certainty of several comparisons, SUCRA rankings should be interpreted cautiously. Specifically, TUG-related ranking results should be considered exploratory because the TUG network did not form a closed loop and inconsistency testing could not be performed; therefore, they should not be interpreted as definitive evidence. Further high-quality, long-term RCTs are needed to strengthen the evidence and support more precise exercise prescriptions.

Indexed as

Baduanjinknee osteoarthritismind-body exercisesnetwork meta-analysisPilatesTai ChiWuqinxiYijinjing

Identifiers

PMID42465088
PMCPMC13372910

What Socratic holds

Textmetadata
LicenceCC BY
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.