Evidence map›Paper›PMID 29157736›Full record

SynthesisBrazilian journal of physical therapy

The influence of dosing on effect size of exercise therapy for musculoskeletal foot and ankle disorders: a systematic review.

Jodi L Young, Daniel I Rhon, Rutger M J de Zoete, Joshua A Cleland, Suzanne J Snodgrass

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 26% of its field
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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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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

5 authors at 4 institutions in 2 countries.

Jodi L YoungArizona School of Health Sciences, Department of Physical Therapy, AT Still University, Mesa, AZ, USA; The University of Newcastle, School of Health Sciences, Discipline of Physiotherapy, Callaghan, Australia. Electronic address: jodiyoung@atsu.edu.
Daniel I RhonThe University of Newcastle, School of Health Sciences, Discipline of Physiotherapy, Callaghan, Australia; Center for the Intrepid, San Antonio, TX, USA; Physical Therapy, Baylor University, Joint Base San Antonio - Fort Sam Houston, TX, USA.
Rutger M J de ZoeteThe University of Newcastle, School of Health Sciences, Discipline of Physiotherapy, Callaghan, Australia.
Joshua A ClelandFranklin Pierce University, Manchester, Department of Physical Therapy, NH, USA.
Suzanne J SnodgrassThe University of Newcastle, School of Health Sciences, Discipline of Physiotherapy, Callaghan, Australia.
University of Newcastle Australia · AUA.T. Still University · USFranklin Pierce University · USJoint Base San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this review was to identify doses of exercise therapy associated with greater treatment effect sizes in individuals with common musculoskeletal disorders of the foot and ankle, namely, achilles tendinopathy, ankle sprains and plantar heel pain.

methodsAMED, EMBASE and MEDLINE were searched from 2005 to August 2017 for randomized controlled trials related to exercise for these three diagnoses. The Physiotherapy Evidence Database scale was used for methodological quality assessment. Exercise dosing variables and outcome measures related to pain and function were extracted from the studies, and standardized mean differences were calculated for the exercise groups.

resultsFourteen studies met the final inclusion. A majority of the studies showed large effects and two small trends were identified. Patients with plantar heel pain may benefit more from a daily home exercise program than two supervised visits per week (SMD=3.82), but this recommendation is based on weak evidence. In achilles tendinopathy, a relationship was also seen when sets and repetitions of eccentric exercise were performed as tolerated (SMD=1.08 for function, -1.29 for pain).

conclusionsSession duration, frequency, total number of visits, and overall length of care may all be dosing variables with limited value for determining effective exercise prescription. However, the limited number of studies prevents any definitive conclusions. Further investigation is warranted to improve our understanding of the influence exercise dosing has on treatment effect sizes. Future randomized controlled trials comparing specific exercise dose variables should be conducted to clarify the impact of these variables.

Indexed as

Exercise TherapyAchilles TendonAnkle InjuriesFasciitis, PlantarHumansTendinopathyDoseExercise prescriptionExercise therapyPhysical therapyTherapeutic exercise

Identifiers

PMID29157736
PMCPMC5816081
OpenAlexW2765921177

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.