Evidence map›Paper›PMID 29446252›Full record

SynthesisInternational wound journal2018

What is the effect of exercise on wound healing in patients with venous leg ulcers? A systematic review.

Daisy Smith, Rebecca Lane, Rosemary McGinnes, Jane O'Brien, Renea Johnston, Lyndal Bugeja, Victoria Team, Carolina Weller

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in International wound journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Calf muscle pump pressure-flow cycle during ambulation.Journal of vascular surgery. Venous and lymphatic disorders · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Effects of physical activity as an adjunct treatment on healing outcomes and recurrence of venous leg ulcers: A scoping review.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2022
    Article
  14. Article
  15. Article
  16. Lifestyle Medicine Approach to Wound Management.American journal of lifestyle medicine
    Article
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

8 authors at 4 institutions in 1 country.

Daisy SmithMonash Nursing and Midwifery, Monash University, Clayton, Victoria.
Rebecca LaneDepartment of Physiotherapy, Monash University, Frankston, Victoria.
Rosemary McGinnesMonash Nursing and Midwifery, Monash University, Clayton, Victoria.
Jane O'BrienSchool of Health Sciences, University of Tasmania, Tasmania, Australia.
Renea JohnstonDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria.
Lyndal BugejaMonash Nursing and Midwifery, Monash University, Clayton, Victoria.ORCID http://orcid.org/0000-0003-0547-710X
Victoria TeamMonash Nursing and Midwifery, Monash University, Clayton, Victoria.
Carolina WellerMonash Nursing and Midwifery, Monash University, Clayton, Victoria.ORCID http://orcid.org/0000-0002-8016-1060
Monash Health · AUFrankston Hospital · AUMonash University · AUUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Standard best practice for the treatment of venous leg ulcers (VLUs) is compression bandaging of the lower leg to reduce hydrostatic pressure. There is considerable variation in reported healing rates when using this gold-standard approach; therefore, a systematic and robust evaluation of other interventions is required. Exercise interventions, in addition to standard compression therapy, could improve wound-healing time and prevent their recurrence. We have conducted a systematic review to examine the effects of exercise on wound characteristics, including time to heal, size and recurrence, pain, quality of life, adverse events, and economic outcomes. This review was registered with PROSPERO 2016:CRD42016046407. A systematic search of Ovid Medline, Ovid EMBASE, Ovid CINAHL, The Cochrane Library, PsycINFO, Web of Science, and PEDro was conducted on January 30, 2017, for randomised control trials to examine the effects of exercise on time to heal, size and recurrence, pain, quality of life, adverse events, and economic outcomes. Six studies met the inclusion criteria, but all had design flaws leading to biases, most commonly performance and selective reporting bias. Three studies compared a progressive resistance exercise programme (PREG) plus compression with compression alone for a period of 12 weeks. Low-quality evidence indicates the following: possibly no difference in the proportion of ulcers healed (risk ratio [RR] 1.14, 95% CI 0.71 to 1.84, I

Indexed as

ExerciseWound HealingHumansLeg UlcerVaricose Ulcerexercisesystematic reviewvenous leg ulcer

Identifiers

PMID29446252
PMCPMC7950049
OpenAlexW2791609264

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.