Evidence map›Paper›PMID 41050145›Full record

ReviewJournal of pain research2025

Effect of Exercise Interventions for Rheumatoid Arthritis: A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials.

Yan Zhang, Zelin He, Zikang Yin, Ji Wang, Wanyi Gao, Ligang Jie

Abstract readReview
In one paragraph

Review in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. 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

6 authors.

Yan ZhangDepartment of Rheumatology and Clinical Immunology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.ORCID 0009-0006-2888-5156
Zelin HeDepartment of Rheumatology and Clinical Immunology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.ORCID 0009-0000-1258-4937
Zikang YinDepartment of Rheumatology and Clinical Immunology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.ORCID 0009-0004-8315-9777
Ji WangDepartment of Traditional Chinese Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
Wanyi GaoDepartment of Rheumatology and Clinical Immunology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.ORCID 0009-0008-5152-5276
Ligang JieDepartment of Rheumatology and Clinical Immunology, Zhujiang Hospital, Southern Medical University, Guangzhou, People's Republic of China.ORCID 0000-0001-5017-6272

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare the efficacy of various exercise modalities for Rheumatoid arthritis (RA) employing a network meta-analysis. Methods: A systematic search was conducted across eight databases-PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang, VIP, and SinoMed-up to December 4, 2024, for randomized controlled trials on exercise for RA. The Cochrane Risk of Bias Assessment Tool (RoB 2) assessed study quality. A network meta-analysis was performed utilizing Stata 17.0. Our study measured outcomes through mean differences (MD) accompanied by 95% credible intervals (CIs) to quantify effect sizes, while interventions were ranked using surface under the cumulative ranking curve (SUCRA) probability scores, and the Confidence in Network Meta-Analysis (CINeMA) software to evaluate evidence certainty. Results: A total of 34 trials included 2,435 RA patients and 10 exercise interventions: walking or jogging, relaxation training, resistance exercise, Pilates, aerobic exercise, aerobic exercise + resistance exercise, yoga, traditional Chinese exercise, cycling, and Pilates + walking or jogging. The NMA results indicated that Pilates was the most effective for pain relief (VAS: MD = -2.17 cm, 95% CI: -3.77 to -2.57, SUCRA = 91.8%); aerobic exercise + resistance exercise was most effective for reducing morning stiffness duration (MD = -8.23 min, 95% CI: -9.06 to -7.39, SUCRA = 100.0%); and traditional Chinese exercise was most effective for improving disease activity (DAS28-ESR: MD = -0.68 scores, 95% CI: -1.04 to -0.32, SUCRA = 95.5%). Risk assessment showed 4 studies "low", 4 "high", and 26 "some concern" regarding bias. The CINeMA assessment indicated that most comparisons provided low or very low-quality evidence. Conclusion: Exercise interventions are effective supplements for RA treatment, with specific exercises offering distinct benefits: Pilates for pain, aerobic exercise + resistance exercise for morning stiffness, traditional Chinese exercise for disease activity. Further high-quality studies are needed for validation.

Indexed as

exercisenetwork meta-analysispainpilatesrheumatoid arthritissystematic review

Identifiers

PMID41050145
PMCPMC12495934

What OpenQuestion holds

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LicenceCC BY-NC
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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.