Evidence map›Paper›PMID 41797767›Full record

SynthesisFrontiers in medicine2026

Exercise prescription for axial spondyloarthritis: a systematic review and meta-analysis of randomized controlled trials.

Chunhui Yu, Lina Guo, Xiaoxiao Gao, Xiaojie Shen, Xilan Ma, Ji Li, Weifei Wu, Junhao Cai

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. 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. 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.

Chunhui Yu *The First Clinical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Lina Guo *Department of Rehabilitation Medicine, Caoxian People's Hospital, Heze, China.
Xiaoxiao GaoShanghai Jiading District Zhenxin Community Health Service Center, Shanghai, China.
Xiaojie ShenJiading Industrial Zone Community Health Service Center, Shanghai, China.
Xilan MaThe Third Department of Orthopedics and Traumatology, Liaoning Second Hospital of Traditional Chinese Medicine Affiliated to Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Ji LiSchool of Computer Science and Engineering, Northeastern University, Shenyang, China.
Weifei WuThe First Clinical College, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Junhao CaiShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Axial spondyloarthritis (axSpA) is a chronic inflammatory rheumatic condition that significantly impacts patients' quality of life. Exercise therapy serves as a core non-pharmacological treatment modality, yet its overall efficacy and optimal prescription parameters require further clarification through high-quality evidence. This study aims to systematically evaluate the efficacy of exercise interventions for axSpA patients. Methods: Computerized searches were conducted across databases including PubMed, Embase, Web of Science, and the Cochrane Library, covering the period from inception to September 2025. Randomized controlled trials (RCTs) comparing exercise interventions with conventional treatments for axSpA were included. Two researchers independently performed literature screening, data extraction, and quality assessment. The heterogeneity of the research results was assessed using the Results: Fifteen RCTs involving 1,699 patients were included. Meta-analysis revealed that exercise intervention significantly improved disease activity in axSpA patients compared with controls (BASDAI: SMD = -0.75, 95% CI: -1.19 to -0.31; ASDAS: SMD = -0.91, 95% CI: -1.54 to -0.29), physical function (BASFI: SMD = -0.37, 95% CI: -0.47 to -0.26), spinal mobility (BASMI: SMD = -0.26, 95% CI: -0.49 to -0.04), thoracic expansion (SMD = 0.35, 95% CI: 0.04-0.65), and fatigue levels (SMD = -0.53, 95% CI: -0.78 to -0.28). Subgroup analyses indicated that different exercise modalities and intervention durations influenced treatment efficacy. Conclusion: This meta-analysis confirms that exercise interventions significantly improve core outcome measures including disease activity, physical function, spinal mobility, and fatigue in patients with axial spondyloarthritis, with statistically significant effects. The findings support the incorporation of individualized exercise prescriptions as a key component of standard axSpA treatment, providing evidence-based guidance for clinical practice. Future research should further optimize exercise prescription parameters and validate their long-term efficacy. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251144518, identifier CRD420251144518.

Indexed as

ankylosing spondylitisexercise therapymeta-analysesprescriptionrandomized controlled trialssystematic reviews

Identifiers

PMID41797767
PMCPMC12963302

What OpenQuestion holds

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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 OpenQuestion graph.