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Musculoskeletal Rehabilitation

Meta-Analysis: Efficacy of exercise modalities in major depressive disorder treatment

20 Mar, 2024 | 17:54h | UTC

Study Design and Population: This article presents a systematic review and network meta-analysis of randomized controlled trials to assess the optimal dose and modality of exercise for treating major depressive disorder, comparing its effects to psychotherapy, antidepressants, and control conditions such as usual care or placebo. The review included 218 unique studies encompassing 495 arms with a total of 14,170 participants who met the clinical cutoffs for major depression.

Main Findings: The findings revealed moderate reductions in depression symptoms for several exercise modalities when compared to active controls. Notably, walking or jogging, yoga, and strength training demonstrated the most significant effects. The effectiveness of exercise was found to be proportional to the intensity of the activity prescribed. Among these, yoga and strength training were identified as the most acceptable modalities for participants. However, the overall confidence in these results is low due to the high risk of bias in the included studies, with only one study meeting the criteria for a low risk of bias.

Implications for Practice: The study concludes that exercise, particularly walking or jogging, yoga, and strength training at sufficient intensities, can be an effective treatment for major depressive disorder. These modalities could be recommended alongside traditional treatments such as psychotherapy and antidepressants. Future research should focus on blinding participants and staff to mitigate expectancy effects and improve the reliability of findings. The inclusivity of exercise as a core treatment for depression could significantly impact treatment strategies and patient outcomes.

Reference: Noetel, M., et al. (2024). Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials. BMJ, 384, e075847. DOI: https://doi.org/10.1136/bmj-2023-075847. Access the study here: [Link]


RCT – 2ry analysis | Aerobic exercise intervention shows potential to reduce chemotherapy-induced peripheral neuropathy

11 Aug, 2023 | 15:17h | UTC

Effect of Exercise on Chemotherapy-Induced Peripheral Neuropathy Among Patients Treated for Ovarian Cancer: A Secondary Analysis of a Randomized Clinical Trial – JAMA Network Open

See also: Visual Abstract

Commentary: Aerobic Exercise Cuts Chemotherapy-Induced Peripheral Neuropathy Symptoms – HealthDay

 

Commentary on Twitter

 


Survival ≠ Recovery | A narrative review of post-intensive care syndrome

11 Aug, 2023 | 15:11h | UTC

Survival ≠ Recovery: A Narrative Review of Post-Intensive Care Syndrome – CHEST Critical Care

 


M-A | Approximately 25 min/day of walking can boost function and cut adverse events in acutely hospitalized elders

8 Aug, 2023 | 13:35h | UTC

Optimal dose and type of physical activity to improve functional capacity and minimise adverse events in acutely hospitalised older adults: a systematic review with dose-response network meta-analysis of randomised controlled trials – British Journal of Sports Medicine (free for a limited period)

 


Guideline on multimodal rehabilitation for patients with post-intensive care syndrome

2 Aug, 2023 | 14:04h | UTC

Guideline on multimodal rehabilitation for patients with post-intensive care syndrome – Critical Care

 

Commentary from the author on Twitter

 


RCT| Exercise during hemodialysis improves physical function in chronic kidney failure patients

13 Jul, 2023 | 13:01h | UTC

Exercise during Hemodialysis in Patients with Chronic Kidney Failure – NEJM Evidence

 


Podcast | Overuse injuries in pediatrics

11 Jul, 2023 | 13:52h | UTC

#86: Overuse Injuries – The Leg Bone’s Connected to the Foot Bone! – The Cribsiders

 


M-A | Interventions using wearable activity trackers to improve patient physical activity in adults who are hospitalized

30 Jun, 2023 | 14:46h | UTC

Interventions Using Wearable Activity Trackers to Improve Patient Physical Activity and Other Outcomes in Adults Who Are Hospitalized: A Systematic Review and Meta-analysis – JAMA Network Open

Author Interview: Wearable Activity Trackers to Improve Physical Activity and Outcomes – JAMA

News Release: Wearable activity trackers accelerate hospital patient recovery – University of South Australia

 


RCT | Arthroscopic capsular shift surgery shows no significant pain or functional improvement in atraumatic shoulder instability

29 Jun, 2023 | 13:45h | UTC

Arthroscopic capsular shift surgery in patients with atraumatic shoulder joint instability: a randomised, placebo-controlled trial – British Journal of Sports Medicine (link to abstract – $ for full-text)

 


M-A | Effect of resistance exercise dose components for tendinopathy management

26 Jun, 2023 | 00:22h | UTC

Effect of resistance exercise dose components for tendinopathy management: a systematic review with meta-analysis – British Journal of Sports Medicine

 


M-A | Post-surgery interventions for hip fracture

16 Jun, 2023 | 13:45h | UTC

Post-surgery interventions for hip fracture: a systematic review of randomized controlled trials – BMC Musculoskeletal Disorders

 


Cluster RCT | Effects of implementation of a supervised walking program in veterans affairs hospitals

14 Jun, 2023 | 14:17h | UTC

Effects of Implementation of a Supervised Walking Program in Veterans Affairs Hospitals: A Stepped-Wedge, Cluster Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentary: Supervised Walking Program Benefits Veterans Admitted to Hospital – Physician’s Weekly

 

Commentary on Twitter

 


Review | The cervical spine in tension type headache

13 Jun, 2023 | 13:58h | UTC

The cervical spine in tension type headache – Musculoskeletal Science and Practice

 

Commentary on Twitter

 


M-A | Effects of physical exercise on physical function in older adults in residential care

7 Jun, 2023 | 13:39h | UTC

Effects of physical exercise on physical function in older adults in residential care: a systematic review and network meta-analysis of randomised controlled trials – The Lancet Health Longevity

Invited commentary: Is there enough evidence to prescribe exercise to older adults living in residential care? – The Lancet Health Longevity

 


ACR Guideline for exercise, rehabilitation, diet, and additional integrative interventions for rheumatoid arthritis

2 Jun, 2023 | 12:33h | UTC

2022 American College of Rheumatology Guideline for Exercise, Rehabilitation, Diet, and Additional Integrative Interventions for Rheumatoid Arthritis – Arthritis Care & Research

Editorial: Patient Perspectives on the 2022 American College of Rheumatology Guideline for Exercise, Rehabilitation, Diet, and Additional Integrative Interventions for Rheumatoid Arthritis – Arthritis Care & Research

News Release: New Guideline Introduces Recommendations for Integrative Approach to RA Treatment – American College of Rheumatology

 


Review | Exercise training and revascularization in the management of symptomatic peripheral artery disease

25 May, 2023 | 11:23h | UTC

Exercise Training and Revascularization in the Management of Symptomatic Peripheral Artery Disease – JACC: Basic to Translational Science

 

Commentary on Twitter

 


RCT | No significant differences among three exercise strategies for knee osteoarthritis

23 May, 2023 | 12:38h | UTC

Improving the Effectiveness of Exercise Therapy for Adults with Knee Osteoarthritis: A Pragmatic Randomised Controlled Trial (BEEP trial) – Archives of Rehabilitation Research and Clinical Translation

 


Cohort Study | Patients with joint hypermobility at greater risk of second ACL injury post-surgery within a year of return to sport

18 May, 2023 | 13:33h | UTC

Generalised joint hypermobility leads to increased odds of sustaining a second ACL injury within 12 months of return to sport after ACL reconstruction – British Journal of Sports Medicine


Review | Intensive care unit–acquired weakness in patients with acute kidney injury

15 May, 2023 | 13:12h | UTC

Intensive Care Unit–Acquired Weakness in Patients With Acute Kidney Injury: A Contemporary Review – American Journal of Kidney Diseases

 

Commentary on Twitter

 


RCT | Neck–shoulder region training for chronic headache in women

15 May, 2023 | 12:59h | UTC

Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial – Clinical Rehabilitation

 

Commentary on Twitter

 


M-A | Surgical interventions for symptomatic knee osteoarthritis

12 May, 2023 | 13:26h | UTC

Surgical interventions for symptomatic knee osteoarthritis: a network meta-analysis of randomized control trials – BMC Musculoskeletal Disorders

 


M-A | Prehabilitation for patients undergoing orthopedic surgery

11 May, 2023 | 12:00h | UTC

Prehabilitation for Patients Undergoing Orthopedic Surgery: A Systematic Review and Meta-analysis – JAMA Network Open

 


RCT | Cognitive functional therapy with or without biofeedback outperforms usual care for chronic low back pain relief

10 May, 2023 | 15:58h | UTC

Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial – The Lancet (link to abstract – $ for full-text)

News Release: Fresh hope for Australians living with chronic back pain – Curtin University

 


RCT | Exercise and protein intervention may improve resilience and reduce frailty in seniors

17 Apr, 2023 | 13:04h | UTC

Building resilience and reversing frailty: a randomised controlled trial of a primary care intervention for older adults – Age and Ageing

 


SR | Exercise‐based rehabilitation programs for pulmonary hypertension

17 Apr, 2023 | 12:44h | UTC

Exercise‐based rehabilitation programmes for pulmonary hypertension – Cochrane Library

Summary: Exercise-based rehabilitation in pulmonary hypertension – Cochrane Library

 


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