School of Nursing, Peking University, Beijing, P.R. China.
Department of Rheumatology and Immunology, The People's Hospital of Peking University, Beijing, P.R. China.
J Adv Nurs. 2021 Feb;77(2):506-522. doi: 10.1111/jan.14574. Epub 2020 Nov 11.
To determine which outcomes will be improved by different exercise interventions and the evidence quality for each intervention.
Overview of systematic reviews and meta-analysis.
PubMed, Cochrane, Web of Science, CINAHL, and Embase. Published from the establishment of the database to 3 September 2019.
AMSTAR 2 and PRISMA were used to evaluate methodological and reporting quality. Evidence quality of the effect of each intervention was assessed according to GRADE guidelines. Meta-analysis of original studies was conducted for comparison of systematic reviews and to explore the effect of different exercise interventions on the same outcome.
Ten systematic reviews were included in the overview. A significant improvement was seen in: aerobic exercise for aerobic capacity; strength training for erythrocyte sedimentation rate and 50-foot walking time; aerobic exercise combined with strength training for aerobic capacity, physical function, and fatigue; hand exercise for hand function.
For the maximum benefit of rheumatoid arthritis (RA) patients, different exercise methods should be selected according to the symptoms. For RA patients, any exercise is better than no exercise, but the intensity, frequency, and period of exercise for better results are not determined.
What problem did the study address is which outcomes will be improved by different exercise interventions. For maximum benefit for RA patients, different exercise methods should be selected according to symptoms. The research summarized the evidence of exercise rehabilitation of RA and will help RA patients or their caregivers choose the appropriate type of exercise, which will play a positive role on the rehabilitation of patients with RA.
确定不同运动干预措施可改善哪些结局以及每种干预措施的证据质量。
系统评价和荟萃分析概述。
PubMed、Cochrane、Web of Science、CINAHL 和 Embase。从数据库建立到 2019 年 9 月 3 日发表的文献。
使用 AMSTAR 2 和 PRISMA 评估方法学和报告质量。根据 GRADE 指南评估每种干预措施效果的证据质量。对原始研究进行荟萃分析，以比较系统评价并探讨不同运动干预对同一结局的影响。
该概述纳入了 10 项系统评价。发现有氧运动可显著改善有氧能力；力量训练可显著改善红细胞沉降率和 50 英尺步行时间；有氧运动联合力量训练可显著改善有氧能力、身体功能和疲劳；手部运动可显著改善手部功能。
为了使类风湿关节炎（RA）患者获得最大益处，应根据症状选择不同的运动方法。对于 RA 患者，任何运动都优于不运动，但还不确定获得更好效果的运动强度、频率和周期。
该研究解决了什么问题，即不同的运动干预措施可改善哪些结局。为了使 RA 患者获得最大益处，应根据症状选择不同的运动方法。该研究总结了 RA 运动康复的证据，将有助于 RA 患者或其照护者选择合适的运动类型，这将对 RA 患者的康复起到积极作用。
