The next PEDro update is on Monday 3 September 2018.
The next PEDro update is on Monday 3 September 2018.
An area of research that’s rapidly developed over recent years centres around the idea that exercise can improve the treatment and outcomes of people who are diagnosed with cancer. Dr Catherine Granger reported on exercise in cancer for the the ABC Radio National Health Report Health Report. Catherine is one of the ABC’s Top 5 scientists who’ve been learning the art of broadcasting at the ABC this year. She is a senior lecturer and research physiotherapist at the University of Melbourne and the Royal Melbourne Hospital.
This recent systematic review evaluates the effects of exercise on body composition, quality of life and survival in women after treatment of early-stage breast cancer (stage I to III). Randomised controlled trials evaluating exercise programs after the end of adjuvant treatment were included. Exercise programs could be counselling or structured, supervised or individualised. The primary outcomes were overall survival and disease-free survival. Secondary outcomes were weight loss, body mass index, waist-hip ratio, body fat, and quality of life. The review identified 60 randomised controlled trials (6,303 participants), with structured or individualised exercise being the most common types of exercise evaluated. Only one trial had data for the primary outcomes and suggested that 8 months of exercise reduced overall mortality compared to usual care (hazard ratio 0.45, 95% CI 0.21 to 0.97), but had no effect on disease-free survival (hazard ratio 0.66, 95% CI 0.38 to 1.17). There was low-quality evidence that exercise reduced body mass index (mean difference 0.89kg, 95% CI 0.28 to 1.5) and percentage body fat (mean difference 1.6%, 95% CI 0.88 to 2.31). There was very low-quality evidence that exercise reduced weight (mean difference 1.36kg, 95% CI 0.21 to 2.51), general quality of life (standardised mean difference 0.45, 95% CI 0.2 to 0.69), physical aspects of quality of life (standardised mean difference 0.51, 95% CI 0.23 to 0.79), and mental aspects of quality of life (standardised mean difference 0.28, 95% CI 0.06 to 0.5). This review highlighted the need for more well-designed and large-scale randomised controlled trials to evaluate the effects of exercise on mortality outcomes.
Soares Falcetta F, et al. Effects of physical exercise after treatment of early breast cancer: systematic review and meta-analysis. Breast Cancer Res Treat 2018;170(3):455-76
The World Confederation for Physical Therapy (WCPT) Congress 2019 will be held in Geneva on 10-13 May 2019. As a WCPT Professional Partner, PEDro will be participating in the Congress exhibition and scientific program.
The WCPT 2019 program includes:
Why don’t you join us in Geneva in 2019?
#PhysicalTherapy #physio #WCPT2019
The PEDro Steering Committee initiated and guides the development, implementation and sustainability of the PEDro evidence resource. We would like to take this opportunity to introduce you to the members of the Steering Committee.
Rob is Senior Principal Research Scientist at Neuroscience Research Australia (NeuRA). He conducts clinical trials investigating the effects of physiotherapy interventions. He also conducts a program of research investigating the passive mechanical properties of muscles. He is one of the founders of PEDro.
Cathie leads the Ageing and Disability theme within Musculoskeletal Health Sydney, The University of Sydney School of Public Health. Her research focuses on physical activity interventions to prevent falls and enhance mobility in older people and people with physical disabilities. She is one of the founders of PEDro.
Anne is Principal Research Fellow within Musculoskeletal Health Sydney in the School of Public Health, The University of Sydney. Her research centres on evidence-based practice and waste in research. She is one of the founders of PEDro, and is responsible for the management of the PEDro resource.
Chris is a professor at The University of Sydney School of Public Health. His research aims to improve the care provided to people with back pain. He is one of the founders of PEDro.
Mark teaches research methods to clinicians and mentors workplace-based research in the Sydney Local Health District. His personal research interests include: physical and pharmacological therapies in respiratory disease; co-ordinating these therapies to maximise the overall effect; and improving the understanding and application of published research by clinicians. He is also a Clinical Associate Professor in the Sydney Medical School and the Scientific Editor of Journal of Physiotherapy.
Steve is Principal Research Fellow in the School of Public Health, The University of Sydney. His research blends perspectives from the clinical treatment of pain with public health approaches to lifestyle-related health behaviours, in children and adults. The aim is to better serve people with pain and other health risks in clinical and community settings.
PEDro contains 40,944 records. In the 6 August 2018 update you will find:
PEDro was updated on 6 August 2018. For latest guidelines, reviews and trials in physiotherapy visit Evidence in your inbox.
The next PEDro update is on Monday 6 August 2018.
This recent systematic review evaluated the effect of resistance exercise training in people with depressive symptoms. The primary outcome was depressive symptoms measured with a validated scale. Four moderator variables were selected a priori and their contribution to the variation in the effect size was tested through meta-regression: total volume of prescribed resistance exercise training, participant’s health status, whether or not allocation was concealed and/or assessment of outcome measures was blinded, and whether or not the resistance exercise training intervention resulted in a significant improvement in strength. The review included 54 comparisons from 33 randomised controlled trials (1,877 participants). 25 trials evaluated participants with physical or mental illness. Health care professionals fully supervised the strength training in 25 comparisons, while seven were a combination of supervised and unsupervised sessions and one was unsupervised. The mean duration of the resistance exercise training was 16 weeks (range 6 to 52 weeks). The frequency of training sessions ranged from 2 to 7 days per week. The pooled effect size (Hedges d) was 0.66 (95% confidence interval 0.48 to 0.83). Meta-regression revealed that among the moderator variables, only concealed allocation and/or blinding of outcome assessment influenced the effect size. A comparison between resistance training and aerobic training revealed that the two interventions had similar effects. This review has shown that resistance exercise training was associated with a significant reduction in depressive symptoms regardless of the participant’s characteristics (i.e. age, sex and health status) or features of training (i.e. program duration, session duration, intensity, frequency, or total prescribed volume).
Listen to Norman Swan interview Brett Gordon (a doctoral student from the University of Limerick who is the lead author of this review) for ABC Radio National’s Health Report.
Gordon BR et al. Association of efficacy of resistance exercise training with depressive symptoms: meta-analysis and meta-regression analysis of randomized clinical trials. JAMA Psychiatry 2018;75(6):566-76