Outcomes, time frame | Absolute effect estimates (95% CI) | â„– of participants (studies) | Certainty in effect estimates (GRADE) | Conclusion | |
---|---|---|---|---|---|
Control exercise | Eccentric exercise | ||||
Pain: post-treatment (6–12 weeks) Measured by VAS or NPRS, converted to VAS 0–100 mm (lower better) MID: 15 mm | Mean post-treatment pain ranged across control groups from 15.0 to 63.9 mm | Mean post-treatment pain in the experimental group was 12.3 mm lower (17.8 lower to 6.8 lower) | 281 (6 studies) | Lowa, b | Eccentric exercise may provide a small but likely not important reduction in pain post-treatment compared with other types of exercise. |
Pain: intermediate to long-term (6–12 months) Measured by VAS or NPRS, converted to VAS 0–100 mm (lower better) MID: 15 mm | Mean intermediate/long-term pain ranged across control groups from 18.0 to 52.1 mm | Mean intermediate/long-term pain in the experimental group was 4.9 mm lower (15.4 lower to 5.6 higher) | 167 (3 studies) | Lowa, b | Eccentric exercise may result in little or no important difference in pain compared with other types of exercise. |
Function: post-treatment (6–12 weeks) Multiple scales of various range | N/A | Standardised mean post-treatment function in the experimental group was 0.10 SMD units better (0.79 better to 0.58 worse) | 281 (6 studies) | Very lowa, b, c | It is uncertain whether eccentric exercise improves function more than other types of exercise post-treatment follow-up. |
Function: intermediate to long-term (6–12 months) Multiple scales of various range | N/A | Standardised mean intermediate/long-term function in the experimental group was 0.28 SMD units worse (0.67 better to 1.24 worse) | 167 (3 studies) | Very lowa, b, c | It is uncertain whether eccentric exercise improves function more than other types of exercise at intermediate/long-term follow-up. |