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AuthorLafrance, Simon
AuthorOuellet, Philippe
AuthorAlaoui, Reda
AuthorRoy, Jean-Sébastien
AuthorLewis, Jeremy
AuthorChristiansen, David Høyrup
AuthorDubois, Blaise
AuthorLangevin, Pierre
AuthorDesmeules, François
Available date2023-09-03T06:44:17Z
Publication Date2021
Publication NamePhysical Therapy
ResourceScopus
ISSN0031-9023
URIhttp://dx.doi.org/10.1093/ptj/pzab072
URIhttp://hdl.handle.net/10576/47160
AbstractThe purpose of this review was to compare the efficacy of motor control exercises (MCEs) to strengthening exercises for adults with upper- or lower-extremity musculoskeletal disorders (MSKDs). Methods: Electronic searches were conducted up to April 2020 in Medline, Embase, Cochrane CENTRAL, and CINAHL. Randomized controlled trials were identified on the efficacy of MCEs compared to strengthening exercises for adults with upper- or lower-extremity MSKDs. Data were extracted with a standardized form that documented the study characteristics and results. For pain and disability outcomes, pooled mean differences (MDs) and standardized mean differences (SMDs) were calculated using random-effects inverse variance models. Results: Twenty-one randomized controlled trials (n = 1244 participants) were included. Based on moderate-quality evidence, MCEs lead to greater pain (MD = -0.41 out of 10 points; 95% CI = -0.72 to -0.10; n = 626) and disability reductions (SMD = -0.28; 95% CI = -0.43 to -0.13; n = 713) when compared to strengthening exercises in the short term; these differences are not clinically important. When excluding trials on osteoarthritis (OA) participants and evaluating only the trials involving participants with rotator cuff-related shoulder pain, shoulder instability, hip-related groin pain, or patellofemoral pain syndrome, there is moderate quality evidence that MCEs lead to greater pain (MD = -0.74 out of 10 points; 95% CI = -1.22 to -0.26; n = 293) and disability reductions (SMD = -0.40; 95% CI = -0.61 to -0.19; n = 354) than strengthening exercises in the short term; these differences might be clinically important. Conclusions: MCEs lead to statistically greater pain and disability reductions when compared to strengthening exercises among adults with MSKDs in the short term, but these effects might be clinically important only in conditions that do not involve OA. Inclusion of new trials might modify these conclusions. Impact: These results suggest that MCEs could be prioritized over strengthening exercises for adults with the included non-OA MSKDs; however, results are unclear for OA disorders.
Languageen
PublisherOxford University Press
SubjectExercise Therapy
Motor Control and Motor Learning
Muscle Strength
Musculoskeletal Pain
Physical Therapists
TitleMotor Control Exercises Compared to Strengthening Exercises for Upper- And Lower-Extremity Musculoskeletal Disorders: A Systematic Review with Meta-Analyses of Randomized Controlled Trials
TypeArticle Review
Issue Number7
Volume Number101
dc.accessType Open Access


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