Table 1.
No of participants included in the analysis | Summary of findings for pain | P value (posttreatment between groups) | Quality assessment | ||||||||||||||||||||||
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Mean difference pre-post treatment (VAS score 0–10) | P value (pre-posttreatment per intervention) | Risk of bias | Indirectness | Imprecision | Overall quality of evidence | ||||||||||||||||||||
Physical therapy | |||||||||||||||||||||||||
Field et al. [42] massage therapy vs. relaxation therapy | |||||||||||||||||||||||||
Massage N = 10 | − 3.0 | < 0.005 | Not given | Very seriousa | Seriousf,g | Seriousj | ⨁◯◯◯ Very low |
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Relaxation N = 10 | − 0.5 | NS | |||||||||||||||||||||||
Klepper [38] physical conditioning program vs. waiting list | |||||||||||||||||||||||||
Physical conditioning N = 25 | − 0.5 | NS | Not applicable (within subjects design) | Very seriousb | Not serious | Seriousk | ⨁◯◯◯ Very low |
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Waiting list N = 25 | − 0.7 | NS | |||||||||||||||||||||||
Tarakci et al. [39] land-based home exercise vs. waiting list | |||||||||||||||||||||||||
Land-based home exercise N = 43 | − 0.9 | < 0.001 | 0.29 | Not serious | Not serious | Seriousk | ⨁⨁⨁◯ Moderate |
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Waiting list N = 38 | − 0.7 | 0.002 | |||||||||||||||||||||||
Mendonca et al. [41] pilates exercise vs. conventional exercise program | |||||||||||||||||||||||||
Pilates exercise N = 25 | − 2.3 | < 0.01 | < 0.0001 | Not serious | Not serious | Seriousk | ⨁⨁⨁◯ Moderate |
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Conventional exercise program N = 25 | + 0.2 | NS | |||||||||||||||||||||||
Baydogan et al. [35] strengthening vs. balance-proprioceptive exercise | |||||||||||||||||||||||||
Strengthening exercise N = 15 | − 1 | < 0.001 | 0.502 | Seriousc | Seriousg | Seriousl | ⨁◯◯◯ Very low |
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Balance-proprioceptive exercise N = 15 | − 1 | < 0.001 | |||||||||||||||||||||||
Elnaggar and Elshafey [37] resistive underwater exercise vs. traditional physical therapy | |||||||||||||||||||||||||
Resistive underwater exercise N = 15 | − 4.4 | 0.001 | 0.001 | Not serious | Serioush | Not serious | ⨁⨁⨁◯ Moderate |
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Traditional physical therapy N = 15 | − 1.1 | 0.001 | |||||||||||||||||||||||
Psychological interventions | |||||||||||||||||||||||||
Stinson et al. [40] managing arthritis online program vs. attention control | |||||||||||||||||||||||||
Managing arthritis online N = 22 | − 0.6 | Not given | 0.03 | Not serious | Seriousf,g | Not serious | ⨁⨁⨁◯ Moderate |
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Attention control N = 24 | + 0.5 | Not given | |||||||||||||||||||||||
Brown et al. [43] cognitive behavioral therapy vs. education only vs. no contact | |||||||||||||||||||||||||
Cognitive behavioral therapy N = 22 | Not given | Not given | CBT and education only vs. no-contact P = 0.68 | Seriousd | Seriousf,g | Seriousl | ⨁◯◯◯ Very low |
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Education only N = 10 | Not given | Not given | |||||||||||||||||||||||
No-contact control N = 16 | Not given | Not given | |||||||||||||||||||||||
Lomholt et al. [34] cognitive behavioral therapy vs. waiting list | |||||||||||||||||||||||||
Cognitive behavioral therapy N = 9 | + 0.4 | Not given | 0.81 | Not serious | Seriousi,g | Seriousj | ⨁⨁◯◯ Low |
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Waiting list N = 10 | + 0.5 | Not given | |||||||||||||||||||||||
Eid et al. [36] physical therapy with biofeedback vs. physical therapy | |||||||||||||||||||||||||
Physical therapy with biofeedback N = 18 | − 3.7 | 0.0001 | 0.001 | Not serious | Seriousi,g | Not serious | ⨁⨁⨁◯ Moderate |
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Conventional physical therapy N = 18 | − 2.2 | 0.0001 | |||||||||||||||||||||||
Spiegel et al. [33] peer support vs. waiting list | |||||||||||||||||||||||||
Peer support N = 16 | − 0.3 | Not given | 0.63 | Seriouse | Seriousf,g | Seriousk | ⨁⨁◯◯ Low |
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Waiting list N = 14 | − 0.2 | Not given |
NS not significant
aRandom sequence generation, allocation concealment, attrition bias and reporting bias not described
bThere was risk of selection, attrition and detection bias
cThere was risk of detection bias, allocation concealment was not described
dThere was risk of attrition bias, allocation concealment was not described
eThere was risk of attrition bias, blinding of outcome assessment was not described
fOnly adolescents
gThe vast majority was female
hNo information was given concerning age range and gender of participants
iLimited age range
jSmall sample size
kVery large standard deviation. l. no information was given regarding standard deviation or confidence interval