Bout of the corner men and not the boxers? Contextual effects flex their muscles

• Published in: Annals of the rheumatic diseases Vol. 77; no. 2; pp. 159 - 161
• Main Author: Englund, Martin
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 01.02.2018
• Subjects: Aging; Arthritis; Arthroscopy - adverse effects; Arthroscopy - methods; Clinical Medicine; Exercise Therapy - methods; Female; Humans; Injuries; Intervention; Klinisk medicin; Knee; Knee Joint - physiopathology; Knee Joint - surgery; Male; Medical and Health Sciences; Medicin och hälsovetenskap; Meniscus; Middle age; Middle Aged; Muscles; Orthopedics; Ortopedi; Osteoarthritis, Knee - therapy; Pain; Pain - etiology; Patients; Surgery; Systematic review; Trauma; Knee Osteoarthritis; Orthopedic Surgery; Physcial Therapy; Epidemiology
• ISSN: 0003-4967; 1468-2060
• DOI: 10.1136/annrheumdis-2017-211664

[...]on one end of the spectrum of meniscal tears, there exist cases where a large dislocated longitudinal (bucket-handle) tear of the meniscus (typically a result of major knee trauma) causes painful locking of the knee. Nota bene, the randomisation is expected to have balanced the two arms with respect to regression to the mean. [...]that particular component of the total effect is expected to be equal in both treatment arms. [...]I think it is fair to conclude that the added true component effect attributable to exercise per se seems, at best, to be very modest, if present at all. [...]it would be intriguing to tease out the true component effect of exercise on the total effect on patient-relevant outcomes. [...]in a pragmatic view, there is in my mind no doubt that exercise should be the treatment offered early on given the current limited availability of other treatment options.