ABSTRAK
Background: obesity and osteoarthritis have strong inter-relationship with multi-factorial mechanism thatcaused pain and leads to decreased quality of life. Exercise has been identified as prevention and managementagainst obesity and joint pain. This systematic review aims to assess the effect between exercises compared to dietgroup for chronic pain management, physical and mental function in obese patients with chronic musculoskeletalproblem. Methods: we performed a systematic search of Randomized Control Trial studies from Cochrane CentralRegister of Controlled Trials (CENTRAL); MEDLINE; EBSCO; SCIENCEDIRECT (Elsevier); SCOPUS, greyliterature, trial registry, ongoing study for published studies, and from the ClinicalTrial.gov, thesis of rehabilitationmedicine in RSCM, and proceeding books for unpublished studies that was last updated on November 2016. Riskof bias was assessed using Cochrane risk-of-bias tool and data were analyzed using Review Manager 2014.Results: one study showed no difference in pain reduction (assessed using VAS) between two groups. Two studiesshowed improvement in physical function measured using 6MWT in exercise group at 6 and 18 months with meandifference 28.12 [11.20, 45.04] and 26.21 [9.01, 43.41]. There was no significant effects observed for Mental andPhysical Function based on SF-36 after 6 months (1 study) and 18 months (2 studies) observation, with meandifference 1.10 [-0.79, 2.99] and 0.08 [-1.53, 1.70] respectively for Mental Function score and -0.30 [-2.54, 1.94]and -0.36 [-2.30, 1.57] respectively for Physical Function score. Conclusion: exercise can improve physicalfunction objectively, but could not reduce pain in obese patients with chronic musculoskeletal problem subjectively.Keywords: exercises intervention, chronic pain management, functional score, quality of life, systematic review. |
