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Jordan, JL; Holden, MA; Mason, EE; Foster, NE (2010)
Publisher: Wiley
Languages: English
Types: Article
Subjects: R1
BACKGROUND: Chronic musculoskeletal pain (CMP) is a major health problem, accounting for approximately one-quarter of general practice (GP) consultations in the United Kingdom (UK). Exercise and physical activity is beneficial for the most common types of CMP, such as back and knee pain. However, poor adherence to exercise and physical activity may limit long-term effectiveness. OBJECTIVES: To assess the effects of interventions to improve adherence to exercise and physical activity for people with chronic musculoskeletal pain. SEARCH STRATEGY: We searched the trials registers of relevant Cochrane Review Groups. In addition, we searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, AMED, PsycINFO, Science Citation Index and Social Science Citation Index and reference lists of articles to October 2007. We consulted experts for unpublished trials. SELECTION CRITERIA: Randomised or quasi-randomised trials evaluating interventions that aimed to improve adherence to exercise and physical activity in adults with pain for three months and over in the axial skeleton or large peripheral joints. DATA COLLECTION AND ANALYSIS: Two of the four authors independently assessed the quality of each included trial and extracted data. We contacted study authors for missing information. MAIN RESULTS: We included 42 trials with 8243 participants, mainly with osteoarthritis and spinal pain. Methods used for improving and measuring adherence in the included trials were inconsistent. Two of the 17 trials that compared different types of exercise showed positive effects, suggesting that the type of exercise is not an important factor in improving exercise adherence. Six trials studied different methods of delivering exercise, such as supervising exercise sessions, refresher sessions and audio or videotapes of the exercises to take home. Of these, five trials found interventions improved exercise adherence. Four trials evaluated specific interventions targeting exercise adherence; three of these showed a positive effect on exercise adherence. In eight trials studying self-management programmes, six improved adherence measures. One trial found graded activity was more effective than usual care for improving exercise adherence. Cognitive behavioural therapy was effective in a trial in people with whiplash-associated disorder, but not in trials of people with other CMP. In the trials that showed a positive effect on adherence, association between clinical outcomes and exercise adherence was conflicting. AUTHORS' CONCLUSIONS: Interventions such as supervised or individualised exercise therapy and self-management techniques may enhance exercise adherence. However, high-quality, randomised trials with long-term follow up that explicitly address adherence to exercises and physical activity are needed. A standard validated measure of exercise adherence should be used consistently in future studies.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Asenlof 2005 {published data only} Asenlof P, Denison E, Lindberg P. Individually tailored treatment targeting activity, motor behavior, and cognition reduces pain-related disability: a randomized controlled trial in patients with musculoskeletal pain. The Journal of Pain: Official journal of the American Pain Society 2005;6 (9):588-603. [PUBMED: 16139778]
    • Barlow 2000 {published data only} Barlow JH, Turner AP, Wright CC. A randomized controlled study of the Arthritis Self-Management Programme in the UK. Health education research 2000;15(6):665-80. [PUBMED: 11142075]
    • Basler 2007 {published data only} Basler HD, Bertalanffy H, Quint S, Wilke A, Wolf U. TTMbased counselling in physiotherapy does not contribute to an increase of adherence to activity recommendations in older adults with chronic low back pain--a randomised controlled trial. European Journal of Pain 2007;11(1):31-7. [PUBMED: 16448828]
    • Bernaards 2007 {published data only} Bernaards CM, Ariens GA, Hildebrandt VH. The (cost)effectiveness of a lifestyle physical activity intervention in addition to a work style intervention on the recovery from neck and upper limb symptoms in computer workers. BMC Musculoskeletal Disorders 2006;7:80. [PUBMED: 17062141] ∗ Bernaards CM, Ariens GA, Knol DL, Hildebrandt VH. The effectiveness of a work style intervention and a lifestyle physical activity intervention on the recovery from neck and upper limb symptoms in computer workers. Pain 2007;132 (1-2):142-53. [PUBMED: 17768009]
    • Blixen 2004 {published data only} Blixen CE, Bramstedt KA, Hammel JP, Tilley BC. A pilot study of health education via a nurse-run telephone self-management programme for elderly people with osteoarthritis. Journal of Telemedicine and Telecare 2004;10 (1):44-9. [PUBMED: 15006216]
    • Carr 2005 {published data only} Carr JL, Klaber Moffett JA, Howarth E, Richmond SJ, Torgerson DJ, Jackson DA, et al.A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area. Disability and Rehabilitation 2005;27(16):929-37. [PUBMED: 16096246]
    • Cohen 1983 {published data only} Cohen MJ, Heinrich RL, Naliboff BD, Collins GA, Bonebakker AD. Group outpatient physical and behavioral
    • Psychology 1983;39(3):326-33. [PUBMED: 6223946]
    • Medicine 1985;8(1):61-78. [PUBMED: 3156999]
    • Ersek 2004 {published data only} Ersek M, Turner JA, Cain KC, Kemp CA. Chronic pain self-management for older adults: a randomized controlled trial [ISRCTN11899548]. BMC Geriatrics 2004;4:7. [PUBMED: 15285783] Ersek M, Turner JA, Cain KC, Kemp CA. Results of a randomized controlled trial to examine the efficacy of a chronic pain self-management group for older adults [ISRCTN11899548]. Pain 2008;138(1):29-40. [PUBMED: 18086516]
    • Ettinger 1997 {published data only} Ettinger WH Jr, Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T, et al.A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA 1997;277 (1):25-31. [PUBMED: 8980206] Messier SP, Royer TD, Craven TE, O'Toole ML, Burns R, Ettinger WH Jr. Long-term exercise and its effect on balance in older, osteoarthritic adults: results from the Fitness, Arthritis, and Seniors Trial (FAST). Journal of the American Geriatrics Society 2000;48(2):131-8. [PUBMED: 10682941] Rejeski WJ, Brawley LR, Ettinger W, Morgan T, Thompson C. Compliance to exercise therapy in older participants with knee osteoarthritis: implications for treating disability. Medicine and Science in Sports and Exercise 1997;29(8): 977-85. [PUBMED: 9268953] Rejeski WJ, Ettinger WH Jr, Martin K, Morgan T. Treating disability in knee osteoarthritis with exercise therapy: a central role for self-efficacy and pain. Arthritis Care and Research: The Official Journal of the Arthritis Health Professions Association 1998;11(2):94-101. [PUBMED: 9668732]
    • Ferreira 2007 {published data only} Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Hodges PW, Jennings MD, et al.Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: a randomized trial. Pain 2007;131 (1-2):31-7. [PUBMED: 17250965]
    • Fransen 2007 {published data only} Fransen M, Nairn L, Winstanley J, Lam P, Edmonds J. Physical activity for osteoarthritis management: a
    • Hurley 2007 {published data only} Hurley MV, Walsh NE, Mitchell HL, Pimm TJ, Patel A, Williamson E, et al.Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: a cluster randomized trial. Arthritis and Rheumatism 2007;57(7): 1211-9. [PUBMED: 17907147]
    • Jensen 2001 {published data only} Jensen IB, Bergstrom G, Ljungquist T, Bodin L. A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain. Pain 2005;115(3):273-83. [PUBMED: 15911154] Jensen IB, Bergstrom G, Ljungquist T, Bodin L, Nygren AL. A randomized controlled component analysis of a behavioral medicine rehabilitation program for chronic spinal pain: are the effects dependent on gender?. Pain 2001;91(1-2):65-78. [PUBMED: 11240079] Jensen IB, Bodin L. Multimodal cognitive-behavioural treatment for workers with chronic spinal pain: a matched cohort study with an 18-month follow-up. Pain 1998;76 (1-2):35-44. [PUBMED: 9696457]
    • Koumantakis 2005 {published data only} Koumantakis GA, Watson PJ, Oldham JA. Supplementation of general endurance exercise with stabilisation training versus general exercise only. Physiological and functional outcomes of a randomised controlled trial of patients with recurrent low back pain. Clinical Biomechanics 2005;20(5): 474-82. [PUBMED: 15836934] Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Physical Therapy 2005;85(3): 209-25. [PUBMED: 15733046]
    • Lorig 1985 {published data only} Lorig K, Lubeck D, Kraines RG, Seleznick M, Holman HR. Outcomes of self-help education for patients with arthritis. Arthritis and Rheumatism 1985;28(6):680-5. [PUBMED: 4004977]
    • Luszczynska 2006 {published data only} Luszczynska A, Gregajtys A, Abraham C. Effects of a selfefficacy intervention on initiation of recommended exercises in patients with spondylosis. Journal of Aging and Physical Activity 2006;15:26-40.
    • Mangione 1999 {published data only} Mangione KK, McCully K, Gloviak A, Lefebvre I, Hofmann M, Craik R. The effects of high-intensity and low-intensity cycle ergometry in older adults with knee osteoarthritis. The Journals of Gerontology. Series A: Biological sciences and medical sciences 1999;54(4):M184-90. [PUBMED: 10219009]
    • McCarthy 2004 {published data only} McCarthy CJ, Mills PM, Pullen R, Richardson G, Hawkins N, Roberts CR, et al.Supplementation of a home-based exercise programme with a class-based programme for people with osteoarthritis of the knees: a randomised controlled trial and health economic analysis. Health
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