Interventions such as supervised or individualised exercise therapy and self-management techniques may enhance exercise adherence .
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 .
Effectiveness of manual therapy or pulsed shortwave diathermy in addition to advice and exercise for neck disorders: a pragmatic randomized controlled trial in physical therapy clinics.
OBJECTIVE To determine whether manual therapy or pulsed shortwave diathermy , in addition to advice and exercise , provide better clinical outcome at 6 months than advice and exercise alone in primary care patients with nonspecific neck disorders . METHODS This was a multicenter , 3-arm r and omized controlled trial in 15 physical therapy departments . Of the 735 screened patients , 350 were recruited to the study ( mean age 51 years ) from July 2000 to June 2002 . Participants were r and omized to advice and exercise plus manual therapy , advice and exercise plus pulsed shortwave , or advice and exercise alone . Assessment s were undertaken at baseline , 6 weeks , and 6 months . The primary outcome was the Northwick Park Neck Pain Question naire . Analysis was by intention to treat . RESULTS Of the participants , 115 were allocated to advice and exercise , 114 to advice and exercise plus manual therapy , and 121 to advice and exercise plus pulsed shortwave ; 98 % received the allocated treatment . There was 93 % followup at 6 months . The mean + /- SD fall in Northwick Park score at 6 months was 11.5 + /- 15.7 for advice and exercise alone , 10.2 + /- 14.1 for advice and exercise plus manual therapy , and 10.3 + /- 15.0 for advice and exercise plus pulsed shortwave . There were no statistically significant differences in mean changes between groups . CONCLUSION The addition of pulsed shortwave or manual therapy to advice and exercise did not provide any additional benefits in the physical therapy treatment of neck disorders
Interventions such as supervised or individualised exercise therapy and self-management techniques may enhance exercise adherence .
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 .