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 .
A randomized trial comparing a group exercise programme for back pain patients with individual physiotherapy in a severely deprived area
Purpose . To compare a group exercise programme known as the Back to Fitness programme with individual physiotherapy for patients with non-specific low back pain from a material ly deprived area . Method . This was a r and omized controlled trial including 237 physiotherapy patients with back pain lasting more than six weeks . Participants were allocated to either the Back to Fitness programme or to individual physiotherapy , and followed up at three months and 12 months after r and omization . The main outcome measure was the Rol and Disability Question naire . Secondary measures were : SF12 , EQ5D , Pain Self-Efficacy Scale . Health care diaries recording patients ' use of health care re sources were also collected over a 12-month period . Results . There were no statistically significant differences in change scores between groups on the primary outcome measure at three months ( CI − 2.24 to 0.49 ) and at 12 months ( CI − 1.68 to 1.39 ) . Only minor improvements in disability scores were observed in the Back to Fitness group at three months and 12 months respectively ( mean change scores ; − 0.89 , − 0.77 ) and in the individual physiotherapy arm ( mean change scores ; − 0.02 , − 0.63 ) . Further analysis showed that patients from the most severely deprived areas were marginally worse at three month follow-up whereas those from more affluent areas tended to improve ( CI 0.43 to 3.15 )
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 .