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 .
Rehabilitation of neck-shoulder pain in women industrial workers: a randomized trial comparing isometric shoulder endurance training with isometric shoulder strength training.
OBJECTIVES To study whether isometric shoulder endurance was more advantageous than isometric shoulder strength training in reducing pain and perceived exertion and to increase shoulder function through improved muscle endurance and strength . DESIGN R and omized trial . SETTING Three occupational health care centers . PARTICIPANTS Women industrial workers with nonspecific neck-shoulder pain . The International Classification of Diseases , 10th Revision ( ICD-10 ) diagnosis was " cervicobrachial syndrome " ( M53.1 ) . Thirty-eight patients completed the isometric shoulder endurance training  and 31 patients completed the isometric shoulder strength training . INTERVENTION Twelve weeks of training . MAIN OUTCOME MEASURES Self-reported pain and rating of perceived exertion ( RPE ) , arm motion performance test , shoulder muscle strength , shoulder muscle endurance , and shoulder functional tests , as well as follow-up after supervised training had ended . RESULTS The isometric shoulder strength training result ed in an almost one-scale step decrease in RPE at work and a 5 % to 15 % improvement of arm motion performance compared with the endurance training . The isometric shoulder strength training more effectively improved left side shoulder abduction strength ( p < .026 ) , but no major differences were found for the other strength measurements . The isometric shoulder endurance training was not more successful than the strength training in the endurance test ( p .51 to .81 ) . CONCLUSIONS Physical training programs for neck-shoulder pain may include isometric shoulder muscular strength exercise in addition to isometric shoulder endurance training , rather than endurance training only
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 .