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 .
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.
BACKGROUND Determination of the mode of action of new exercise techniques in different back pain population s is lacking . The effectiveness of supplementing an exercise programme with stabilisation exercises concerning physiological and functional parameters in non-specific back pain patients is unknown . METHODS R and omised controlled trial , comparing a general trunk muscle endurance exercise approach enhanced with specific muscle stabilisation exercises ( S&G group ) with a general exercise approach only ( G group ) . 55 patients with recurrent back pain were r and omised in S&G group ( n=29 ) and G group ( n=26 ) . Both groups received an 8-week exercise intervention and written advice .  Paraspinal muscle strength and electromyographic fatigue of the erector spinae and multifidus were measured . Additionally , 3 functional speed tests were assessed . Outcomes were collected pre- and post-intervention . FINDINGS No differences were detected for any of the paraspinal fatigue characteristics either within or between groups , apart from a significant decrease in normalised median frequency slope of the erector spinae for the G group . Paraspinal muscle strength and all functional tests have demonstrated significant within-group improvements for both groups , without any between-group differences . INTERPRETATION An 8-week stabilisation exercise-enhanced approach presented equal benefits to a general endurance-based exercise programme for patients with recurrent non-specific back pain . A slightly steeper slope for the erector spinae in the G group was the only electromyographic fatigue alteration noted . Concomitant strength improvement probably reflects neural input changes rather than histochemical muscle changes . Physical exercise alone and not the exercise type was the key determinant for improvement in this patient group
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 .