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 .
Supplementing a home exercise programme with a class-based exercise programme is more effective than home exercise alone in the treatment of knee osteoarthritis.
OBJECTIVE The study aim ed to compare the relative effectiveness of providing a home-based exercise programme versus home-based exercise supplemented with an 8-week class-based exercise programme in reducing pain and improving function in patients with knee osteoarthritis . METHODS Patients ( n = 214 ) with radiologically confirmed knee osteoarthritis were selected . Patients were r and omly allocated to either home or home supplemented with class-based exercise programmes . Both groups were given a home exercise programme whilst the supplemented group also attended for 8 weeks of twice weekly knee classes . Assessment s of locomotor function , walking pain and Western Ontario and McMaster Universities Osteoarthritis Index ( WOMAC ) scores were made . Assessment s were made pre- and post-treatment and also at 6- and 12-month follow-ups . Statistical analysis involved the use of a longitudinal linear model ANCOVA with baseline values entered as a covariate . RESULTS Patients from the class-based group demonstrated significantly greater improvement in locomotor function ( -3.7 seconds ; 95 % C.I. -4.9 to -2.5 ) and decrease in walking pain ( -15 mm ; 95 % C.I. -20 to -11 ) than the home-based group , at 12-months follow-up . CONCLUSIONS The supplementation of a home based exercise programme with a class-based exercise programme led to clinical ly significant superior improvement . These improvements were still evident at 12-month review . This is the first trial to evaluate this common physiotherapeutic practice , and based on this evidence , supplementation of home exercises with a class-based exercise programme can be recommended to patients , clinicians and service providers
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 .