Musculoskeletal pain and exercise-challenging existing paradigms and introducing new

Benjamin E Smith^{1

2}, Paul Hendrick³, Marcus Bateman¹, Sinead Holden^{4

5}, Chris Littlewood⁶, Toby O Smith⁷, Pip Logan²

Affiliations

¹ Physiotherapy Department (Level 3), Derby Hospitals NHS Foundation Trust, London Road Community Hospital, Derby, UK.
² Division of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.
³ Division of Physiotherapy and Rehabilitation Sciences, School of Health Sciences, University of Nottingham, Nottingham University Hospitals, Nottingham, UK.
⁴ Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
⁵ SMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
⁶ Arthritis Research UK Primary Care Centre, Research Institute for Primary Care & Health Sciences and Keele Clinical Trials Unit, Keele University, Staffordshire, UK.
⁷ Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

PMID: 29925503
PMCID: PMC6613745
DOI: 10.1136/bjsports-2017-098983

Review

Musculoskeletal pain and exercise-challenging existing paradigms and introducing new

Benjamin E Smith et al. Br J Sports Med. 2019 Jul.

. 2019 Jul;53(14):907-912.

doi: 10.1136/bjsports-2017-098983. Epub 2018 Jun 20.

Authors

Benjamin E Smith^{1

2}, Paul Hendrick³, Marcus Bateman¹, Sinead Holden^{4

5}, Chris Littlewood⁶, Toby O Smith⁷, Pip Logan²

Affiliations

¹ Physiotherapy Department (Level 3), Derby Hospitals NHS Foundation Trust, London Road Community Hospital, Derby, UK.
² Division of Rehabilitation and Ageing, School of Medicine, University of Nottingham, Nottingham, UK.
³ Division of Physiotherapy and Rehabilitation Sciences, School of Health Sciences, University of Nottingham, Nottingham University Hospitals, Nottingham, UK.
⁴ Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
⁵ SMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
⁶ Arthritis Research UK Primary Care Centre, Research Institute for Primary Care & Health Sciences and Keele Clinical Trials Unit, Keele University, Staffordshire, UK.
⁷ Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

PMID: 29925503
PMCID: PMC6613745
DOI: 10.1136/bjsports-2017-098983

No abstract available

Keywords: chronic; exercise; exercise rehabilitation; review.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

**Figure 1**
The role of exercises in the management of chronic musculoskeletal pain. Therapeutic exercise challenges the threat response to pain. Central pain processes, the immune system and affective aspects of pain may respond differently when pain is conceptualised as non-threatening. Adapted from Physiotherapy, 84(1), Gifford, Louis., ‘Pain, the tissues and the nervous system: a conceptual model’, 27–36, Copyright (1998), with permission from Elsevier.

See this image and copyright information in PMC

Cited by

The Influence of Exercise Intensity on Psychosocial Outcomes in Musculoskeletal Disorders: A Systematic Review.
Klaps S, Haesevoets S, Verbunt J, Köke A, Janssens L, Timmermans A, Verbrugghe J. Klaps S, et al. Sports Health. 2022 Nov-Dec;14(6):859-874. doi: 10.1177/19417381221075354. Epub 2022 Mar 4. Sports Health. 2022. PMID: 35243924 Free PMC article.
The Feasibility and Effectiveness of a New Practical Multidisciplinary Treatment for Low-Back Pain: A Randomized Controlled Trial.
Wippert PM, Drießlein D, Beck H, Schneider C, Puschmann AK, Banzer W, Schiltenwolf M. Wippert PM, et al. J Clin Med. 2019 Dec 31;9(1):115. doi: 10.3390/jcm9010115. J Clin Med. 2019. PMID: 31906224 Free PMC article.
Exercise into pain in chronic rotator cuff related shoulder pain: a prospective single-group feasibility study.
Cavaggion C, Juul-Kristensen B, Luque-Suarez A, Voogt L, Wollants G, Ó Conaire E, Struyf F. Cavaggion C, et al. BMJ Open. 2023 Oct 6;13(10):e070698. doi: 10.1136/bmjopen-2022-070698. BMJ Open. 2023. PMID: 37802620 Free PMC article.
Exercise into Pain in Chronic Rotator Cuff-Related Shoulder Pain: A Randomized Controlled Trial with 6-Month Follow-Up.
Cavaggion C, Luque-Suarez A, Voogt L, Juul-Kristensen B, Wollants G, Beke L, Fransen E, Struyf F. Cavaggion C, et al. Open Access J Sports Med. 2024 Nov 30;15:181-196. doi: 10.2147/OAJSM.S483272. eCollection 2024. Open Access J Sports Med. 2024. PMID: 39635498 Free PMC article. Clinical Trial.
Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II.
Smart KM, Ferraro MC, Wand BM, O'Connell NE. Smart KM, et al. Cochrane Database Syst Rev. 2022 May 17;5(5):CD010853. doi: 10.1002/14651858.CD010853.pub3. Cochrane Database Syst Rev. 2022. PMID: 35579382 Free PMC article.

See all "Cited by" articles

References

1. Geneen LJ, Moore RA, Clarke C, et al. . Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev 2017;1:CD011279 10.1002/14651858.CD011279.pub2 - DOI - PMC - PubMed
1. Booth J, Moseley GL, Schiltenwolf M, et al. . Exercise for chronic musculoskeletal pain: a biopsychosocial approach. Musculoskeletal Care 2017;15:413–21. 10.1002/msc.1191 - DOI - PubMed
1. Nijs J, Kosek E, Van Oosterwijck J, et al. . Dysfunctional endogenous analgesia during exercise in patients with chronic pain: to exercise or not to exercise? Pain Physician 2012;15:ES205–13. - PubMed
1. Smith BE, Hendrick P, Smith TO, et al. . Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. Br J Sports Med 2017;51:1679–87. 10.1136/bjsports-2016-097383 - DOI - PMC - PubMed
1. Li Z, Wang J, Chen L, et al. . Basolateral amygdala lesion inhibits the development of pain chronicity in neuropathic pain rats. PLoS One 2013;8:e70921 10.1371/journal.pone.0070921 - DOI - PMC - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Other Literature Sources
- H1 Connect - Access expert opinions and insights on biomedical research.
- scite Smart Citations
Medical
- ClinicalTrials.gov
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Musculoskeletal pain and exercise-challenging existing paradigms and introducing new

Affiliations

Musculoskeletal pain and exercise-challenging existing paradigms and introducing new

Authors

Affiliations

Conflict of interest statement

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical