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Physiother Res Int. 2015 Sep;20(3):182-90. doi: 10.1002/pri.1632. Epub 2015 May 25.

Medical Exercise Therapy for Treating Musculoskeletal Pain: A Narrative Review of Results from Randomized Controlled Trials with a Theoretical Perspective.

Author information

1
Faculty of Health Education and Social Work, Division Physiotherapy, Sør-Trøndelag University College, Trondheim, Norway.
2
Holten Institute, Lidingö, Sweden.
3
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Abstract

BACKGROUND AND PURPOSE:

The purpose of this narrative review is to present an overview and theoretical rationale of medical exercise therapy (MET) as a physiotherapeutic rehabilitation treatment for musculoskeletal pain conditions. Results from randomized controlled trials (RCTs) conducted on MET are also presented.

METHODS:

Computerized searches for any RCTs were conducted on the MET concept in the databases PubMed, Medline, Embase and ISI Web of science up to 2013.

RESULTS:

Overall findings from five included MET RCTs are long-term (≥1 year) reductions in pain and improved physical and functional capabilities. These results are interpreted in the context of the biopsychosocial model, advancing the view of a dynamic interaction among physiologic, psychological and social factors that influence pain modulation.

DISCUSSION:

MET is a biopsychosocial treatment that reduces pain and improves activities of daily living in patients with a musculoskeletal pain condition. Pain modulation is a key feature of MET, and an important area for further research is to elucidate the specific mechanisms behind the treatment effects.

KEYWORDS:

biopsychosocial model; exercise therapy; musculoskeletal; pain

PMID:
26010954
DOI:
10.1002/pri.1632
[Indexed for MEDLINE]

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