Randomized Trial Assessing the Impact of a Musculoskeletal Intervention for Pain Before Participating in a Weight Management Program

Abstract

Musculoskeletal and physical therapy intervention directed at decreasing musculoskeletal pain in obese individuals prior to participation in a WM program reduces reported musculoskeletal pain for those participants completing the program but does not significantly improve weight loss over 6 months, compared with individuals with comparable musculoskeletal pain who enter directly into a WM program.

Osteoarthritis year 2010 in review: non-pharmacologic therapy

“…Our search identified 117 unique publications on the nonpharmacologic management of OA over the study time period: eight general reviews of the non-pharmacologic management of OA 1e8 ; 14 studies of acupuncture 9e22 ; 10 studies of devices 23e32 (including seven of orthoses 23e26, 28,29,32 , two of splints or braces 30,31 , and one of temporomandibular joint therapy 27 ); three studies evaluating education or self-management 33e35 ; 25 studies of exercise 36e60 ; 12 studies of nutraceuticals 61e72 , including five of glucosamine 62e65,69 ; 12 of physical therapy 73e84 ; one of manual therapy 85 ; 11 studies evaluating rehabilitation in the context of surgery 86e96 ; five of electrostimulation 97e101 , including two evaluating TENS 99,101 ; two of weight loss 102,103 ; one of thermal modalities 104 ; two of ultrasound 105,106 and 11 of other forms of nonpharmacologic management, including three of spa therapy 107e109 , two of mud-bath therapy 110,111 , and one each of: Castor oil/diclofenac sodium 112 ; magnetic and copper bracelets 113 ; stimulating massage 114 ; hydrotherapy 115 ; hyperthermia 116 ; guided imagery with relaxation 117 . The results of our search are summarized in Table I, by modality and study design.…”

Chronic pain management in the obese patient: a focused review of key challenges and potential exercise solutions

“…During the weight management phase, the intervention and control groups experienced similar weight loss, depression scores, and exercise capacity. 75 In contrast to expectations, the intervention group did not demonstrate greater weight loss or ability to exercise at higher intensities. It is possible that the participants achieved their goal of pain reduction and perceived that the intervention was a success.…”

“…Fourteen were exercise-based interventions for specific joint pain, and one used exercise for general musculoskeletal pain in obese persons. 75 An important point is that several of these identified studies included weight management or weight loss programs that contained exercise as a main component of the program. 76 …”

“…One investigation was designed to test the use of a “musculoskeletal pain physical therapy program” prior to entering a weight management program. 75 The weight management protocol included daily caloric restriction to 1,200–1,800 kcal/day and multimodal exercise (AX three times per week, RX two times per week). Snow et al 75 reported that patients who received the intervention had a reduction in mean bodily pain by 56% prior to participation.…”

“… 75 The weight management protocol included daily caloric restriction to 1,200–1,800 kcal/day and multimodal exercise (AX three times per week, RX two times per week). Snow et al 75 reported that patients who received the intervention had a reduction in mean bodily pain by 56% prior to participation. During the weight management phase, the intervention and control groups experienced similar weight loss, depression scores, and exercise capacity.…”