The Influence of Exercise Intensity on Psychosocial Outcomes in Musculoskeletal Disorders: A Systematic Review

Klaps, Sim; Haesevoets, Sarah; Verbunt, Jeanine; Köke, Albère; Janssens, Lotte; Timmermans, Annick; Verbrugghe, Jonas

doi:10.1177/19417381221075354

Cited by 4 publications

(3 citation statements)

References 98 publications

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“…The lack of effect of MM is consistent with the findings of Wen et al. [ 31 ] who found that mindfulness interventions, as a PE similar to MM, do not generate an important effect in QOL in LBP patients, but the participants acquired relevant benefits in pain and disability [ 32 ]. A systematic review found that QOL improved with moderate to high intensity exercise interventions.…”

Section: Discussionsupporting

confidence: 87%

Mézières Method as a practice of embodiment in patients with low back pain: a mixed study

Alfonso-Mora,

Guerra-Balic,

Sánchez-Martín

et al. 2023

Annals of Medicine

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Introduction The objectives of this study were to determine the effects of the Mézières Method (MM) on pain and disability related to low back pain (LBP), compared to a program of heat, massage and exercise, and to understand the meaning of the bodily experience with the MM. Patients and methods Mixed methods convergent parallel design, combining an equivalent randomized clinical trial with a qualitative phenomenological approach. Sixty-one participants aged 18–65 years with chronic non-specific LBP lasting more than 3 months. Patients were randomized into two groups: the MM group ( n = 29) and the comparison group (CG) who received heat, massage plus flexibility and strengthening exercises ( n = 31). MM and CG participants underwent 10 one-hour physical therapy sessions over a 5-week period and were evaluated three times: pre-intervention, post-intervention and follow-up at 6 weeks after the end of treatment. Results Both groups reported positive effects on LBP . MM group showed superior effects in pain relief in the short term (Cohen’s D 0.80; p = 0.004). Participants interpreted the interaction with the MM as a teaching–learning process that allowed body awareness. Conclusion Both treatment were similarly beneficial but MM had superior effects on pain in the short term. MM is perceived by the participants as a teaching–learning process focused on body awareness that facilitate effective management of LBP.

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Section: Discussionsupporting

confidence: 87%

Mézières Method as a practice of embodiment in patients with low back pain: a mixed study

Alfonso-Mora,

Guerra-Balic,

Sánchez-Martín

et al. 2023

Annals of Medicine

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“…Prior research supports that individuals with nociplastic pain conditions characterized by elevated temporal summation[ 18 ] demonstrate the greatest benefit from low to moderate intensity exercise. [ 43 ] An additional novel finding of this study is that a higher heat pain threshold at a distant site is moderately correlated with greater EIH during low intensity exercise. Heat pain threshold and temporal summation are both C-fiber mediated, suggesting this pathway may be associated with response to low intensity exercise.…”

Section: Discussionmentioning

confidence: 81%

Exercise induced hypoalgesia during different intensities of a dynamic resistance exercise: A randomized controlled trial

Wilson,

Pinette,

Lyons

et al. 2024

PLoS ONE

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Introduction Exercise produces an immediate lessening of pain sensitivity (Exercise-Induced Hypoalgesia (EIH)) in healthy individuals at local and distant sites, possibly through a shared mechanism with conditioned pain modulation (CPM). Dynamic resistance exercise is a recommended type of exercise to reduce pain, yet limited research has examined the effects of intensity on EIH during this type of exercise. Therefore, the primary purpose of this study is to compare changes in PPT at a local and distant site during a leg extension exercise at a high intensity, a low intensity, or a quiet rest condition. A secondary purpose is to examine if CPM changes after each intervention. The final purpose is to examine if baseline pain sensitivity measures are correlated with response to each intervention. Methods In a randomized controlled trial of 60 healthy participants, participants completed baseline pain sensitivity testing (heat pain threshold, temporal summation, a cold pressor test as measure of CPM) and were randomly assigned to complete a knee extension exercise at: 1) high intensity (75% of a 1 Repetition Maximum (RM), 2) low intensity (30% 1RM), or 3) Quiet Rest. PPT was measured between each set at a local (quadriceps) and distant (trapezius) site during the intervention. CPM was then repeated after the intervention. To test the first purpose of the study, a three-way ANOVA examined for time x site x intervention interaction effects. To examine for changes in CPM by group, a mixed-model ANOVA was performed. Finally, a Pearson Correlation examined the association between baseline pain sensitivity and response to each intervention. Results Time x site x intervention interaction effects were not significant (F(5.3, 150.97) = 0.87, p = 0.51, partial eta2 = 0.03). CPM did not significantly change after the interventions (time x intervention F(1,38) = 0.81, p = 0.37, partial eta2 = 0.02. EIH effects at the quadriceps displayed a significant, positive moderate association with baseline HPT applied over the trapezius (r = 0.61, p<0.01) and TS (r = 0.46, p = 0.04). Discussion In healthy participants, PPT and CPM did not significantly differ after a leg extension exercise performed at a high intensity, low intensity, or quiet rest condition. It is possible pre-intervention CPM testing with a noxious stimuli may have impaired inhibitory effects frequently observed during exercise but future research would need to examine this hypothesis.

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“…First, participants reported demographic factors (age, sex, race, ethnicity) on a standard intake form and completed pain-related psychological questionnaires as these factors can influence response to exercise [30,32]. Participants completed the Pain Catastrophizing Scale (PCS), Fear of Pain Questionnaire-9 (FPQ-9), Pain Anxiety Symptom Scale-20 (PASS-20), and the Brief Resilience Scale (BRS).…”

Section: Methodsmentioning

confidence: 99%

The Effect of Myofascial Stretching on Mechanical Nociception and Contributing Neural Mechanisms

Anderson,

Soncini,

Lyons

et al. 2024

NeuroSci

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Myofascial stretching is often prescribed in the management of musculoskeletal pain. However, the neural mechanisms contributing to a decrease in pain are unknown. Stretching produces a sensation that may act as a conditioning stimulus in a conditioned pain modulation response. The purpose of this study was to compare immediate changes in pressure pain thresholds (PPTs) during a low-intensity stretch, moderate-intensity stretch, and cold water immersion task. A secondary purpose was to examine if personal pain sensitivity and psychological characteristics were associated with the responses to these interventions. Twenty-seven (27) healthy participants underwent a cross-over study design in which they completed a cold water immersion task, upper trapezius stretch to the onset of the stretch sensation, and a moderate-intensity stretch. A significant condition x time effect was observed (F (8,160) = 2.85, p < 0.01, partial eta2 = 0.13), indicating reductions in pain sensitivity were significantly greater during a cold water immersion task compared to moderate-intensity stretching at minutes two and four. Widespread increases in heat pain threshold and lower pain-related anxiety were moderately correlated with the response to the cold water immersion task but not stretching. Moderate-intensity stretching may not elicit a conditioned pain modulation response possibly because the stretch was not intense enough to be perceived as painful.

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The Influence of Exercise Intensity on Psychosocial Outcomes in Musculoskeletal Disorders: A Systematic Review

Cited by 4 publications

References 98 publications

Mézières Method as a practice of embodiment in patients with low back pain: a mixed study

Mézières Method as a practice of embodiment in patients with low back pain: a mixed study

Exercise induced hypoalgesia during different intensities of a dynamic resistance exercise: A randomized controlled trial

The Effect of Myofascial Stretching on Mechanical Nociception and Contributing Neural Mechanisms

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