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Evidence Summary (Updated 2022)
There is good evidence that physical activity interventions improve physical function in those with chronic pain. Aerobic exercise, such as walking interventions, have been shown to significantly improve physical function to a moderate degree in the short, medium and long-term (8). A moderate effect in favour of improvement has also been demonstrated with resistance exercises (4). Interventions that include group-based activities with a psychological component have been shown to be most beneficial (7).
Quality of Evidence
Grade A – high quality
Strength of recommendation
Grade 1 – strong recommendation
Conclusion
Regular physical activity, including aerobic and resistance exercises, can significantly improve physical function in those with chronic musculoskeletal pain and should be advised. Consider referring those with a significant psychosocial contribution to their presentation to group-based exercise intervention programmes with a psychological component.
References
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