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Evidence Summary (Updated 2022)
A systematic review with meta-analysis by Carnes et al looked at the effect of the physical activity components of self-management programmes on global wellbeing in those with chronic musculoskeletal pain. A moderate benefit was observed in the short and medium-term (7). One RCT of 21 patients included within a Cochrane review demonstrated an improvement of 40 on a self-reported 0-100 scale (4). Quality of life outcome measures were shown to improve with resistance training interventions in females with fibromyalgia (3).
Quality of Evidence
Grade B – moderate quality
Strength of recommendation
Grade 2 – weak recommendation
Conclusion
Regular physical activity may improve general wellbeing in those with chronic musculoskeletal pain. Many may report improvements due to the recognised benefit on their pain and function. 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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