Exercise and Persistent Musculoskeletal Pain—A Review and Recommendations for Personal Trainers

by Gary S. Stebbing, CSCS
Personal Training Quarterly October 2018
Vol 2, Issue 5

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Available to:
Members only
Audience:
Personal trainers
Keywords:
Pain Pain Management

Many personal trainers work with clients who are dealing with musculoskeletal pain that has negative consequences both on the client’s ability to exercise and their activities of daily living. This article discusses the different types of pain, and describes targeted approaches for training clients with persistent musculoskeletal pain.

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This article originally appeared in Personal Training Quarterly (PTQ)—a quarterly publication for NSCA Members designed specifically for the personal trainer. Discover easy-to-read, research-based articles that take your training knowledge further with Nutrition, Programming, and Personal Business Development columns in each quarterly, electronic issue. Read more articles from PTQ »

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References

1. Aitken, D, Buchbinder, R, Jones, G, and Winzenberg, T. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Australian Family Physician 44(1-2): 2015.

2. Bidonde, J, Busch, AJ, Schacter, CL, Overend, TJ, Kim, SY, et al. Aerobic exercise training for adults with fibromyalgia. Cochrane Database of Systematic Reviews, Issue 6. Art. No.: CD012700.DOI: 10.1002/14651858.CD012700. 2017.

3. Crombez, G, Eccleston, C, Van Damme, S, Vlaeyaen, JWS, and Karoly, P. Fear-avoidance model of chronic pain the next generation. Clinical Journal of Pain 28(6): 475-483, 2012.

4. Daenen, L, Varkey, E, Kellman, M, and Nijs, J. Exercise, not to exercise, or how to exercise patients with chronic pain? Applying science to practice. Clinical Journal of Pain 31:108-114, 2015.

5. Gangadharan, V, and Kuner, R. Pain hypersensitivity mechanisms at a glance. Disease Models & Mechanisms 6: 889-895, 2013.

6. Helms, JE, and Barone, CP. Physiology and treatment of pain. Critical Care Nurse 28(6): 38-49, 2008.

7. Hoffman, TC, Maher, CG, Briffa, T, Sherrington, C, Bennell, K, et al. Prescribing exercise interventions for patients with chronic conditions. CMAJ 188(7): 2016.

8. Hoover, DL, VanWye, WR, and Judge, LW. Periodisation and physical therapy: Bridging the gap between training and rehabilitation. Physical Therapy in Sport 1-20, 2015.

9. International Association for the Study of Pain (IASP) https:// www.iasp-pain.org/Taxonomy#Pain retrieved 08.03.2018.

10. Jones, LE, and O’Shaughnessy, DFP. The pain and movement reasoning model: Introduction to a simple tool for integrated pain assessment. Manual Therapy 19: 270-276, 2014.

11. Moseley, GL. Reconceptualising pain according to modern pain science. Physical Therapy Reviews

12: 169-178, 2007. 12. Nijs, J, Girbes, EL, Lundberg, M, Malfliet, A, and Sterling, M. Exercise therapy for chronic musculoskeletal pain: Innovation by altering pain memories. Manual Therapy 20:  216-220, 2015.

13. Nijs, J, Clark, J, Malfliet, A, Ickmans, K, Voogt, L, et al. In the spine of in the brain? Recent advances in pain neuroscience applied in the intervention for low back pain. Clinical and Experimental Rheumatology 35(suppl 107): S108-S115, 2017.

14. Walz, AD, Usichenko, T, Moseley, GL, and Lotze, M. Graded motor imagery and the impact on pain processing in a case of CRPS. Clinical Journal of Pain 1-4, 2012.

15. Wand, BM, Parkitny, L, O’Connell, NE, Luomajoki, H, McAuley, JH, Thacker, M, and Moseley, GL. Cortical changes in chronic low back pain: Current state of the art and implications for clinical practice. Manual Therapy 16: 15-20, 2011.

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Gary S. Stebbing, CSCS

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Gary Stebbing is a specialist in physical training and mental skills preparation. He studied sport and exercise science at the undergraduate level and ...

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Available to:
Members only
Audience:
Personal trainers
Keywords:
Pain Pain Management
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