Medical Exercise Therapy for Treating Musculoskeletal Pain: A Narrative Review of Results from Randomized Controlled Trials with a Theoretical Perspective

Background and Purpose The purpose of this narrative review is to present an overview and theoretical rationale of medical exercise therapy (MET) as a physiotherapeutic rehabilitation treatment for musculoskeletal pain conditions. Results from randomized controlled trials (RCTs) conducted on MET are...

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Veröffentlicht in:	Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2015-09, Vol.20 (3), p.182-190
Hauptverfasser:	Lorås, H., Østerås, B., Torstensen, T. A., Østerås, H.
Format:	Artikel
Sprache:	eng
Schlagworte:	biopsychosocial model exercise therapy Exercise Therapy - methods Female Humans Male Models, Theoretical musculoskeletal Musculoskeletal Pain - diagnosis Musculoskeletal Pain - rehabilitation Narration pain Pain Measurement Randomized Controlled Trials as Topic Severity of Illness Index Treatment Outcome
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container_title	Physiotherapy research international : the journal for researchers and clinicians in physical therapy
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creator	Lorås, H. Østerås, B. Torstensen, T. A. Østerås, H.
description	Background and Purpose The purpose of this narrative review is to present an overview and theoretical rationale of medical exercise therapy (MET) as a physiotherapeutic rehabilitation treatment for musculoskeletal pain conditions. Results from randomized controlled trials (RCTs) conducted on MET are also presented. Methods Computerized searches for any RCTs were conducted on the MET concept in the databases PubMed, Medline, Embase and ISI Web of science up to 2013. Results Overall findings from five included MET RCTs are long‐term (≥1 year) reductions in pain and improved physical and functional capabilities. These results are interpreted in the context of the biopsychosocial model, advancing the view of a dynamic interaction among physiologic, psychological and social factors that influence pain modulation. Discussion MET is a biopsychosocial treatment that reduces pain and improves activities of daily living in patients with a musculoskeletal pain condition. Pain modulation is a key feature of MET, and an important area for further research is to elucidate the specific mechanisms behind the treatment effects. Copyright © 2015 John Wiley & Sons, Ltd.
doi_str_mv	10.1002/pri.1632
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A. ; Østerås, H.</creator><creatorcontrib>Lorås, H. ; Østerås, B. ; Torstensen, T. A. ; Østerås, H.</creatorcontrib><description>Background and Purpose The purpose of this narrative review is to present an overview and theoretical rationale of medical exercise therapy (MET) as a physiotherapeutic rehabilitation treatment for musculoskeletal pain conditions. Results from randomized controlled trials (RCTs) conducted on MET are also presented. Methods Computerized searches for any RCTs were conducted on the MET concept in the databases PubMed, Medline, Embase and ISI Web of science up to 2013. Results Overall findings from five included MET RCTs are long‐term (≥1 year) reductions in pain and improved physical and functional capabilities. These results are interpreted in the context of the biopsychosocial model, advancing the view of a dynamic interaction among physiologic, psychological and social factors that influence pain modulation. Discussion MET is a biopsychosocial treatment that reduces pain and improves activities of daily living in patients with a musculoskeletal pain condition. Pain modulation is a key feature of MET, and an important area for further research is to elucidate the specific mechanisms behind the treatment effects. Copyright © 2015 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1358-2267</identifier><identifier>EISSN: 1471-2865</identifier><identifier>DOI: 10.1002/pri.1632</identifier><identifier>PMID: 26010954</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>biopsychosocial model ; exercise therapy ; Exercise Therapy - methods ; Female ; Humans ; Male ; Models, Theoretical ; musculoskeletal ; Musculoskeletal Pain - diagnosis ; Musculoskeletal Pain - rehabilitation ; Narration ; pain ; Pain Measurement ; Randomized Controlled Trials as Topic ; Severity of Illness Index ; Treatment Outcome</subject><ispartof>Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2015-09, Vol.20 (3), p.182-190</ispartof><rights>Copyright © 2015 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3922-765e97aa71b7244b461bc908b7dff8cf1e3dc4af622a16102efedac7352c76303</citedby><cites>FETCH-LOGICAL-c3922-765e97aa71b7244b461bc908b7dff8cf1e3dc4af622a16102efedac7352c76303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpri.1632$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpri.1632$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26010954$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lorås, H.</creatorcontrib><creatorcontrib>Østerås, B.</creatorcontrib><creatorcontrib>Torstensen, T. A.</creatorcontrib><creatorcontrib>Østerås, H.</creatorcontrib><title>Medical Exercise Therapy for Treating Musculoskeletal Pain: A Narrative Review of Results from Randomized Controlled Trials with a Theoretical Perspective</title><title>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</title><addtitle>Physiother. Res. Int</addtitle><description>Background and Purpose The purpose of this narrative review is to present an overview and theoretical rationale of medical exercise therapy (MET) as a physiotherapeutic rehabilitation treatment for musculoskeletal pain conditions. Results from randomized controlled trials (RCTs) conducted on MET are also presented. Methods Computerized searches for any RCTs were conducted on the MET concept in the databases PubMed, Medline, Embase and ISI Web of science up to 2013. Results Overall findings from five included MET RCTs are long‐term (≥1 year) reductions in pain and improved physical and functional capabilities. These results are interpreted in the context of the biopsychosocial model, advancing the view of a dynamic interaction among physiologic, psychological and social factors that influence pain modulation. Discussion MET is a biopsychosocial treatment that reduces pain and improves activities of daily living in patients with a musculoskeletal pain condition. Pain modulation is a key feature of MET, and an important area for further research is to elucidate the specific mechanisms behind the treatment effects. 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A.</creatorcontrib><creatorcontrib>Østerås, H.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lorås, H.</au><au>Østerås, B.</au><au>Torstensen, T. A.</au><au>Østerås, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medical Exercise Therapy for Treating Musculoskeletal Pain: A Narrative Review of Results from Randomized Controlled Trials with a Theoretical Perspective</atitle><jtitle>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</jtitle><addtitle>Physiother. Res. Int</addtitle><date>2015-09</date><risdate>2015</risdate><volume>20</volume><issue>3</issue><spage>182</spage><epage>190</epage><pages>182-190</pages><issn>1358-2267</issn><eissn>1471-2865</eissn><abstract>Background and Purpose The purpose of this narrative review is to present an overview and theoretical rationale of medical exercise therapy (MET) as a physiotherapeutic rehabilitation treatment for musculoskeletal pain conditions. Results from randomized controlled trials (RCTs) conducted on MET are also presented. 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subjects	biopsychosocial model exercise therapy Exercise Therapy - methods Female Humans Male Models, Theoretical musculoskeletal Musculoskeletal Pain - diagnosis Musculoskeletal Pain - rehabilitation Narration pain Pain Measurement Randomized Controlled Trials as Topic Severity of Illness Index Treatment Outcome
title	Medical Exercise Therapy for Treating Musculoskeletal Pain: A Narrative Review of Results from Randomized Controlled Trials with a Theoretical Perspective
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