Exercise and Activity in Pain Management: Difference between revisions
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== Introduction == | == Introduction == | ||
As defined by International Association for Study of Pain (IASP), pain is “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” It further states that “pain is always subjective, and each individual learns the application of the word through experiences related to injury in early life.” IASP also argues that activity induced in nociceptor and nociceptive pathways by noxious stimulus is not pain. <br>For people suffering from pain, their initial response is to avoid activity and seek rest. And yet exercise therapy is often prescribed as a treatment option to manage pain. There are known benefits of exercise and regular physical activity. CDC lists following as the benefits of physical activity: controls weight, reduces risk of cardiovascular disease and metabolic disease, reduces risk of some cancers, strengthens bones and muscles, improves mental health and mood, improves ability to perform daily activities and prevent falls, and increases chances of living longer. Exercises and physical activity not only have benefits in healthy individual but also has proven benefits in patients. Considering this some authors have postulated an idea that exercise should be considered as a drug<ref name="1">Vina J, Sanchis‐Gomar F, Martinez‐Bello V, Gomez‐Cabrera MC. Exercise acts as a drug; the pharmacological benefits of exercise. British journal of pharmacology. 2012 Sep 1;167(1):1-2.</ref>. And often most important benefit of exercise for patients is improved pain control<ref name="2">Kroll HR. Exercise Therapy for Chronic Pain. Physical medicine and rehabilitation clinics of North America. 2015 May 31;26(2):263-81.</ref>.<br><br> | As defined by International Association for Study of Pain (IASP), pain is “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” It further states that “pain is always subjective, and each individual learns the application of the word through experiences related to injury in early life.” IASP also argues that activity induced in nociceptor and nociceptive pathways by noxious stimulus is not pain. | ||
<br>For people suffering from pain, their initial response is to avoid activity and seek rest. And yet exercise therapy is often prescribed as a treatment option to manage pain. There are known benefits of exercise and regular physical activity. CDC lists following as the benefits of physical activity: controls weight, reduces risk of cardiovascular disease and metabolic disease, reduces risk of some cancers, strengthens bones and muscles, improves mental health and mood, improves ability to perform daily activities and prevent falls, and increases chances of living longer. Exercises and physical activity not only have benefits in healthy individual but also has proven benefits in patients. Considering this some authors have postulated an idea that exercise should be considered as a drug<ref name="1">Vina J, Sanchis‐Gomar F, Martinez‐Bello V, Gomez‐Cabrera MC. Exercise acts as a drug; the pharmacological benefits of exercise. British journal of pharmacology. 2012 Sep 1;167(1):1-2.</ref>. And often most important benefit of exercise for patients is improved pain control<ref name="2">Kroll HR. Exercise Therapy for Chronic Pain. Physical medicine and rehabilitation clinics of North America. 2015 May 31;26(2):263-81.</ref>.<br><br> | |||
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Revision as of 04:49, 14 March 2016
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Tips for writing this page:
- Decribe the principles of exercise prescription and review the evidence about how these might need to be modified to for use in clinical practie for a pateint in pain - reps/sets/duration/intensity/pacing/goal setting/motivation.
- Review the current evidence based for exercise prescription to manage a pain experince. What are the underlying physiological process at work here?
- Are there any models/theories relating to exercise prescription for managing acute/chronic pain?
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Introduction[edit | edit source]
As defined by International Association for Study of Pain (IASP), pain is “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” It further states that “pain is always subjective, and each individual learns the application of the word through experiences related to injury in early life.” IASP also argues that activity induced in nociceptor and nociceptive pathways by noxious stimulus is not pain.
For people suffering from pain, their initial response is to avoid activity and seek rest. And yet exercise therapy is often prescribed as a treatment option to manage pain. There are known benefits of exercise and regular physical activity. CDC lists following as the benefits of physical activity: controls weight, reduces risk of cardiovascular disease and metabolic disease, reduces risk of some cancers, strengthens bones and muscles, improves mental health and mood, improves ability to perform daily activities and prevent falls, and increases chances of living longer. Exercises and physical activity not only have benefits in healthy individual but also has proven benefits in patients. Considering this some authors have postulated an idea that exercise should be considered as a drugCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. And often most important benefit of exercise for patients is improved pain controlCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title.
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References[edit | edit source]
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When prescribing exercise for pain amnagement it is important that we:
- Understand the parameters (i.e., mode, frequency, duration, intensity) of therapeutic exercise for pain relief.
- Describe how to modify exercise parameters as they relate to the pain condition, age, psychosocial factors, and patient's health status.
- Recognize the importance of implementing adjunct therapies to address issues related to exercise prescription (i.e., biopsychosocial, fear avoidance behaviour, catastrophizing, cognitive behavioural therapy).
- Understand the importance of patient education in prescribing therapeutic exercise, including the concept of motivation, pacing) to enhance overall treatment effectiveness and compliance.
