Comparison of pain-free versus pain-allowing exercise in adults with chronic musculoskeletal pain. A systematic review

Monge, Diogo Manuel Taveira

http://hdl.handle.net/10400.22/29654

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Authors

Monge, Diogo Manuel Taveira

Advisor(s)

Carvalho, Paulo

Caetano, Daniel

Abstract(s)

Chronic Musculoskeletal Pain (CMP) is a challenging condition for booth patients and healthcare professionals, with high societal costs, affecting on ein four people. Living with CMP means losing quality of life on physical, psychological, and social levels. Exercise emerges as a safe and accessible therapeutic approach, offering pain relief, improved sleep, and emotional well-being. Systematic Review of Randomized Controlled Trials. To compare the effect of exercises where pain is allowed with non-painful exercises on the progression of componentes suh as pain, function, and disability in patients with Chronic Musculoskeletal Pain. The primary outcomes assessed were pain, disability, and function. The research was conducted in the PubMed, PEDro, and Cochrane databases. The quality of the studies was assessed using the Cochrane Risk of Bias 2 and the PEDro Scale. The data were analyzed through a narrative synthesis. Fourteen randomized clinical trials involving 787 participants, with an average age of 48.1 years (±7.9 years). The duration of the interventions had an average follow-up period of 6 months (+/-SD). The average methodological quality was 6.3/10 on the PEDro Scale. Painfull exercises appear to offer more significant short-term benefits in reducing pain in patients with chronic musculoskeletal pain.