Are group-based and individual physiotherapy exercise programmes equally effective for musculoskeletal conditions? A systematic review and meta-analysis

Abstract

Only small, clinically irrelevant differences in pain or disability outcomes were found between group and individual physiotherapy incorporating exercise. Since all but one study included other interventions together with exercise in either the group or individual arm, deciphering the unique effect of the way in which exercise is delivered is difficult. Group interventions may need to be considered more often, given their similar effectiveness and potentially lower healthcare costs.

Behaviour change techniques associated with adherence to prescribed exercise in patients with persistent musculoskeletal pain: Systematic review

“…Three trials reporting significant between-group differences administered the programme in a community health club (Harkapaa et al, 1991;Linton et al, 1996;Reilly et al, 1989), and two trials produced significant between-group differences with group exercise training (Coppack et al, 2012;Harkapaa et al, 1991). Additionally, given the effectiveness of group-based physiotherapy programmes on pain outcomes (O'Keeffe, Hayes, Mccreesh, Purtill, & O'Sullivan, 2016), further research should explore the integration of the BCTs within group-based classes. Enjoyment has been found to be a strong mediator of exercise adherence in people with musculoskeletal pain (Hagberg, Lindahl, Nyberg, & Hell enius, 2009).…”

“…This review did not include trials that measured enjoyment, but this provides some evidence that patients with pain conditions may have stronger adherence rates if they experience more tailored and varied exercise programmes. Additionally, given the effectiveness of group-based physiotherapy programmes on pain outcomes (O'Keeffe, Hayes, Mccreesh, Purtill, & O'Sullivan, 2016), further research should explore the integration of the BCTs within group-based classes.…”

Unlocking the potential of physical activity for back health

“…It is common for exercise to be combined with adjuncts (eg, manual therapy, back belts) in the treatment of LBP 5. In our quest to be ‘multimodal’ and ‘comprehensive’, could we be guilty of delivering a cocktail of contradictory approaches that could drive muddled thinking about LBP?…”

Comparison of the Effects of Physiotherapy Group Exercise and Basketball on Quality of Life of Obese Children

“…Moreover, various authors compared the effects of group based and individual based physiotherapy on the patients with similar diagnosis [23] [24] [25]. Both programs were found to be effective, but in some, group exercises had more effects and more cost efficiency.…”