Walking Exercise for Chronic Musculoskeletal Pain: Systematic Review and Meta-Analysis

O’Connor, Seán; Tully, Mark A.; Ryan, Brigid; Bleakley, Chris; Baxter, G. David; Bradley, J.M.; McDonough, Suzanne

doi:10.1016/j.apmr.2014.12.003

Cited by 191 publications

(132 citation statements)

References 77 publications

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“…Furthermore, participants struggled with social isolation and stigma, which was lessened through the conscious support of family. Advice from family doctors was also a very important and with corroborated positive health outcomes in patients suffering from this disorder [10].…”

Section: Introductionmentioning

confidence: 99%

To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia

et al. 2016

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Walking improves health outcomes in fibromyalgia; however, there is low adherence to this practice. The aim of this research was to explore the beliefs of women suffering from fibromyalgia toward walking, and the meaning that they attribute to the behavior of walking as part of their fibromyalgia treatment. This study is a qualitative description research. Forty-six (46) women suffering from fibromyalgia and associated with local fibromyalgia associations located in four different Spanish cities (Elche, Alicante, Madrid, and Talavera de la Reina) participated in focus group discussions in the summer 2012. Thematic content analysis was performed in transcribed verbatim from interviews. Participants perceived several inhibitors for walking even when they had positive beliefs toward its therapeutic value. Whereas participants believed that walking can generate improvement in their disease and their health in general, they did not feel able to actually do so given their many physical impediments. Furthermore, participants struggled with social isolation and stigma, which was lessened through the conscious support of family. Advice from family doctors was also a very important facilitator to participants. In a health care delivery context that favors person-centered care, and in order to foster adherence to walking-based fibromyalgia treatments, it is recommended that therapeutic walking programs be tailored to each woman' individual circumstances, and developed in close collaboration with them to help them increase control over their health and their condition.

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Section: Introductionmentioning

confidence: 99%

To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia

et al. 2016

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“…Although walking has been recommended for fibromyalgia and is an accessible exercise with positive effects in health outcomes [5,33], our main findings indicate that only a small proportion of the fibromyalgia women were regular walkers, according to the minimum selected walking criteria. Most fibromyalgia participants either did not walk or walked less than the minimum.…”

Section: Discussionmentioning

confidence: 93%

“…Moderate aerobic exercise has shown improvements in pain intensity, physical function, depression, fatigue and quality of life [2,3]. Walking is a low-moderate intensity exercise, easily adaptable to a patient's situation, which has been recommended in fibromyalgia [4][5][6][7][8][9]. However, only moderate adherence has been reported.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of unsupervised walking and physical activity in a community population of women with fibromyalgia

et al. 2016

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Physical exercise is recognized as a component of the evidence-based guidelines for treatment of fibromyalgia. Walking is a low-moderate intensity exercise easily adaptable to a fibromyalgia patient's situation. The present study aims to estimate the prevalence of unsupervised walking for exercise in women with fibromyalgia, to describe their level of physical activity and to identify their predictors among socio-demographic, symptom perception and medical advice to walk. A cross-sectional survey with 920 women (all members of fibromyalgia associations) completed the International Physical Activity Questionnaire-Short Form and self-reported scales to assess symptom perception, walking, medical advice to walk and physical comorbidity. The prevalence of reported walking regularly as physical exercise was 30.8 % and it was predicted by medical advice (odds ratio, OR 1.876), age (OR 1.021) and fatigue intensity (OR 0.912). The prevalence of physical activity was 16 % for high-intensity activity, 40 % for moderate activity and 44 % for low activity. Predictors of low versus moderate and high physical activity were pain intensity (OR 1.171) and fatigue impact perception (OR 1.076). Evidence shows a low percentage of women with fibromyalgia walking regularly for physical exercise. Most reported low or moderate physical activity. The results indicate the importance of doctors' advice in promoting walking. Symptom perception and socio-demographic characteristics were weak predictors. Further work is required to examine other determinants of these low levels.

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“…Некоторое преи-мущество имеют физические упражнения на свежем воздухе (аэробная лечебная гимнастка), регулярные упражнения в домашних условиях по рекомендации спе-циалиста и пешие прогулки на свежем воздухе (не менее 3-4 раз в неделю по 30 мин). Пешие прогулки, ходьба -высокоэффективный метод лечения и профилактики хронической неспецифической боли в спине [24].…”

Section: лечение хронической неспецифической боли в спинеunclassified

Causes, Diagnosis and Treatment of Unspecific Lumbalgia: Myths and Reality

Парфенов¹,

Gerasimova²

2017

Med. sov.

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В едение пациентов с болью в пояснично-крест-цовой области (люмбалгией) -актуальная про-блема современной медицины. В нашей стране широко распространены различные мифы о причинах, диагностике и лечении люмбалгии, при этом современ-ные эффективные методы лечения не столь широко известны и не используются в полной мере [1]. МИФ 1. ОСТЕОХОНДРОЗ  ОСНОВНАЯ ПРИЧИНА ЛЮМБАЛГИИВ нашей стране многие врачи связывают боль в спине с остеохондрозом, но согласно международной класси-фикации болезней и синдромов 10-го пересмотра (МКБ-10) к остеохондрозу относят только дегенеративные изменения в межпозвоночном диске и возникающие вследствие этого дегенеративно-дистрофические изме-нения в позвонках [2]. Вызывающие боль в спине пато-морфологические изменения позвоночника (грыжа диска, спондилолистез, стеноз позвоночного канала и др.) рас-сматриваются отдельно от остеохондроза позвоночника (табл. 1). ПРИЧИНЫ ЛЮМБАЛГИИВыделяют три основные причины люмбалгии: 1) неспецифическая (скелетно-мышечная) боль; 2) серьез-ная патология (опухоль, травма, инфекция и др.); 3) дис-когенная радикулопатия, поясничный стеноз [3][4][5]. Наиболее часто (80-90% случаев) в клинической практи-ке встречается неспецифическая (скелетно-мышечная, механическая) боль, которая может быть вызвана пора-жением мышц и связок, межпозвоночного диска, фасе-точного сустава, крестцово-подвздошного сочленения [4]. В МКБ-10 неспецифическая боль в спине соответствует рубрикам М.54.5 -боль внизу спины (люмбалгия) и M54.4 -люмбаго с ишиасом [2].Компрессионная радикулопатия и поясничный стеноз отмечаются в 4-7% случаев, синдром конского хвоста -в 0,04%, другие причины, включая опухолевое поражение, травму, инфекции, ревматическое поражение, суммарно составляют менее 7% случаев [4].Неспецифическая люмбалгия имеет относительно бла-гоприятный прогноз, она проходит в течение нескольких дней или недель, но в части случаев принимает хрониче-ское течение и приводит к инвалидности. В современной биопсихосоциальной модели боли в спине выделяют био-логический (анатомические источники боли), а также пси-хологический и социальный аспекты. Хроническому тече-нию боли способствует неадекватное лечение острой боли, длительный постельный режим при острой боли в спине, чрезмерное ограничение физических нагрузок, «болевой» тип личности, пониженный фон настроения, в части случаев заинтересованность пациента в длительной нетрудоспособности, аггравация имеющихся симптомов или рентное отношение к болезни [4,6,7].

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Walking Exercise for Chronic Musculoskeletal Pain: Systematic Review and Meta-Analysis

Cited by 191 publications

References 77 publications

To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia

To walk or not to walk: insights from a qualitative description study with women suffering from fibromyalgia

Prevalence and predictors of unsupervised walking and physical activity in a community population of women with fibromyalgia

Causes, Diagnosis and Treatment of Unspecific Lumbalgia: Myths and Reality

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