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Titre : | Effects of a single exercise session on pain intensity in adults with chronic pain: a systematic review and meta-analysis (2022) |
Auteurs : | Brishna Shah ; Michael A. Wewege ; Yannick L. Gilanyi ; Briana K. Clifford ; Jack J. Devonshire ; James H. McAuley ; Matthew D. Jones |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 62, December 2022) |
Article en page(s) : | 102679 |
Note générale : | https://doi.org/10.1016/j.msksp.2022.102679 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Analgésie ; Douleur chronique ; Douleur musculosquelettique ; Exercice physique ; Méta-analyse |
Résumé : | Background Chronic pain is prevalent amongst society, making it necessary to find strategies to manage chronic pain. Regular exercise is efficacious; however, pain is a barrier to initiating exercise. A single exercise session is also believed to acutely reduce pain, however, the evidence for this is less robust. Objectives This systematic review and meta-analysis aimed to identify the effect of a single exercise session on pain intensity in adults with chronic pain. Methods We searched eight databases and trial registries to identify randomised controlled trials evaluating the effect of a single exercise session on pain intensity in adults with chronic pain compared to a non-exercise control. Literature screening, data extraction, risk of bias (Cochrane 2.0) and quality assessment (GRADE) were conducted independently and in duplicate. Random-effects meta-analyses were performed using the metafor package in R. Results We included 17 trials (46 study arms with 664 adults [44% female]). There were no significant differences in pain intensity (mean difference on a 0-10 scale) immediately post-exercise ?0.02 (95% CI = ?0.06, 0.62; I2 = 77.1%) or up to 45-min post-exercise ?0.17 (95% CI = ?0.49, 0.16; I2 = 34.2%). All trials were at high risk of bias and the overall confidence in these findings was very low. Conclusion A single exercise session did not reduce pain intensity up to 1-h post-exercise. Notably, increases in pain were not observed either, suggesting that while pain can be a barrier to initiating exercise, clinicians can educate patients on the unlikelihood of exercise acutely increasing pain intensity. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781222001795 |