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Exercise is commonly used by physiotherapists when working with people living with pain. Whilst exercise has been shown to have many health benefits and is supported by the evidence base, there can be challenges faced when engaging in exercise, specifically flare ups. This can lead to decreased engagement and perpetuation of psychosocial factors. Using a biopsychosocial approach this lecture aims to draw from various bodies of research to formulate an approach to using exercise dosage within chronic pain management.
Learning objectives:
You should be able to formulate a dosed exercise program
You should be able to use various objective measures in exercise
You should be able to discuss activity rehabilitation strategies
The basics of exercise dosage for people living with pain, from the FITT principle and a clinical reasoning funnel to risk stratification with the Ă–rebro questionnaire, self-regulation and how psychosocial factors raise sensitivity.
What the evidence says about exercise-induced hypoalgesia and exercising into pain, how load and recovery shape adaptation, and how RPE, a distress scale and repetitions in reserve can be used to measure and record dose.
Pacing strategies for nociceptive and neuropathic pain, using the Mount Everest and rattlesnake metaphors, the pain monitoring model, the evidence on exercise for neuropathic pain, and flexible persistence with when-then plans.
Exercise is commonly used by physiotherapists when working with people living with pain. Whilst exercise has been shown to have many health benefits and is supported by the evidence base, there can be challenges faced when engaging in exercise, specifically flare ups. This can lead to decreased engagement and perpetuation of psychosocial factors. Using a biopsychosocial approach this lecture aims to draw from various bodies of research to formulate an approach to using exercise dosage within chronic pain management.
Learning objectives:
You should be able to formulate a dosed exercise program
You should be able to use various objective measures in exercise
You should be able to discuss activity rehabilitation strategies
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