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KMID : 1039620140040030186
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Korean Journal of Family Practice
2014 Volume.4 No. 3 p.186 ~ p.193
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Exercise Therapy for Musculoskeletal Pain
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Yang Yun-Jun
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Abstract
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Exercise is one of the important treatment methods for musculoskeletal problems. Chronic pain induces muscle hypotrophy and/ or joint stiffness which could be reduced by exercise. Chronic pain could be the cause of fatigue, weakness and even depression. Exercise can produce psychological well-being, better hormonal response, and more effective rehabilitation. Strength training may be the most important treatment method for some problems such as patellofemoral pain syndrome, tennis elbow, and golf elbow. The basic exercises for musculoskeletal diseases include aerobic exercise, resistance training, flexibility, and balance exercises. Exercises are helpful for shoulder impingement syndrome, instability, adhesive capsulitis, osteoarthritis, patellofemoral pain syndrome, lumbar sprain, herniated nucleus pulposus, spinal stenosis, golf elbow, tennis elbow, etc. To treat shoulder musculoskeletal pain, scapular stabilization and rotator cuff strengthening exercises are important. Stretching and strengthening exercises of the wrists are recommended for extensor and flexor tendinosis of elbow. For osteoarthritis prevention, walking, cycling, and swimming are recommended. For osteoarthritis treatment, aerobic and strength training are recommended because they might reduce pain and increase function, quality of life, and mental health. Exercise is good for chronic lower back pain, but not for acute lower back pain. Core stability exercise is recommended. Aerobic exercise is also good for chronic lower back pain. Exercise should be modified according to individual response.
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KEYWORD
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Exercise Therapy, Musculoskeletal Pain, Resistance Training, Low Back Pain, Osteoarthritis
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