The Association of Psychosocial Factors and Exercise-Induced Hypoalgesia in Healthy People and People With Musculoskeletal Pain: A Systematic Review.

Munneke, Wouter; Ickmans, Kelly; Voogt, Lennard

doi:10.1111/papr.12894

Article (Scientific journals)

The Association of Psychosocial Factors and Exercise-Induced Hypoalgesia in Healthy People and People With Musculoskeletal Pain: A Systematic Review.

Munneke, Wouter; Ickmans, Kelly; Voogt, Lennard

2020 • In Pain Practice, 20 (6), p. 676 - 694

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/307302

DOI
10.1111/papr.12894

PubMed
32255268

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Keywords :

exercise; exercise-induced hypoalgesia; musculoskeletal pain; psychosocial factors; Adult; Cross-Sectional Studies; Exercise/psychology; Female; Humans; Male; Musculoskeletal Pain/physiopathology; Musculoskeletal Pain/psychology; Musculoskeletal Pain/rehabilitation; Pain Perception/physiology; Pain Threshold/physiology; Pain Threshold/psychology; Young Adult; Pain Perception; Pain Threshold; Anesthesiology and Pain Medicine

Abstract :

[en] [en] BACKGROUND: Exercise, a cornerstone in current treatments for people with musculoskeletal pain, elicits a phenomenon called exercise-induced hypoalgesia (EIH), which may result in reduced pain intensity and/or increased pain thresholds. However, EIH can be impaired in patients with musculoskeletal pain, and psychosocial factors may play a mediating role in EIH. OBJECTIVE: The aim of this study was to systematically review the scientific literature regarding the association between psychosocial factors and EIH in healthy people and people with musculoskeletal pain. METHODS: An extensive search in databases including Medline Ovid, Embase, Web of Science, PsycINFO Ovid, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) EBSCOhost was carried out. Two reviewers independently carried out study selection, data extraction, and critical appraisal. Included studies analyzed the association or effect of psychosocial factors on EIH in adults with or without musculoskeletal pain. RESULTS: Nine cross-sectional studies were included, 6 involving healthy people and 4 involving people with musculoskeletal pain; 1 study included both. Overall risk of bias was high. Different types of exercise bouts, psychosocial factors, and/or outcome measures were used across studies. In healthy people and people with musculoskeletal pain, most studies did not find an association between psychosocial factors and EIH. However, 1 study involving musculoskeletal pain and 2 studies with healthy people did find a significant association. CONCLUSION: Due to poor quality and heterogeneity between studies, no conclusions can be drawn regarding whether psychosocial factors are associated with EIH or not. This review includes recommendations and directions for further research to investigate the role of psychosocial factors on EIH.

Disciplines :

Orthopedics, rehabilitation & sports medicine

Author, co-author :

Munneke, Wouter ; Université de Liège - ULiège > Evaluation-Revalidation (EVAREVA) ; Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands

Ickmans, Kelly ; Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium ; Pain in Motion International Research Group, Brussels, Belgium ; Department of Physical Medicine and Physiotherapy, University Hospital Brussel, Brussels, Belgium ; Research Foundation-Flanders (FWO), Brussels, Belgium

Voogt, Lennard ; Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands ; Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium ; Pain in Motion International Research Group, Brussels, Belgium

Language :

English

Title :

The Association of Psychosocial Factors and Exercise-Induced Hypoalgesia in Healthy People and People With Musculoskeletal Pain: A Systematic Review.

Publication date :

July 2020

Journal title :

Pain Practice

ISSN :

1530-7085

eISSN :

1533-2500

Publisher :

Blackwell Publishing Inc., United States

Volume :

Issue :

Pages :

676 - 694

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fpapr.12894

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