10/01/2023
Last week, a new study was published to investigate why do some patients respond to exercise while others don't.
Two things stand out for us:
1) Responders to exercise feel empowered to change
2) Non-responders acknowledged that their poor adherence to exercise contributed to their lack of symptom improvement
This is why working with chronic pain clients is not just about making the problem go away. More often than that, psychosocial factors, including barriers to exercise, will need to be addressed.
"In contrast to responders who felt empowered to self-manage, non-responders accepted responsibility for lack of improvement in pain and function with exercise, acknowledging that their adherence to the intervention was sub-optimal (confirmed by quantitative adherence data). Non-responders believed their excess body weight (supported by quantitative data) contributed to their outcomes, encountered exercise barriers (comorbidities, stressors and life events) and perceived that the trial measurement tools did not adequately capture their response to exercise."
January 2023: Why don't some people with knee osteoarthritis improve with exercise? A qualitative study of responders and non-responders
Objective To compare the perceptions of patients about why they did, or did not, respond to a physiotherapist-supported exercise and physical activity program. Methods Qualitative study within a r...