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Acute exercise as a...
Acute exercise as active inference in chronic musculoskeletal pain, effects on gait kinematics and muscular activity in patients and healthy participants : a study protocol for a randomised controlled laboratory trial
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- Westergren, Jens (författare)
- Högskolan Dalarna,Idrotts- och hälsovetenskap,Vårdvetenskap,Dalarna Univ, Sweden
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- Sjöberg, Veronica (författare)
- Högskolan Dalarna,Vårdvetenskap,Medicinsk vetenskap,Dalarna Univ, Sweden
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- Vixner, Linda (författare)
- Högskolan Dalarna,Medicinsk vetenskap,Dalarna Univ, Sweden
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- Nyberg, Roger G., Doctor of Philosophy (författare)
- Högskolan Dalarna,Informatik,Dalarna Univ, Sweden
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- Moulaee Conradsson, David (författare)
- Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Karolinska Univ Hosp, Med Unit Occupat therapy & Physiotherapy, Theme Womens Hlth & Allied Hlth Profess, Stockholm, Sweden.
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- Monnier, Andreas (författare)
- Karolinska Institutet,Högskolan Dalarna,Medicinsk vetenskap,Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge,Dalarna Univ, Sweden; Karolinska Inst, Sweden
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- Lo Martire, Riccardo (författare)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Uppsala Univ, Sweden
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- Enthoven, Paul (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Äng, Björn (författare)
- Karolinska Institutet,Högskolan Dalarna,Uppsala universitet,Centrum för klinisk forskning Dalarna,Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.;Uppsala Univ, Reg Dalarna, Ctr Clin Res Dalarna, Falun, Sweden.;Reg Dalarna, Reg Board Adm, Falun, Sweden.,Medicinsk vetenskap,Karolinska Institutet; Center for Clinical Research Dalarna, Uppsala University, Region Dalarna, Falun; Regional Board Administration, Region Dalarna, Falun
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(creator_code:org_t)
- BMJ, 2023
- 2023
- Engelska.
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 13
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Abstract
Ämnesord
Stäng
- Introduction: Chronic musculoskeletal pain is a highly prevalent, complex and distressing condition that may negatively affect all domains of life. In view of an active inference framework, and resting on the concept of allostasis, human movement per se becomes a prerequisite for health and well-being while chronic pain becomes a sign of a system unable to attenuate an allostatic load. Previous studies on different subgroups of chronic pain conditions have demonstrated alterations in gait kinematics and muscle activity, indicating shared disturbances in the motor system from long-term allostatic load. We hypothesise that such alterations exist in heterogenous populations with chronic musculoskeletal pain, and that exposure to acute and controlled exercise may attenuate these alterations. Therefore, the main aim of this study is to investigate the acute effects of exercise on gait kinematics and activity of the back and neck muscles during diverse walking conditions in patients with chronic musculoskeletal pain compared with a reference sample consisting of healthy participants.Methods and analysis: This two-sample two-armed parallel randomised controlled laboratory trial will include 40 participants with chronic musculoskeletal pain (>3 months) and 40 healthy participants. Participants will be randomly allocated to either 30 min of aerobic exercise or rest. Primary outcomes are gait kinematics (walking speed, step frequency, stride length, lumbar rotation, gait stability) and muscular activity (spatial and temporal) of the back and neck during diverse walking conditions. Secondary outcomes are variability of gait kinematics and muscle activity and subjective pain ratings assessed regularly during the trial.Ethics and dissemination: The study has been approved by the Regional Ethics Review Board in Uppsala, Sweden (#2018/307). Findings will be disseminated via conference presentations, publications in peer-reviewed journals and engagement with patient support groups and clinicians.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Idrottsvetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Sport and Fitness Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
Nyckelord
- Back pain
- PAIN MANAGEMENT
- Musculoskeletal disorders
- Fysisk aktivitet, rörelsekontroll och muskelaktivitet hos personer med långvarig smärta
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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