Effectiveness of multimodal circuit exercises for chronic musculoskeletal pain in older adults: A randomized controlled trial protocol

Daniele B G Ribeiro, Paulo R V Gentil, Renan A Resende, Rodrigo L Carregaro, Sérgio T D Fonseca, Wagner R Martins, Daniele B G Ribeiro, Paulo R V Gentil, Renan A Resende, Rodrigo L Carregaro, Sérgio T D Fonseca, Wagner R Martins

Abstract

Studies have shown that musculoskeletal pain is one of the most prevalent health conditions that affects many individuals worldwide. In older adults, persistent pain is a widely prevalent and a disabling condition of multiple contributing factors: physical, mental, and social. Consequently, their quality of life is hampered. We aimed to analyze the effectiveness of a multimodal circuit exercise program on chronic musculoskeletal pain and disabling in older adults. This is a randomized parallel study (two arms) with blinded outcome assessments. The participants' recruitment will be done by a non-probabilistic sampling resulting from invitations to Basic Health Units (BHU). The sample size estimation indicated 164 participants. Participants will be allocated, by means of a randomization process, to one of two groups (82 for each group): Experimental Group (multimodal circuit exercise) or Control Group (cycle of multidisciplinary lectures on pain and stretching exercise). All analyses will be processed using the RStudio software, with significance when a p-value of 2 tails is less than 5% (p<0.05). Statistical analysis will follow the intention to treat. Trial registration: ClinicalTrials.gov NCT04719130, January 20, 2021.

Keywords: Aged; Chronic Pain; Exercise; Musculoskeletal Pain.

Copyright: © 2022 Hylonome Publications.

Figures

Figure 1
Figure 1
6 (six) project steps.
Figure 2
Figure 2
Multimodal Circuit. * Indicate the first exercise program.

References

    1. Treede RD, Rief W, Barke A, et al. A classification of chronic pain for ICD-11 Pain. Published online. 2015
    1. Blyth FM, Noguchi N. Chronic musculoskeletal pain and its impact on older people. Best Pract Res Clin Rheumatol. 2017;31(2):160–168.
    1. Geneen L, Smith B, Clarke C, Martin D, Colvin LA, Moore RA. Physical activity and exercise for chronic pain in adults:An overview of Cochrane reviews. Cochrane Database Syst Rev. 2014;201(4):8.
    1. Watson JA, Ryan CG, Atkinson G, et al. Inter-Individual Differences in the Responses to Pain Neuroscience Education in Adults With Chronic Musculoskeletal Pain:A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Pain. 2021;22(1):9–20.
    1. Watson JA, Ryan CG, Cooper L, et al. Pain Neuroscience Education for Adults With Chronic Musculoskeletal Pain:A Mixed-Methods Systematic Review and Meta-Analysis. J Pain. 2019;20(10):1140.e1–1140.e22.
    1. Liu CJ, Changa WP, De Carvalho IA, Savagea KEL, Radforda LW, Thiyagarajan JA. Effects of physical exercise in older adults with reduced physical capacity:Meta-analysis of resistance exercise and multimodal exercise. Int J Rehabil Res. 2017;40(4):303–314.
    1. Cadore EL, Rodríguez-Mañas L, Sinclair A, Izquierdo M. Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults:A systematic review. Rejuvenation Res. 2013;16(2):105–114.
    1. Tarazona-Santabalbina FJ, Gómez-Cabrera MC, Pérez-Ros P, et al. A Multicomponent Exercise Intervention that Reverses Frailty and Improves Cognition, Emotion, and Social Networking in the Community-Dwelling Frail Elderly:A Randomized Clinical Trial. J Am Med Dir Assoc. 2016;17(5):426–433.
    1. Tricco AC, Thomas SM, Veroniki AA, et al. Comparisons of interventions for preventing falls in older adults:A systematic review and meta-analysis. JAMA - J Am Med Assoc. 2017;318(17):1687–1699.
    1. Bray NW, Smart RR, Jakobi JM, Jones GR. Exercise prescription to reverse frailty. Appl Physiol Nutr Metab. 2016;41(10):1112–1116.
    1. Chittrakul J, Siviroj P, Sungkarat S, Sapbamrer R. Multi-system physical exercise intervention for fall prevention and quality of life in pre-frail older adults:A randomized controlled trial. Int J Environ Res Public Health. 2020;17(9):1–13.
    1. Hayden JA, Cartwright JL, Riley RD, et al. Exercise therapy for chronic low back pain:Protocol for an individual participant data meta-analysis. Syst Rev. 2012;1(1):1–10.
    1. Hayden JA, Wilson MN, Stewart S, et al. Exercise treatment effect modifiers in persistent low back pain:An individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials. Br J Sports Med. 2020;54(21):1277–1278.
    1. Booth J, Moseley GL, Schiltenwolf M, Cashin A, Davies M, Hübscher M. Exercise for chronic musculoskeletal pain:A biopsychosocial approach Musculoskeletal Care. Published online. 2017
    1. O'Connor SR, Tully MA, Ryan B, et al. Walking exercise for chronic musculoskeletal pain:Systematic review and meta-analysis. Arch Phys Med Rehabil. 2015;96(4):724–734.E3.
    1. Reid MC, Eccleston C, Pillemer K. Management of chronic pain in older adults. BMJ. 2015;350(February):1–10.
    1. Alemanno F, Houdayer E, Emedoli D, et al. Efficacy of virtual reality to reduce chronic low back pain:Proof-of-concept of a nonpharmacological approach on pain, quality of life, neuropsychological and functional outcome. PLoS One. 2019;14(5):1–15.
    1. De Oliveira NTB, Dos Santos I, Miyamoto GC, Cabral CMN. Effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain:A protocol of a systematic review. Syst Rev. 2019;8(1):1–5.
    1. Dennison BS, Leal MH, Syndromes AP. Learn more about Numeric Rating Scale Mechanical neck pain Acute Pain. Published online. 2019
    1. Larner AJ. Mini-Mental State Examination:diagnostic test accuracy study in primary care referrals. Neurodegener Dis Manag. 2018;8(5):301–305.
    1. Guralnik JM, Seeman TE, Tinetti ME, Nevitt MC, Berkman LF. Validation and us of performance measures of functioning in a non-disables loder population. Aging Clin Exp Res. 1994;6(6):410–419.
    1. Guralnik JM, Ferrucci L, Pieper CF, et al. Lower extremity function and subsequent disability:Consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. Journals Gerontol - Ser A Biol Sci Med Sci. 2000;55(4):221–231.
    1. Fielding RA. 2008.pdf
    1. Short-Physical Performance Battery (SPPB) score is associated with falls in older outpatients _Enhanced Reader.pdf
    1. Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E. Development and validation of the Geriatric Anxiety Inventory. Int Psychogeriatrics. 2007;19(1):103–114.
    1. Lucas-Carrasco R. Spanish version of the geriatric depression scale:Reliability and validity in persons with mild-moderate dementia. Int Psychogeriatrics. 2012;24(8):1284–1290.
    1. Moraes de EN, Pereira AMVB, Azevedo RS, Moraes de FL. Do Idoso. 2018
    1. Lee PG, Jackson EA, Richardson CR. Exercise prescriptions in older adults. Am Fam Physician. 2017 Published online.
    1. Vespasiano BS, Dias R, Correa DA. A Utilização do Questionário Internacional de Atividade Física (IPAQ) como Ferramenta Diagnóstica do Nível de Aptidão Física:Uma Revisão no Brasil. Saúde em Rev. 2012;12(32):49–54.
    1. Dworkin RH, Turk DC, Wyrwich KW, et al. Interpreting the Clinical Importance of Treatment Outcomes in Chronic Pain Clinical Trials:IMMPACT Recommendations. J Pain. 2008;9(2):105–121.
    1. Ferreira KA, Teixeira MJ, Mendonza TR, Cleeland CS. Validation of brief pain inventory to Brazilian patients with pain. Support Care Cancer. 2011;19(4):505–511.
    1. Santos GV, Maranhão ASV, Goes BT, Mota R, de S, Baptista AF, Sá KN. Pain assessment through the brief pain inventory in a low socio-economic level population. Rev Dor. 2015;16(3):190–195.
    1. Arik G, Varan HD, Yavuz BB, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr. 2015;61(3):344–350.
    1. Azad A, Mohammadinezhad T, Taghizadeh G, Lajevardi L. Clinical assessment of activities of daily living in acute stroke:Validation of the Persian version of Katz Index. Med J Islam Repub Iran. 2017;31(1):178–183.
    1. Sperandio EF, Guerra RLF, Romiti M, Gagliardi AR, de T, Arantes RL, Dourado VZ. Reference values for the 6-min walk test in healthy middle-aged and older adults:from the total distance traveled to physiological responses. Fisioter em Mov. 2019;32:1–10.
    1. Holland AE, Spruit MA, Troosters T, et al. An official European respiratory society/American thoracic society technical standard:Field walking tests in chronic respiratory disease. Eur Respir J. 2014;44(6):1428–1446.
    1. Bretan O, Elias Silva J, Ribeiro OR, Eduardo Corrente J. Risk of falling among elderly persons living in the community:Assessment by the timed up and go test. Braz J Otorhinolaryngol. 2013;79(1):18–21.
    1. Karuka AH, Silva JAMG, Navega MT. Analysis of agreement of assessment tools of body balance in the elderly. Rev Bras Fisioter. 2011;15(6):460–466.
    1. Coelho-Junior HJ, Rodrigues B, Gonçalves I, de O, Asano RY, Uchida MC, Marzetti E. The physical capabilities underlying timed “Up and Go”test are time-dependent in community-dwelling older women. Exp Gerontol. 2018;104:138–146.
    1. Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exerc Sport. 1999;70(2):113–119.
    1. McAllister LS, Palombaro KM. Modified 30-Second Sit-to-Stand Test:Reliability and Validity in Older Adults Unable to Complete Traditional Sit-to-Stand Testing. J Geriatr Phys Ther. 2020;43(3):153–158.
    1. Robertson RJ, Goss FL, Rutkowski J, et al. Concurrent validation of the OMNI perceived exertion scale for resistance exercise. Med Sci Sports Exerc. 2003;35(2):333–341.
    1. State I, Nutrition P. Omni r. 2009;23(3):1011–1015.
    1. Elkins MR, Moseley AM. Intention-to-treat analysis. J Physiother. 2015;61(3):165–167.

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