Accepted Manuscript Pain trajectory and exercise-induced pain flares during 8 weeks of neuromuscular exercise in individuals with knee and hip pain Louise Fleng Sandal, Ph.D.,Fellow, Ewa M. Roos, Signe Juler Bøgesvang, Jonas Bloch Thorlund PII:
S1063-4584(15)01373-4
DOI:
10.1016/j.joca.2015.11.002
Reference:
YJOCA 3622
To appear in:
Osteoarthritis and Cartilage
Received Date: 19 July 2015 Revised Date:
25 September 2015
Accepted Date: 2 November 2015
Please cite this article as: Fleng Sandal L, Roos EM, Bøgesvang SJ, Thorlund JB, Pain trajectory and exercise-induced pain flares during 8 weeks of neuromuscular exercise in individuals with knee and hip pain, Osteoarthritis and Cartilage (2015), doi: 10.1016/j.joca.2015.11.002. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Pain trajectory and exercise-induced pain flares during 8 weeks of neuromuscular exercise in individuals with knee and hip pain
RI PT
Author information Louise Fleng Sandal1, [email protected]. Ewa M. Roos1, [email protected]
1
M AN U
Jonas Bloch Thorlund1, [email protected]
SC
Signe Juler Bøgesvang1, [email protected]
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark,
Odense, Denmark
TE D
Corresponding author: Louise Fleng Sandal, Ph.D. Fellow
Research Unit for Musculoskeletal Function and Physiotherapy
EP
Department for Sports Science and Clinical Biomechanics University of Southern Denmark
AC C
Campusvej 55 5230 Odense M Denmark
Phone: + 45 65 50 43 84.
Email: [email protected]
Running title: “Pain trajectory in exercise”
ACCEPTED MANUSCRIPT Abstract
Objective: Patients considering or engaged in exercise as treatment may expect or experience
RI PT
transient increases in joint pain, causing fear of exercise and influencing compliance. This study investigated the pain trajectory during an 8-week neuromuscular exercise (NEMEX) program
SC
together with acute exercise-induced pain flares in persons with knee or hip pain.
Design: Individuals above 35 years self-reporting persistent knee or hip pain for the past 3 months
M AN U
were offered 8 weeks of supervised NEMEX, performed in groups twice weekly. The program consisted of 11 exercises focusing on joint stability and neuromuscular control. Participants selfreported joint pain on a 0 to 10 numerical rating scale (NRS) at baseline and 8–weeks follow-up.
TE D
NRS pain ratings were also collected before and immediately after every attended exercise session.
Results: Joint pain was reduced from baseline (NRS 3.6; 95% CI 3.2 to 4.1) to 8-weeks follow-up (2.6; 95% CI 2.1 to 3.1), (p
S1063-4584(15)01373-4
DOI:
10.1016/j.joca.2015.11.002
Reference:
YJOCA 3622
To appear in:
Osteoarthritis and Cartilage
Received Date: 19 July 2015 Revised Date:
25 September 2015
Accepted Date: 2 November 2015
Please cite this article as: Fleng Sandal L, Roos EM, Bøgesvang SJ, Thorlund JB, Pain trajectory and exercise-induced pain flares during 8 weeks of neuromuscular exercise in individuals with knee and hip pain, Osteoarthritis and Cartilage (2015), doi: 10.1016/j.joca.2015.11.002. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Pain trajectory and exercise-induced pain flares during 8 weeks of neuromuscular exercise in individuals with knee and hip pain
RI PT
Author information Louise Fleng Sandal1, [email protected]. Ewa M. Roos1, [email protected]
1
M AN U
Jonas Bloch Thorlund1, [email protected]
SC
Signe Juler Bøgesvang1, [email protected]
Department of Sports Science and Clinical Biomechanics, University of Southern Denmark,
Odense, Denmark
TE D
Corresponding author: Louise Fleng Sandal, Ph.D. Fellow
Research Unit for Musculoskeletal Function and Physiotherapy
EP
Department for Sports Science and Clinical Biomechanics University of Southern Denmark
AC C
Campusvej 55 5230 Odense M Denmark
Phone: + 45 65 50 43 84.
Email: [email protected]
Running title: “Pain trajectory in exercise”
ACCEPTED MANUSCRIPT Abstract
Objective: Patients considering or engaged in exercise as treatment may expect or experience
RI PT
transient increases in joint pain, causing fear of exercise and influencing compliance. This study investigated the pain trajectory during an 8-week neuromuscular exercise (NEMEX) program
SC
together with acute exercise-induced pain flares in persons with knee or hip pain.
Design: Individuals above 35 years self-reporting persistent knee or hip pain for the past 3 months
M AN U
were offered 8 weeks of supervised NEMEX, performed in groups twice weekly. The program consisted of 11 exercises focusing on joint stability and neuromuscular control. Participants selfreported joint pain on a 0 to 10 numerical rating scale (NRS) at baseline and 8–weeks follow-up.
TE D
NRS pain ratings were also collected before and immediately after every attended exercise session.
Results: Joint pain was reduced from baseline (NRS 3.6; 95% CI 3.2 to 4.1) to 8-weeks follow-up (2.6; 95% CI 2.1 to 3.1), (p
