Skip to main content
Top
Published in: Systematic Reviews 1/2019

Open Access 01-12-2019 | Musculoskeletal Pain | Protocol

Effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain: a protocol of a systematic review

Authors: Naiane Teixeira Bastos de Oliveira, Irlei dos Santos, Gisela Cristiane Miyamoto, Cristina Maria Nunes Cabral

Published in: Systematic Reviews | Issue 1/2019

Login to get access

Abstract

Background

Chronic musculoskeletal pain affects the quality of life of older adults by interfering in their ability to perform activities of daily living. Aerobic exercise programs have been used in the treatment of various health conditions, including musculoskeletal disorders. However, there is still little evidence on the effects of aerobic exercise for the treatment of older adults with chronic musculoskeletal pain. Thus, the objective of this study is to assess the effects of aerobic exercise in improving pain and function of older adults with chronic pain as a consequence of different chronic musculoskeletal conditions.

Methods

The databases to be used in the search are PubMed, EMBASE, CINAHL, PEDro, and Cochrane Central Register of Controlled Trials (CENTRAL). Randomized controlled trials that used aerobic exercise in the treatment of older adults with chronic musculoskeletal pain will be included. Primary outcomes will be pain and function. We will use the PEDro scale to evaluate the methodological quality and statistical description of each included study, and the strength of the recommendations will be summarized using GRADE.

Discussion

The results of this systematic review will provide a synthesis of the current evidence on the effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain. In addition, this information can help health professionals in decision-making about the use of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain.

Ethics and dissemination

This systematic review was recorded prospectively, and the results will be part of a doctoral thesis to be published in a peer-reviewed international journal and possibly presented at international conferences.

Systematic review registration

PROSPERO, CRD42019118903.
Appendix
Available only for authorised users
Literature
1.
go back to reference Balcombe NR, Sinclair AJBP, Gastroenterology RC. Ageing: definitions, mechanisms and the magnitude of the problem. Best Pract Res Clin Gastroenterol. 2001;15(6):835–49.CrossRef Balcombe NR, Sinclair AJBP, Gastroenterology RC. Ageing: definitions, mechanisms and the magnitude of the problem. Best Pract Res Clin Gastroenterol. 2001;15(6):835–49.CrossRef
2.
go back to reference Scascighini L, Sprott H. Chronic nonmalignant pain: a challenge for patients and clinicians. Nat Rev Rheumatol. 2008;4(2):74.CrossRef Scascighini L, Sprott H. Chronic nonmalignant pain: a challenge for patients and clinicians. Nat Rev Rheumatol. 2008;4(2):74.CrossRef
3.
go back to reference Cavalieri TA. Pain management in the elderly. J Am Osteopath Assoc. 2002;102(9):481–5.PubMed Cavalieri TA. Pain management in the elderly. J Am Osteopath Assoc. 2002;102(9):481–5.PubMed
4.
go back to reference Stubbs B, Binnekade TT, Soundy A, Schofield P, Huijnen IP, Eggermont LH. Are older adults with chronic musculoskeletal pain less active than older adults without pain? A systematic review and meta-analysis. Pain Med. 2013;14(9):1316–31.CrossRef Stubbs B, Binnekade TT, Soundy A, Schofield P, Huijnen IP, Eggermont LH. Are older adults with chronic musculoskeletal pain less active than older adults without pain? A systematic review and meta-analysis. Pain Med. 2013;14(9):1316–31.CrossRef
5.
go back to reference Abdulla A, Bone M, Adams N, Elliott AM, Jones D, Knaggs R, et al. Evidence-based clinical practice guidelines on management of pain in older people. Age Ageing. 2013;42(2):151–3.CrossRef Abdulla A, Bone M, Adams N, Elliott AM, Jones D, Knaggs R, et al. Evidence-based clinical practice guidelines on management of pain in older people. Age Ageing. 2013;42(2):151–3.CrossRef
6.
go back to reference Patel KV, Guralnik JM, Dansie EJ, Turk DC. Prevalence and impact of pain among older adults in the United States: findings from the 2011 National Health and aging trends study. Pain. 2013;154(12):2649–57.CrossRef Patel KV, Guralnik JM, Dansie EJ, Turk DC. Prevalence and impact of pain among older adults in the United States: findings from the 2011 National Health and aging trends study. Pain. 2013;154(12):2649–57.CrossRef
7.
go back to reference Karttunen N, Lihavainen K, Sipilä S, Rantanen T, Sulkava R, Hartikainen S. Musculoskeletal pain and use of analgesics in relation to mobility limitation among community-dwelling persons aged 75 years and older. Eur J Pain. 2012;16(1):140–9.CrossRef Karttunen N, Lihavainen K, Sipilä S, Rantanen T, Sulkava R, Hartikainen S. Musculoskeletal pain and use of analgesics in relation to mobility limitation among community-dwelling persons aged 75 years and older. Eur J Pain. 2012;16(1):140–9.CrossRef
8.
go back to reference Gibson SJ, Farrell M. A review of age differences in the neurophysiology of nociception and the perceptual experience of pain. Clin J Pain. 2004;20(4):227–39.CrossRef Gibson SJ, Farrell M. A review of age differences in the neurophysiology of nociception and the perceptual experience of pain. Clin J Pain. 2004;20(4):227–39.CrossRef
9.
go back to reference Bicket MC, Mao J. Chronic pain in older adults. Anesthesiol Clin. 2015;33(3):577–90.CrossRef Bicket MC, Mao J. Chronic pain in older adults. Anesthesiol Clin. 2015;33(3):577–90.CrossRef
10.
go back to reference Karp J, Shega J, Morone N, Weiner D. Advances in understanding the mechanisms and management of persistent pain in older adults. Br J Anaesth. 2008;101(1):111–20.CrossRef Karp J, Shega J, Morone N, Weiner D. Advances in understanding the mechanisms and management of persistent pain in older adults. Br J Anaesth. 2008;101(1):111–20.CrossRef
11.
go back to reference Gibson S. Pain and aging: the pain experience over the adult life span. Prog Pain Res Manag. 2003;24:767–90. Gibson S. Pain and aging: the pain experience over the adult life span. Prog Pain Res Manag. 2003;24:767–90.
12.
go back to reference Makris UE, Abrams RC, Gurland B, Reid MC. Management of persistent pain in the older patient: a clinical review. JAMA. 2014;312(8):825–37.CrossRef Makris UE, Abrams RC, Gurland B, Reid MC. Management of persistent pain in the older patient: a clinical review. JAMA. 2014;312(8):825–37.CrossRef
13.
go back to reference Reid MC, Eccleston C, Pillemer K. Management of chronic pain in older adults. BMJ. 2015;350(7995):1–10. Reid MC, Eccleston C, Pillemer K. Management of chronic pain in older adults. BMJ. 2015;350(7995):1–10.
14.
go back to reference Lee I-M, Paffenbarger RS Jr. Associations of light, moderate, and vigorous intensity physical activity with longevity: the Harvard alumni health study. Am J Epidemiol. 2000;151(3):293–9.CrossRef Lee I-M, Paffenbarger RS Jr. Associations of light, moderate, and vigorous intensity physical activity with longevity: the Harvard alumni health study. Am J Epidemiol. 2000;151(3):293–9.CrossRef
15.
go back to reference Taylor A, Cable N, Faulkner G, Hillsdon M, Narici M, Van Der Bij A. Physical activity and older adults: a review of health benefits and the effectiveness of interventions. J Sports Sci. 2004;22(8):703–25.CrossRef Taylor A, Cable N, Faulkner G, Hillsdon M, Narici M, Van Der Bij A. Physical activity and older adults: a review of health benefits and the effectiveness of interventions. J Sports Sci. 2004;22(8):703–25.CrossRef
16.
go back to reference Engers PB, Rombaldi AJ, Portella EG, da Silva MC. The effects of the Pilates method in the elderly: a systematic review. Rev Bras Reumatol. 2016;56(4):352–65.CrossRef Engers PB, Rombaldi AJ, Portella EG, da Silva MC. The effects of the Pilates method in the elderly: a systematic review. Rev Bras Reumatol. 2016;56(4):352–65.CrossRef
17.
go back to reference Chatzitheodorou D, Kabitsis C, Malliou P, Mougios V. A pilot study of the effects of high-intensity aerobic exercise versus passive interventions on pain, disability, psychological strain, and serum cortisol concentrations in people with chronic low back pain. J Phys Ther. 2007;87(3):304–12.CrossRef Chatzitheodorou D, Kabitsis C, Malliou P, Mougios V. A pilot study of the effects of high-intensity aerobic exercise versus passive interventions on pain, disability, psychological strain, and serum cortisol concentrations in people with chronic low back pain. J Phys Ther. 2007;87(3):304–12.CrossRef
18.
go back to reference O'Connor SR, Tully MA, Ryan B, Bleakley CM, Baxter GD, Bradley JM, et al. Walking exercise for chronic musculoskeletal pain: systematic review and meta-analysis. Arch Phys Med Rehabil. 2015;96(4):724–34 e3.CrossRef O'Connor SR, Tully MA, Ryan B, Bleakley CM, Baxter GD, Bradley JM, et al. Walking exercise for chronic musculoskeletal pain: systematic review and meta-analysis. Arch Phys Med Rehabil. 2015;96(4):724–34 e3.CrossRef
19.
go back to reference Merskey HE. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Pain. 1995;11(2):123. Merskey HE. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Pain. 1995;11(2):123.
20.
go back to reference Furlan AD, Malmivaara A, Chou R, Maher CG, Deyo RA, Schoene M, et al. 2015 updated method guideline for systematic reviews in the Cochrane Back and neck group. Spine. 2015;40(21):1660–73.CrossRef Furlan AD, Malmivaara A, Chou R, Maher CG, Deyo RA, Schoene M, et al. 2015 updated method guideline for systematic reviews in the Cochrane Back and neck group. Spine. 2015;40(21):1660–73.CrossRef
21.
go back to reference Mancini MC, Cardoso JR, Sampaio RF, Costa L, Cabral C, Costa LO. Tutorial for writing systematic reviews for the Brazilian Journal of Physical Therapy (BJPT). Braz J Phys Ther. 2014;18(6):471–80.CrossRef Mancini MC, Cardoso JR, Sampaio RF, Costa L, Cabral C, Costa LO. Tutorial for writing systematic reviews for the Brazilian Journal of Physical Therapy (BJPT). Braz J Phys Ther. 2014;18(6):471–80.CrossRef
22.
go back to reference Shiwa SR, Moseley AM, Maher CG, Costa LOP. Language of publication has a small influence on the quality of reports of controlled trials of physiotherapy interventions. J Clin Epidemiol. 2013;66(1):78–84.CrossRef Shiwa SR, Moseley AM, Maher CG, Costa LOP. Language of publication has a small influence on the quality of reports of controlled trials of physiotherapy interventions. J Clin Epidemiol. 2013;66(1):78–84.CrossRef
23.
go back to reference Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713.PubMed Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713.PubMed
24.
go back to reference Yamato TP, Maher C, Koes B, Moseley A. The PEDro scale had acceptably high convergent validity, construct validity, and interrater reliability in evaluating methodological quality of pharmaceutical trials. J Clin Epidemiol. 2017;86:176–81.CrossRef Yamato TP, Maher C, Koes B, Moseley A. The PEDro scale had acceptably high convergent validity, construct validity, and interrater reliability in evaluating methodological quality of pharmaceutical trials. J Clin Epidemiol. 2017;86:176–81.CrossRef
25.
go back to reference Higgins J, Green S. Cochrane handbook for systematic reviews of interventions Version 5.1.0The Cochrane Collaboration; 2011. Higgins J, Green S. Cochrane handbook for systematic reviews of interventions Version 5.1.0The Cochrane Collaboration; 2011.
26.
go back to reference Balshem H, Helfand M, Schünemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol. 2011;64(4):401–6.CrossRef Balshem H, Helfand M, Schünemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol. 2011;64(4):401–6.CrossRef
Metadata
Title
Effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain: a protocol of a systematic review
Authors
Naiane Teixeira Bastos de Oliveira
Irlei dos Santos
Gisela Cristiane Miyamoto
Cristina Maria Nunes Cabral
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2019
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-019-1165-7

Other articles of this Issue 1/2019

Systematic Reviews 1/2019 Go to the issue