The effectiveness of self-management exercise interventions in the reduction of distal upper limb musculoskeletal pain: a systematic review

Abstract

Review question: this review aims to explore the effectiveness of self-management exercise interventions for adult with distal upper limb musculoskeletal pain. The research questions of the review are:

1. What studies exist where self-management exercise interventions have been used, either as a stand-alone treatment or as part of a wider treatment programme, to improve pain, functioning and fatigue in adults with distal upper limb musculoskeletal pain?

2. What are the characteristic components of self-management exercise programmes, including mode of exercise, type, frequency and dosing of interventions promoting improvements in pain, functioning and fatigue for adults with distal upper limb musculoskeletal pain?

3. What is the quality of evidence for the effects of self-management exercise programmes on adults with distal upper limb musculoskeletal pain?

These questions will be combined to answer the overall review research question: ‘How effective are exercise based self-management interventions for improving pain, function and fatigue in distal upper limb musculoskeletal disorders?’

This is part of larger study in collaboration with the University of Leeds exploring what constitutes an effective self-management-based exercise intervention for MSK DUL conditions. The study may also help answer: "what behaviour change techniques (BCTs) and combinations of techniques are included in effective interventions for the treatment of distal upper limb musculoskeletal pain and whether they are associated with improved outcomes?"

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Identifiers

ORCID for James Gavin: orcid.org/0000-0003-0574-0502

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