ArticleSAGE open medicine2016
Associations between psychological factors and the effect of home-based physical exercise in women with chronic neck and shoulder pain.
Article in SAGE open medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Increased shoulder pain across an exercise session and subsequent shoulder exercise: a prospective cohort study.BMC musculoskeletal disorders · 2022Trial
- Efficacy of manual therapy on psychological status and pain in patients with neck pain. A randomized clinical trial.Saudi medical journal · 2021Trial
- Comparisons and associations of psychological factors and the number of painful sites in wheelchair basketball athletes with and without shoulder pain: A cross-sectional case-control study.The journal of spinal cord medicine · 2025Article
- Impact of Pain Self-Efficacy on Health Outcomes in High-Impact Chronic Pain: A Longitudinal Study.The Clinical journal of pain · 2025Article
- Barriers to home-based physical activity and predictors of activity levels among women with high sedentary habits: an explanatory mixed-methods study.BMC research notes · 2025Article
- Fear Avoidance Beliefs in Upper-Extremity Musculoskeletal Pain Conditions: Secondary Analysis of a Prospective Clinical Study on Digital Care Programs.Pain medicine (Malden, Mass.) · 2023Article
- Home training with or without joint mobilization compared to no treatment: a randomized controlled trial.Journal of physical therapy science · 2022Article
- Pain catastrophizing affects stair climbing ability in individuals with knee osteoarthritis.Clinical rheumatology · 2020Article
- The prevalence of fear avoidance and pain catastrophising amongst patients with chronic neck pain.The South African journal of physiotherapy · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExercise is often used in the treatment of chronic neck and shoulder muscle pain. It is likely that psychological aspects have an impact on the results of exercise-based treatments.
objectives(1) To examine the associations between psychological factors and the effect of a home-based physical exercise intervention. (2) To examine differences in psychological factors at baseline between (a) subjects who continued in the trial and those who did not and (b) subjects who completed the intervention and those who did not.
methodA total of 57 women with chronic neck and shoulder pain were included in a home-based exercise intervention trial. Pain intensity, disability, and psychological factors (anxiety and depression symptoms, catastrophizing, fear-avoidance beliefs, self-efficacy, and pain acceptance) were measured at baseline, after 4-6 months, and after 1 year of exercise. Associations between the psychological factors and changes in pain intensity and disability were analysed, as well as differences in psychological factors at baseline between subjects who continued in and completed the intervention, and those who did not.
resultsAssociations between positive changes in pain intensity and disability were found for low fear-avoidance beliefs and low-pain self-efficacy at baseline. In addition, fear-avoidance beliefs at baseline were higher in the subjects who dropped out of the intervention than in those who continued. Pain acceptance at baseline was higher in the subjects who completed the intervention at the end of the trial.
conclusionParticularly, fear-avoidance beliefs and pain self-efficacy should be taken into consideration when implementing home-based physical exercise as treatment for chronic neck pain. In addition, high pain acceptance might improve the adherence to prescribed exercise.
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