European researchers have published a systematic review and meta-analysis looking at the effects of musculoskeletal rehabilitation intervention on movement-evoked pain. They looked at 38 trials which assessed 60 different interventions. There was moderate-certainty evidence of a beneficial effect of exercise therapy compared to no treatment (SMD=-0.65; 95%CI -0.83,-0.47; p<0.001) on movement-evoked pain in adults with musculoskeletal pain. There was low-certainty evidence of a beneficial effect of transcutaneous electrical nerve stimulation compared to no treatment (SMD=-0.46; 95%CI -0.71,-0.21; p=0.0004). There was no benefit of transcutaneous electrical nerve stimulation when compared to sham transcutaneous electrical nerve stimulation (SMD=-0.28; 95%CI: -0.60,0.05; p=0.09; moderate-certainty evidence).
Excerpted from: Leemans, L, Poli A, Nijs J, Wideeman T, den Bandt H, Beckwee D. It hurts to move! Assessing and Treatming movement-eovked pain in paitnes with musculoskeletal pain: a systematic review with meta-analysis. J Orthop Sports Phys Ther. Epub 5 Feb 2022. doi:10.2519/jospt.2022.10527.
