par Chalon, Morgane
Référence Revue médicale de Bruxelles, 44, 4, page (278-283)
Publication Publié, 2023-09
Article révisé par les pairs
Résumé : Chronic pain is defined as pain that persists for more than twelve weeks. This contributes to loss of autonomy, low quality of life, depressive affect, sleep disturbance and healthcare costs. The definition of chronic pain has been revised by the International Association for Study of Pain (IASP), the IASP supports the bio-psycho-social model of pain, which can have adverse effects on individual’s functioning, social and psychological well-being. Physical activity and exercise programs are increasingly encouraged and offered in healthcare systems for a variety of chronic pain conditions. The level of evidence for the effectiveness of exercise programs varies according to the different pathologies, but physical exercise has both direct and indirect benefits on chronic pain. Effective exercise regimens include patient education and cognitive-behavioural therapy interventions to encourage the development and acquisition of more adaptive pain management strategies. In chronic pain, there are no clear guidelines for physical activity. The importance is to encourage people to get moving again or to take part in activities at the right dosage. This leaves some freedom in prescribing exercise and physical activity treatments. These treatments work best when they are tailored to each individual, progress slowly and take into account physical limitations, psychosocial needs and available resources.