Relaxation as treatment for chronic musculoskeletal pain–a systematic review of randomised controlled studies

Physical Therapy Reviews

Volumn 13, Issue 5, 2008, Pages 355-365

  Persson, Ann L ^a   Veenhuizen, Hanna ^b   Zachrison, Liv ^b   Gard, Gunvor ^b  

^a Rehabiliterings og Forskningscentret for Torturofre   (Denmark)

^b LUND UNIVERSITY   (Sweden)

Author keywords

AUTOGENIC TRAINING; BIOFEEDBACK; CHRONIC PAIN; GUIDED IMAGERY; HYPNOSIS; PROGRESSIVE RELAXATION

Indexed keywords

EID: 84877758916     PISSN: 10833196     EISSN: 1743288X     Source Type: Journal    
DOI: 10.1179/174328808X356366     Document Type: Review

References (54)

1. Andersson HI, Ejlertsson G, Leden I, Rosenberg C. Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. Clin J Pain 1993;9:174–82
2. Bergman S, Herrström P, Högström K, Petersson IF, Svensson B, Jacobsson LT. Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. J Rheumatol 2001;28:1369–77
3. McBeth J, Jones K. Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol 2007;21:403–25
4. Ektor-Andersen J, Janzon L, Sjölund B. Chronic pain and the sociodemographic environment: results from the Pain Clinic at Malmo General Hospital in Sweden. Clin J Pain 1993;9:183–8
5. Harkness EF, Macfarlane GJ, Silman AJ, McBeth J. Is musculoskeletal pain more common now than 40 years ago?: Two population-based cross-sectional studies. Rheumatology (Oxford) 2005;44:890–5
6. Merskey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. In: Merskey H, Bogduk N, eds Taskforce on taxonomy of the IASP. 2nd edn. Seattle: IASP Press, 1994;240
7. Ersek M, Turner JA, Cain KC, Kemp CA. Chronic pain selfmanagement for older adults: a randomized controlled trial [ISRCTN11899548]. BMC Geriatr 2004;4:7
8. Boersma K, Linton SJ. How does persistent pain develop? An analysis of the relationship between psychological variables, pain and function across stages of chronicity. Behav Res Ther 2005;43:1495–507
9. Lecky C. Are relaxation techniques effective in relief of chronic pain? Work 1999;13:249–56
10. Eriksen HR, Ursin H. Subjective health complaints, sensitization, and sustained cognitive activation (stress). J Psychosom Res 2004;56:445–8
11. Arnstein P. Chronic neuropathic pain: issues in patient education. Pain Manag Nurs 2004;5:34–41
12. Fishbain DA, Lewis J, Cole B, Cutler B, Smets E, Rosomoff H, Rosomoff RS. Multidisciplinary pain facility treatment outcome for pain-associated fatigue. Pain Med 2005;6:299–304
13. Bansevicius D, Westgaard RH, Jensen C. Mental stress of long duration: EMG activity, perceived tension, fatigue, and pain development in pain-free subjects. Headache 1997;37:499- 510
14. Anshel MH. Effect of chronic aerobic exercise and progressive relaxation on motor performance and affect following acute stress. Behav Med 1996;21:186–96
15. Pawlow LA, Jones GE. The impact of abbreviated progressive muscle relaxation on salivary cortisol. Biol Psychol 2002;60:1–16
16. Basler HD, Jakle C, Kroner-Herwig B. Incorporation of cognitive- behavioral treatment into the medical care of chronic low back patients: a controlled randomized study in German pain treatment centers. Patient Educ Couns 1997;31:113–24
17. Levine JD, Reichling DB., Fibromyalgia : the nerve of that disease. J Rheumatol Suppl 2005;75:29–37
18. Larsson R, Oberg PA, Larsson SE. Changes of trapezius muscle blood flow and electromyography in chronic neck pain due to trapezius myalgia. Pain 1999;79:45–50
19. Lidbeck J. Central hyperexcitability in chronic musculoskeletal pain: a conceptual breakthrough with multiple clinical implications. Pain Res Manag 2002;7:81–92
20. Flor H, Fydrich T, Turk DC. Efficacy of multidisciplinary pain treatment centers: a meta-analytic review. Pain 1992;49:221–30
21. Johansson C, Dahl J, Jannert M, Melin L, Andersson G. Effects of a cognitive-behavioral pain-management program. Behav Res Ther 1998;36:915–30
22. Taimela S, Takala EP, Asklöf T, Seppala K, Parviainen S. Active treatment of chronic neck pain: a prospective randomized intervention. Spine 2000;25:1021–7
23. Turner-Stokes L, Erkeller-Yuksel F, Miles A, Pincus T, Shipley M, Pearce S. Outpatient cognitive behavioral pain management programs: a randomized comparison of a group-based multidisciplinary versus an individual therapy model. Arch Phys Med Rehabil 2003;84:781–8
24. Jensen IB, Bergstrom G, Ljungquist T, Bodin L. A 3-year follow- up of a multidisciplinary rehabilitation programme for back and neck pain. Pain 2005;115:273–83
25. Jacobson E. Progressive relaxation. Chicago: University of Chicago Press, 1938
26. Schultz JH, Luthe W. Autogenic training: a psychophysiologic approach in psychotherapy. New York: Grune and Stratton, 1959
27. Menzies V, Gill Taylor A. The idea of imagination: an analysis of ‘imagery’. Adv Mind Body Med 2004;20:4–10
28. Kanji N. Management of pain through autogenic training. Complement Ther Nurs Midwifery 2000;6:143–8
29. Kupers R, Faymonville ME, Laureys S. The cognitive modulation of pain: hypnosis- and placebo-induced analgesia. Prog Brain Res 2005;150:251–69
30. Zahourek RP. Utilizing Ericksonian hypnosis in psychiatric- mental health nursing practice. Perspect Psychiatr Care 2002;38:15–22
31. Gatchel RJ. Pain clinic perspectives. Biofeedback as an adjunctive treatment modality in pain management. APS Bull 2004;14(4) Available online http://www.ampainsoc.org/pub/bulletin/jul04/clin1.htm
32. Guyatt GH, Sackett DL, Cook DJ. Users’ guides to the medical literature. II. How to use an article about therapy or prevention. A. Are the results of the study valid? Evidence-Based Medicine Working Group. JAMA 1993;270:2598–601
33. Scott J, Huskisson EC. Graphic representation of pain. Pain 1976;2:175–84
34. van Santen M, Bolwijn P, Verstappen F, Bakker C, Hidding A, Houben H, van der Heijde D, Landewe R, van der Linden S. A randomized clinical trial comparing fitness and biofeedback training versus basic treatment in patients with fibromyalgia. J Rheumatol 2002;29:575–81
35. Viljanen M, Malmivaara A, Uitti J, Rinne M, Palmroos P, Laippala P. Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: randomised controlled trial. BMJ 2003;327:475
36. Baird CL, Sands L. A pilot study of the effectiveness of guided imagery with progressive muscle relaxation to reduce chronic pain and mobility difficulties of osteoarthritis. Pain Manag Nurs 2004;5:97–104
37. Fors EA, Sexton H, Gotestam KG. The effect of guided imagery and amitriptyline on daily fibromyalgia pain: a prospective, randomized, controlled trial. J Psychiatr Res 2002;36:179–87
38. Keel PJ, Bodoky C, Gerhard U, Müller W. Comparison of integrated group therapy and group relaxation training for fibromyalgia. Clin J Pain 1998;14:232–8
39. Martin L, Nutting A, MacIntosh BR, Edworthy SM, Butterwick D, Cook J. An exercise program in the treatment of fibromyalgia. J Rheumatol 1996;23:1050–3
40. Richards SC, Scott DL. Prescribed exercise in people with fibromyalgia: parallel group randomised controlled trial. BMJ 2002;325:185
41. Gay MC, Philippot P, Luminet O. Differential effectiveness of psychological interventions for reducing osteoarthritis pain: a comparison of Erikson [correction of Erickson] hypnosis and Jacobson relaxation. Eur J Pain 2002;6:1–16
42. Lundgren S, Stenstrom CH. Muscle relaxation training and quality of life in rheumatoid arthritis. A randomized controlled clinical trial. Scand J Rheumatol 1999;28:47–53
43. Gustavsson C, von Koch L. Applied relaxation in the treatment of long-lasting neck pain: a randomized controlled pilot study. J Rehabil Med 2006;38:100–7
44. Hasson D, Arnetz B, Jelveus L, Edelstam B. A randomized clinical trial of the treatment effects of massage compared to relaxation tape recordings on diffuse long-term pain. Psychother Psychosom 2004;73:17–24
45. Spence SH, Sharpe L, Newton-John T, Champion D. Effect of EMG biofeedback compared to applied relaxation training with chronic, upper extremity cumulative trauma disorders. Pain 1995;63:199–206
46. Carroll D, Seers K. Relaxation for the relief of chronic pain: a systematic review. J Adv Nurs 1998;27:476–87
47. van Tulder MW, Koes B, Malmivaara A. Outcome of non-invasive treatment modalities on back pain: an evidence-based review. Eur Spine J 2006;15(Suppl 1):S64–81
48. Linton SJ. Chronic back pain: activities training and physical therapy. Behav Med 1994;20:105–11
49. Linton SJ. Chronic back pain: integrating psychological and physical therapy - an overview. Behav Med 1994;20:101–4
50. Baird CL, Sands LP. Effect of guided imagery with relaxation on health-related quality of life in older women with osteoarthritis. Res Nurs Health 2006;29:442–51
51. Menzies V, Taylor AG, Bourguignon C. Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. JAltern Complement Med 2006;12:23–30
52. Hay EM, Mullis R, Lewis M, Vohora K, Main CJ, Watson P, Dziedzic KS, Sim J, Minns Lowe C, Croft PR. Comparison of physical treatments versus a brief pain-management programme for back pain in primary care: a randomised clinical trial in physiotherapy practice. Lancet 2005;365:2024–30
53. Turner JA, Mancl L, Aaron LA. Short- and long-term efficacy of brief cognitive-behavioral therapy for patients with chronic temporomandibular disorder pain: a randomized, controlled trial. Pain 2006;121:181–94
54. Kaapa EH, Frantsi K, Sarna S, Malmivaara A. Multidisciplinary group rehabilitation versus individual physiotherapy for chronic nonspecific low back pain: a randomized trial. Spine 2006;31: 371–6