Is the Use of Group Exercises in a Public Pool an Effective and Economic Tool in the Management of Patients with Chronic Musculoskeletal Pain?

Abstract

of MSc Dissertation Is the Use of Group Exercises in a Public Pool an Effective and Economic Tool in the Management of Patients with Chronic Musculoskeletal Pain? Kathleen Reilly MSc BA MCSP Summary of a submission for an MSc in pain management from the University of Wales College of Medicine The intention of this paper is to use a literature review to ascertain whether evidence exists to support the use of group exercises in water in a public swimming pool as a means of reducing the effects of chronic pain. It is suggested that it works by improving physical fitness and thus functional ability while simultaneously helping with the psychosocial problems which often accompany chronic pain. The current literature on exercise, its general effects and some more particular applications, as well as research on hydrotherapy and group work are critically reviewed in depth.The importance of a non-hospital setting and the role of a physiotherapist today are also examined. A single case example of a patient who has taken part illustrates the programme in action. The features which distinguish this method of treatment of chronic musculoskeletal pain from that which is normally offered under the NHS are: Physiotherapy is in the form of supervision rather than treatment. Sessions take place in a community rather than a hospital setting. General exercise is given in a supported environment using exercise as a pain management strategy rather than a particular exercise for a specific musculoskeletal problem. Treatment is in an open group with no time limit and social interaction is encouraged.