We know from motor control research that pain affects motor control. Clinicians who use repeated motions as a form of evaluation and treatment often do not prescribe traditional strengthening exercises.
Recently, research has identified the benefits of prescribing exercises that will not only strengthen older patients, but also improve their quality of life and pain levels. PTs are not prescribing enough strengthening exercises, or are not challenging their patients enough (theraband only).
However, when a patient is in pain, say for their lumbar spine, how often do you prescribe core strengthening? Or if their shoulder hurts in all planes actively, passively, and to resistance, do you start out with prescribing traditional PREs?
There is no right or wrong answer here, just curious as to what other clinicians out there are doing with their patients who have pain during exercise as a first line intervention. I'll give my rationale for what I do in The Eclectic Approach next Thursday in Part 2.
Keeping it Eclectic...