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Can Modified Neuromuscular Training Support the Treatment of Chronic Pain in Adolescents?

Thomas, Staci M. MS1; Sil, Soumitri PhD2; Kashikar-Zuck, Susmita PhD2; Myer, Gregory D. PhD1,3,–,6

Strength & Conditioning Journal: June 2013 - Volume 35 - Issue 3 - p 12–26
doi: 10.1519/SSC.0b013e31829206c1
Article

ABSTRACT: MANY ADOLESCENT PATIENTS WHO SUFFER FROM CHRONIC MUSCULOSKELETAL PAIN LIVE SEDENTARY LIVES BECAUSE OF DISCOMFORT AND FEAR OF FLARE-UPS WITH ACTIVITY. THEREFORE, BEFORE INITIATING PHYSICAL ACTIVITY, PATIENTS WITH CHRONIC PAIN WHO ARE INACTIVE SHOULD UNDERGO ADEQUATE TRAINING TO REDUCE THE RISK OF PAIN FLARE-UPS AND EVEN INJURY. IMPLEMENTING A NEUROMUSCULAR TRAINING PROGRAM, WHICH FOCUSES ON GENERAL AND SPECIFIC STRENGTH EXERCISES THAT TEACH PROPER TECHNIQUE AND JOINT MECHANICS, MAY PROVIDE AN OPPORTUNITY TO PREPARE FOR THE DEMANDS OF INCREASING PHYSICAL ACTIVITY. THIS ARTICLE PRESENTS THE DEVELOPMENT OF A NEUROMUSCULAR TRAINING PROTOCOL SPECIFICALLY DESIGNED FOR USE IN THIS CLINICAL POPULATION.

1Cincinnati Children's Hospital Medical Center, Division of Sports Medicine, Sports Medicine Biodynamics Center and Human Performance Laboratory, Cincinnati, Ohio;

2Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, Cincinnati, Ohio;

3Departments of Pediatrics and

4Orthopaedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio;

5Athletic Training Division, School of Allied Medical Professions, The Ohio State University, Columbus, Ohio; and

6Departments of Athletic Training, Rocky Mountain University of Health Professions, Provo, Utah

Conflicts of Interest and Source of Funding: Supported by the National Institutes of Health/NIAMS Grants R01-AR055563 and K24-AR056687. The authors report no conflicts of interest.

Staci M. Thomas is a clinical research coordinator for the Human Performance Laboratory in the Division of Sports Medicine at Cincinnati Children's Hospital Medical Center.

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Soumitri Sil is a psychology pain fellow specializing in pediatric pain management at Cincinnati Children's Hospital.

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Susmita Kashikar-Zuck is the lead psychologist of the Pediatric and is the lead of the Pediatric Pain Research and Treatment Program at Cincinnati Children's Hospital.

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Gregory D. Myer is the director of research and the Human Performance Laboratory for the Division of Sports Medicine at Cincinnati Children's Hospital Medical Center.

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© 2013 by the National Strength & Conditioning Association