What are active therapies?

Active therapies are treatments that require effort from you. They may increase your overall function and assist in managing your pain. Active therapies include activities such as aerobic training, muscle strengthening or conditioning, exercise to improve your balance or flexibility, functional exercises (those that help with everyday movements such as bending or lifting), sports and active hydrotherapy.

What is the evidence for active physical therapies?

In general, there is very strong evidence that regular use of active therapies will improve long-term chronic pain outcomes.

Are active therapies right for me?

Anyone can benefit from starting an active physical therapy program that is tailored to their needs, once it is developed with the help of their healthcare team.

Exercise

Regular exercise is one of the best ways to help relieve most persistent pain problems. Exercise in general is an important part of our lives, as it helps keep us healthy by maintaining the strength of our heart, lungs, bones and muscles. , When the body does not move, it can experience more pain from the stiffness of unused joints and muscles.

Having pain can make exercising or being active very difficult. This is especially true when starting a new exercise program. However, we know that taking part in a regular aerobic exercise routine (exercises that increase your heart rate) can reduce pain and improve physical functioning.

The benefits of exercise on pain and function may take some time to see. Often, people who live with persistent pain see improvements in fitness, strength and function before they see changes in pain.

An exercise program can include aerobic training, muscle strengthening or conditioning, balance, stretching or movements to increase flexibility, functional exercises or sports. When considering what type of exercise program to follow, make sure to discuss your options with a physiotherapist first. They can recommend exercises that are tailored to your individual needs. You may need to change your usual physical activities, but the physiotherapist can help you engage safely in activities that you enjoy. It is important to start a new exercise program slowly and build up gradually over time.

It is important to start a new exercise program slowly and build up gradually over time. This is called graded activity. The ultimate goal is to make physical activity part of your lifestyle, every day.

Active hydrotherapy

Active hydrotherapy is a specific form of active therapy in a heated pool. The exercise involves using the water to support your body weight while you exercise. This takes the pressure off your joints while still providing cardio and resistance training.

Exercising in the water can make you more physically comfortable and increase your range of motion. Water also acts as resistance to help strengthen your muscles and improve stability.