Adherence
Painful exercises (using a threshold or tolerability limit) may offer small but significant benefits over pain-free exercises in the short term for chronic musculoskeletal pain, though this is unknown for people with haemophilia.
For chronic musculoskeletal pain, allowing some pain during exercise (within a safe threshold) might be more beneficial in the short term than strictly avoiding pain. However, for people with haemophilia, this approach needs more research to determine safety and efficacy.
A systematic review in chronic musculoskeletal pain (e.g., low back pain, shoulder pain) reported that painful exercises offer a small but significant benefit compared with pain-free exercises in the short-term.
Why this rating
Based on a cited systematic review in chronic musculoskeletal pain, not directly on haemophilia trials.
Source
Exercise variables and pain threshold reporting for strength training protocols in people with haemophilia: A systematic review of clinical trials
Carlos Cruz‐Montecinos et al. · Haemophilia · 2023
DOI 10.1111/hae.14753
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