title: The Effect of Contralateral Exercise on Patient Pain and Range of Motion.
abstract: Clinical Scenario: Pain and range of motion (ROM) deficits are 2 issues that are commonly treated by clinicians. In certain instances, clinicians are tasked with treating patients who report with both pain and limited mobility. Currently, clinicians utilize a variety of different methods to combat pain and ROM limitations, but in singularity. However, contralateral exercises (CEs) may be a viable option that can have an effect on pain, ROM, or simultaneous effect on both.
  
  
  OBJECTIVE
  For patients with pain and/or ROM deficits, will CE decrease pain and increase ROM?
  
  
  RESULTS
  CE can have a significant effect on ipsilateral muscle activation, strength, as well as available motion on the contralateral limb. However, there is limited research on CE that explores effects on pain. Clinical Bottom Line: According to current evidence, CE can be a feasible option for clinicians trying to increase a patient's ROM. Furthermore, there can be enhanced effects on stability, muscle strength, and muscle activation due to CE. Strength of Recommendation: Studies that have been included are a level of 4 or higher based on Center for Evidence Based Medicine. However, future studies both of higher levels and variability should be conducted.
authors.forename: Smokey
authors.initials: S
authors.lastname: Fermin
authors.forename: Lindsay
authors.initials: L
authors.lastname: Larkins
authors.forename: Sarah
authors.initials: S
authors.lastname: Beene
authors.forename: David
authors.initials: D
authors.lastname: Wetzel
mesh_terms: D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D053580:Muscle Strength; D018482:Muscle, Skeletal; D059408:Pain Management; D016059:Range of Motion, Articular
keywords: contralateral exercise; injury management; motor behavior; rehabilitation