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29 0 R /P 995 0 R >> endobj 1000 0 obj << /MCID 2 /Pg 29 0 R /Type /MCR >> endobj 1001 0 obj << /Obj 32 0 R /Pg 18 0 R /Type /OBJR >> endobj 1002 0 obj << /Type /StructElem /K 3 /S /P /Pg 29 0 R /P 727 0 R >> endobj 1003 0 obj << /Type /StructElem /K [ 4 1004 0 R 6 1005 0 R ] /S /P /Pg 29 0 R /P 727 0 R >> endobj 1004 0 obj << /Type /StructElem /K 5 /S /Link /Pg 29 0 R /P 1003 0 R >> endobj 1005 0 obj << /Obj 33 0 R /Pg 29 0 R /Type /OBJR >> endobj 1006 0 obj << /Type /StructElem /K 7 /S /P /Pg 29 0 R /P 727 0 R >> endobj 1007 0 obj << /Type /StructElem /K 8 /S /P /Pg 29 0 R /P 727 0 R >> endobj 1008 0 obj << /Type /StructElem /K [ 9 1009 0 R 11 1010 0 R ] /S /P /Pg 29 0 R /P 727 0 R >> endobj 1009 0 obj << /Type /StructElem /K 10 /S /Link /Pg 29 0 R /P 1008 0 R >> endobj 1010 0 obj << /Obj 34 0 R /Pg 29 0 R /Type /OBJR >> endobj 1011 0 obj << /Type /StructElem /K 12 /S /P /Pg 29 0 R /P 727 0 R >> endobj 1012 0 obj << /Type /StructElem /K 13 /S /P /Pg 29 0 R /P 727 0 R >> endobj 1013 0 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1026 0 R ] /S /Link /Pg 29 0 R /P 1022 0 R >> endobj 1026 0 obj << /Obj 37 0 R /Pg 29 0 R /Type /OBJR >> endobj 1027 0 obj << /Type /StructElem /K [ 28 1028 0 R ] /S /Link /Pg 29 0 R /P 1022 0 R >> endobj 1028 0 obj << /Obj 38 0 R /Pg 29 0 R /Type /OBJR >> endobj 1029 0 obj << /S /Table /Type /StructElem /A << /O /Layout /BBox [ 0 0 0 0 ] >> /K [ 1030 0 R 1031 0 R 1237 0 R ] >> endobj 1030 0 obj << /Type /StructElem /K 2 /S /Caption /Pg 42 0 R /P 1029 0 R >> endobj 1031 0 obj << /S /TBody /Type /StructElem /K [ 1032 0 R 1036 0 R 1039 0 R 1042 0 R 1045 0 R 1048 0 R 1051 0 R 1054 0 R 1057 0 R 1060 0 R 1063 0 R 1066 0 R 1069 0 R 1072 0 R 1075 0 R 1078 0 R 1081 0 R 1084 0 R 1087 0 R 1090 0 R 1093 0 R 1096 0 R 1099 0 R 1102 0 R 1105 0 R 1108 0 R 1111 0 R 1114 0 R 1117 0 R 1120 0 R 1123 0 R 1126 0 R 1129 0 R 1132 0 R 1135 0 R 1138 0 R 1141 0 R 1144 0 R 1147 0 R 1150 0 R 1153 0 R 1156 0 R 1159 0 R 1162 0 R 1165 0 R 1168 0 R 1171 0 R 1174 0 R 1177 0 R 1180 0 R 1183 0 R 1186 0 R 1189 0 R 1192 0 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endobj 1863 0 obj << /Type /StructElem /K 1 /S /H5 /Pg 67 0 R /P 727 0 R >> endobj 1864 0 obj << /Type /StructElem /K 2 /S /P /Pg 67 0 R /P 727 0 R >> endobj 1865 0 obj << /Type /StructElem /K 3 /S /H4 /Pg 67 0 R /P 727 0 R >> endobj 1866 0 obj << /Type /StructElem /K 4 /S /P /Pg 67 0 R /P 727 0 R >> endobj 1867 0 obj << /Type /StructElem /K 5 /S /H5 /Pg 67 0 R /P 727 0 R >> endobj 1868 0 obj << /Type /StructElem /K 6 /S /P /Pg 67 0 R /P 727 0 R >> endobj 1869 0 obj << /Type /StructElem /K 7 /S /H5 /Pg 67 0 R /P 727 0 R >> endobj 1870 0 obj << /Type /StructElem /K [ 8 9 1871 0 R ] /S /P /Pg 67 0 R /P 727 0 R >> endobj 1871 0 obj << /MCID 0 /Pg 70 0 R /Type /MCR >> endobj 1872 0 obj << /Type /StructElem /K 1 /S /H5 /Pg 70 0 R /P 727 0 R >> endobj 1873 0 obj << /Type /StructElem /K 2 /S /P /Pg 70 0 R /P 727 0 R >> endobj 1874 0 obj << /Type /StructElem /K 3 /S /H5 /Pg 70 0 R /P 727 0 R >> endobj 1875 0 obj << /Type /StructElem /K 4 /S /P /Pg 70 0 R /P 727 0 R >> endobj 1876 0 obj << 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0 R /P 1913 0 R >> endobj 1915 0 obj << /S /THead /Type /StructElem /K 1916 0 R /P 1913 0 R >> endobj 1916 0 obj << /S /TR /Type /StructElem /K [ 1917 0 R 1918 0 R 1919 0 R 1920 0 R ] /P 1915 0 R >> endobj 1917 0 obj << /Type /StructElem /K 14 /S /TH /Pg 80 0 R /P 1916 0 R /A [ 920 0 R 0 ] >> endobj 1918 0 obj << /Type /StructElem /K 15 /S /TH /Pg 80 0 R /P 1916 0 R /A [ 920 0 R 0 ] >> endobj 1919 0 obj << /Type /StructElem /K 16 /S /TH /Pg 80 0 R /P 1916 0 R /A [ 920 0 R 0 ] >> endobj 1920 0 obj << /Type /StructElem /K 17 /S /TH /Pg 80 0 R /P 1916 0 R /A [ 920 0 R 0 ] >> endobj 1921 0 obj << /S /TBody /Type /StructElem /K [ 1922 0 R 1927 0 R 1932 0 R 1937 0 R 1942 0 R ] /P 1913 0 R >> endobj 1922 0 obj << /S /TR /Type /StructElem /K [ 1923 0 R 1924 0 R 1925 0 R 1926 0 R ] /P 1921 0 R >> endobj 1923 0 obj << /Type /StructElem /K 18 /S /TD /Pg 80 0 R /P 1922 0 R >> endobj 1924 0 obj << /Type /StructElem /K 19 /S /TD /Pg 80 0 R /P 1922 0 R >> endobj 1925 0 obj << /Type /StructElem /K 20 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R 1939 0 R 1940 0 R 1941 0 R ] /P 1921 0 R >> endobj 1938 0 obj << /Type /StructElem /K 30 /S /TD /Pg 80 0 R /P 1937 0 R >> endobj 1939 0 obj << /Type /StructElem /K 31 /S /TD /Pg 80 0 R /P 1937 0 R >> endobj 1940 0 obj << /Type /StructElem /K 32 /S /TD /Pg 80 0 R /P 1937 0 R >> endobj 1941 0 obj << /Type /StructElem /K 33 /S /TD /Pg 80 0 R /P 1937 0 R >> endobj 1942 0 obj << /S /TR /Type /StructElem /K [ 1943 0 R 1944 0 R 1945 0 R 1946 0 R ] /P 1921 0 R >> endobj 1943 0 obj << /Type /StructElem /K 34 /S /TD /Pg 80 0 R /P 1942 0 R >> endobj 1944 0 obj << /Type /StructElem /K 35 /S /TD /Pg 80 0 R /P 1942 0 R >> endobj 1945 0 obj << /Type /StructElem /K 36 /S /TD /Pg 80 0 R /P 1942 0 R >> endobj 1946 0 obj << /Type /StructElem /K 37 /S /TD /Pg 80 0 R /P 1942 0 R >> endobj 1947 0 obj << /S /TFoot /Type /StructElem /K 1948 0 R /P 1913 0 R >> endobj 1948 0 obj << /S /TR /Type /StructElem /K 1949 0 R /P 1947 0 R >> endobj 1949 0 obj << /S /TD /Type /StructElem /K [ 1950 0 R 1952 0 R 1954 0 R 1956 0 R 1958 0 R 1960 0 R 1962 0 R 1964 0 R 1966 0 R 1968 0 R 1970 0 R 1972 0 R ] /P 1948 0 R >> endobj 1950 0 obj << /S /TR /Type /StructElem /K 1951 0 R /P 1949 0 R >> endobj 1951 0 obj << /Type /StructElem /K 38 /S /TD /Pg 80 0 R /P 1950 0 R >> endobj 1952 0 obj << /S /TR /Type /StructElem /K 1953 0 R /P 1949 0 R >> endobj 1953 0 obj << /Type /StructElem /K 39 /S /TD /Pg 80 0 R /P 1952 0 R >> endobj 1954 0 obj << /S /TR /Type /StructElem /K 1955 0 R /P 1949 0 R >> endobj 1955 0 obj << /Type /StructElem /K 40 /S /TD /Pg 80 0 R /P 1954 0 R >> endobj 1956 0 obj << /S /TR /Type /StructElem /K 1957 0 R /P 1949 0 R >> endobj 1957 0 obj << /Type /StructElem /K 41 /S /TD /Pg 80 0 R /P 1956 0 R >> endobj 1958 0 obj << /S /TR /Type /StructElem /K 1959 0 R /P 1949 0 R >> endobj 1959 0 obj << /Type /StructElem /K 42 /S /TD /Pg 80 0 R /P 1958 0 R >> endobj 1960 0 obj << /S /TR /Type /StructElem /K 1961 0 R /P 1949 0 R >> endobj 1961 0 obj << /Type /StructElem /K 43 /S /TD /Pg 80 0 R /P 1960 0 R >> endobj 1962 0 obj << /S /TR /Type /StructElem /K 1963 0 R /P 1949 0 R >> endobj 1963 0 obj << /Type /StructElem /K 44 /S /TD /Pg 80 0 R /P 1962 0 R >> endobj 1964 0 obj << /S /TR /Type /StructElem /K 1965 0 R /P 1949 0 R >> endobj 1965 0 obj << /Type /StructElem /K 45 /S /TD /Pg 80 0 R /P 1964 0 R >> endobj 1966 0 obj << /S /TR /Type /StructElem /K 1967 0 R /P 1949 0 R >> endobj 1967 0 obj << /Type /StructElem /K 46 /S /TD /Pg 80 0 R /P 1966 0 R >> endobj 1968 0 obj << /S /TR /Type /StructElem /K 1969 0 R /P 1949 0 R >> endobj 1969 0 obj << /Type /StructElem /K 47 /S /TD /Pg 80 0 R /P 1968 0 R >> endobj 1970 0 obj << /S /TR /Type /StructElem /K 1971 0 R /P 1949 0 R >> endobj 1971 0 obj << /Type /StructElem /K 48 /S /TD /Pg 80 0 R /P 1970 0 R >> endobj 1972 0 obj << /S /TR /Type /StructElem /K 1973 0 R /P 1949 0 R >> endobj 1973 0 obj << /Type /StructElem /K 49 /S /TD /Pg 80 0 R /P 1972 0 R >> endobj 1974 0 obj << /Type /StructElem /K 21 /S /H2 /Pg 73 0 R /P 727 0 R >> endobj 1975 0 obj << /Type /StructElem /K [ 22 1976 0 R ] /S /P /Pg 73 0 R /P 727 0 R >> endobj 1976 0 obj << /MCID 0 /Pg 80 0 R /Type /MCR >> endobj 1977 0 obj << /Type /StructElem /K [ 1 1978 0 R 1979 0 R 3 1980 0 R 5 1981 0 R ] /S /P /Pg 80 0 R /P 727 0 R >> endobj 1978 0 obj << /Type /StructElem /K 2 /S /Link /Pg 80 0 R /P 1977 0 R >> endobj 1979 0 obj << /Obj 88 0 R /Pg 80 0 R /Type /OBJR >> endobj 1980 0 obj << /Type /StructElem /K 4 /S /Link /Pg 80 0 R /P 1977 0 R >> endobj 1981 0 obj << /Obj 89 0 R /Pg 80 0 R /Type /OBJR >> endobj 1982 0 obj << /Type /StructElem /K [ 6 1983 0 R 8 1984 0 R 1985 0 R 10 1986 0 R ] /S /P /Pg 80 0 R /P 727 0 R >> endobj 1983 0 obj << /Type /StructElem /K 7 /S /Link /Pg 80 0 R /P 1982 0 R >> endobj 1984 0 obj << /Obj 90 0 R /Pg 80 0 R /Type /OBJR >> endobj 1985 0 obj << /Type /StructElem /K 9 /S /Link /Pg 80 0 R /P 1982 0 R >> endobj 1986 0 obj << /Obj 91 0 R /Pg 80 0 R /Type /OBJR >> endobj 1987 0 obj << /Type /StructElem /K [ 11 12 1988 0 R ] /S /P /Pg 80 0 R /P 727 0 R >> endobj 1988 0 obj << /MCID 0 /Pg 92 0 R /Type /MCR >> endobj 1989 0 obj << /Type /StructElem /K 1 /S /P /Pg 92 0 R /P 727 0 R >> endobj 1990 0 obj << /Type /StructElem /K 2 /S /P /Pg 92 0 R /P 727 0 R >> endobj 1991 0 obj << /Type /StructElem /K 3 /S /P /Pg 92 0 R /P 727 0 R >> endobj 1992 0 obj << /Type /StructElem /K [ 4 1993 0 R 6 1994 0 R ] /S /P /Pg 92 0 R /P 727 0 R >> endobj 1993 0 obj << /Type /StructElem /K 5 /S /Link /Pg 92 0 R /P 1992 0 R >> endobj 1994 0 obj << /Obj 95 0 R /Pg 92 0 R /Type /OBJR >> endobj 1995 0 obj << /Type /StructElem /K 7 /S /P /Pg 92 0 R /P 727 0 R >> endobj 1996 0 obj << /Type /StructElem /K 8 /S /H3 /Pg 92 0 R /P 727 0 R >> endobj 1997 0 obj << /Type /StructElem /K [ 9 1998 0 R 11 1999 0 R 2000 0 R 2001 0 R 13 ] /S /P /Pg 92 0 R /P 727 0 R >> endobj 1998 0 obj << /Type /StructElem /K 10 /S /Link /Pg 92 0 R /P 1997 0 R >> endobj 1999 0 obj << /Obj 96 0 R /Pg 92 0 R /Type /OBJR >> endobj 2000 0 obj << /Type /StructElem /K 12 /S /Link /Pg 92 0 R /P 1997 0 R >> endobj 2001 0 obj << /Obj 97 0 R /Pg 92 0 R /Type /OBJR >> endobj 2002 0 obj << /Type /StructElem /K 14 /S /P /Pg 92 0 R /P 727 0 R >> endobj 2003 0 obj << /Type /StructElem /K 15 /S /P /Pg 92 0 R /P 727 0 R >> endobj 2004 0 obj << /Type /StructElem /K 16 /S /H2 /Pg 92 0 R /P 727 0 R >> endobj 2005 0 obj << /Type /StructElem /K 17 /S /P /Pg 92 0 R /P 727 0 R >> endobj 2006 0 obj << /Type /StructElem /K 18 /S /H2 /Pg 92 0 R /P 727 0 R >> endobj 2007 0 obj << /Type /StructElem /K 19 /S /P /Pg 92 0 R /P 727 0 R >> endobj 2008 0 obj << /Type /StructElem /K 0 /S /H2 /Pg 98 0 R /P 727 0 R >> endobj 2009 0 obj << /Type /StructElem /K 1 /S /P /Pg 98 0 R /P 727 0 R >> endobj 2010 0 obj << /Type /StructElem /K 2 /S /H2 /Pg 98 0 R /P 727 0 R >> endobj 2011 0 obj << /Type /StructElem /K 3 /S /P /Pg 98 0 R /P 727 0 R >> endobj 2012 0 obj << /Type /StructElem /K 4 /S /H2 /Pg 98 0 R /P 727 0 R >> endobj 2013 0 obj << /Type /StructElem /K 5 /S /P /Pg 98 0 R /P 727 0 R >> endobj 2014 0 obj << /Type /StructElem /K 6 /S /H2 /Pg 98 0 R /P 727 0 R >> endobj 2015 0 obj << /Type /StructElem /K [ 7 2016 0 R 9 ] /S /P /Pg 98 0 R /P 727 0 R >> endobj 2016 0 obj << /Type /StructElem /K [ 2017 0 R 8 ] /S /Link /Pg 98 0 R /P 2015 0 R >> endobj 2017 0 obj << /Obj 101 0 R /Pg 98 0 R /Type /OBJR >> endobj 2018 0 obj << /Type /StructElem /K 10 /S /H2 /Pg 98 0 R /P 727 0 R >> endobj 2019 0 obj << /Type /StructElem /K [ 2020 0 R 2025 0 R 2029 0 R 2035 0 R 2039 0 R 2044 0 R 2048 0 R 2053 0 R 2058 0 R 2062 0 R 2067 0 R 2073 0 R 2077 0 R 2082 0 R 2087 0 R 2092 0 R 2097 0 R 2101 0 R 2105 0 R 2110 0 R 2114 0 R 2118 0 R 2122 0 R 2127 0 R 2132 0 R 2136 0 R 2142 0 R 2146 0 R 2151 0 R 2157 0 R 2162 0 R ] /S /L /P 727 0 R /A << /O /List /ListNumbering /None >> >> endobj 2020 0 obj << /S /LI /Type /StructElem /K [ 2021 0 R 2022 0 R ] /P 2019 0 R >> endobj 2021 0 obj << /Type /StructElem /K 11 /S /Lbl /Pg 98 0 R /P 2020 0 R >> endobj 2022 0 obj << /Type /StructElem /K [ 12 2023 0 R 2024 0 R ] /S /LBody /Pg 98 0 R /P 2020 0 R >> endobj 2023 0 obj << /Obj 102 0 R /Pg 98 0 R /Type /OBJR >> endobj 2024 0 obj << /Obj 104 0 R /Pg 98 0 R /Type /OBJR >> endobj 2025 0 obj << /S /LI /Type /StructElem /K [ 2026 0 R 2027 0 R ] /P 2019 0 R >> endobj 2026 0 obj << /Type /StructElem /K 13 /S /Lbl /Pg 98 0 R /P 2025 0 R >> endobj 2027 0 obj << /Type /StructElem /K [ 14 2028 0 R ] /S /LBody /Pg 98 0 R /P 2025 0 R >> endobj 2028 0 obj << /Obj 105 0 R /Pg 98 0 R /Type /OBJR >> endobj 2029 0 obj << /S /LI /Type /StructElem /K [ 2030 0 R 2031 0 R ] /P 2019 0 R >> endobj 2030 0 obj << /Type /StructElem /K 15 /S /Lbl /Pg 98 0 R /P 2029 0 R >> endobj 2031 0 obj << /Type /StructElem /K [ 16 2032 0 R 18 ] /S /LBody /Pg 98 0 R /P 2029 0 R >> endobj 2032 0 obj << /Type /StructElem /K [ 2033 0 R 17 2034 0 R ] /S /Link /Pg 98 0 R /P 2031 0 R >> endobj 2033 0 obj << /Obj 107 0 R /Pg 98 0 R /Type /OBJR >> endobj 2034 0 obj << /Obj 109 0 R /Pg 98 0 R /Type /OBJR >> endobj 2035 0 obj << /S /LI /Type 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2048 0 obj << /S /LI /Type /StructElem /K [ 2049 0 R 2050 0 R ] /P 2019 0 R >> endobj 2049 0 obj << /Type /StructElem /K 25 /S /Lbl /Pg 98 0 R /P 2048 0 R >> endobj 2050 0 obj << /Type /StructElem /K [ 26 2051 0 R 2052 0 R ] /S /LBody /Pg 98 0 R /P 2048 0 R >> endobj 2051 0 obj << /Obj 117 0 R /Pg 98 0 R /Type /OBJR >> endobj 2052 0 obj << /Obj 119 0 R /Pg 98 0 R /Type /OBJR >> endobj 2053 0 obj << /S /LI /Type /StructElem /K [ 2054 0 R 2055 0 R ] /P 2019 0 R >> endobj 2054 0 obj << /Type /StructElem /K 27 /S /Lbl /Pg 98 0 R /P 2053 0 R >> endobj 2055 0 obj << /Type /StructElem /K [ 28 2056 0 R 2057 0 R ] /S /LBody /Pg 98 0 R /P 2053 0 R >> endobj 2056 0 obj << /Obj 120 0 R /Pg 98 0 R /Type /OBJR >> endobj 2057 0 obj << /Obj 122 0 R /Pg 98 0 R /Type /OBJR >> endobj 2058 0 obj << /S /LI /Type /StructElem /K [ 2059 0 R 2060 0 R ] /P 2019 0 R >> endobj 2059 0 obj << /Type /StructElem /K 29 /S /Lbl /Pg 98 0 R /P 2058 0 R >> endobj 2060 0 obj << /Type /StructElem /K [ 30 2061 0 R ] /S 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pain: A qualitative exploration of barriers, facilitators and activity patterns) /Keywords (Physical activity,Persistent pain,Musculoskeletal,Pain management programme,Rehabilitation,Barriers and facilitators,Chronic pain,Chronic musculoskeletal pain,Persistent musculoskeletal pain) /CreationDate (D:20260220103150Z) /Producer (Acrobat Distiller 8.1.0 \(Windows\)) /Subject (The Journal of Pain, 42 \(2026\) 106235. doi:10.1016/j.jpain.2026.106235) /CrossMarkDomains#5B2#5D (sciencedirect.com) /CrossmarkDomainExclusive (true) >> endobj 2173 0 obj << /Length 6435 /Subtype /XML /Type /Metadata >> stream http://creativecommons.org/licenses/by/4.0/ elsevier.com sciencedirect.com true 10.1016/j.jpain.2026.106235 2010-04-23 application/pdf 10.1016/j.jpain.2026.106235 Elsevier Inc. The Journal of Pain, 42 (2026) 106235. doi:10.1016/j.jpain.2026.106235 Physical activity Persistent pain Musculoskeletal Pain management programme Rehabilitation Barriers and facilitators Chronic pain Chronic musculoskeletal pain Persistent musculoskeletal pain Maintaining physical activity after pain management programmes for people with persistent musculoskeletal pain: A qualitative exploration of barriers, facilitators and activity patterns Gregory Booth Danielle D’Lima Lindsay Bearne Michael Ussher VoR 20th February 2026 Acrobat Distiller 8.1.0 (Windows) Physical activity,Persistent pain,Musculoskeletal,Pain management programme,Rehabilitation,Barriers and facilitators,Chronic pain,Chronic musculoskeletal pain,Persistent musculoskeletal pain 20th February 2026 sciencedirect.com elsevier.com true 2010-04-23 10.1016/j.jpain.2026.106235 noindex journal © 2026 The Author(s). 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