Maximal cardiopulmonary exercise test in patients with chronic low back pain: feasibility, tolerance and relation with central sensitization. An observational study.
Autor: | Ansuategui Echeita, Jone, Dekker, Rienk, Schiphorst Preuper, Henrica Rosalien, Reneman, Michiel Felix |
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Předmět: |
EXERCISE tests
AEROBIC capacity CHRONIC pain LUMBAR pain CARDIOVASCULAR fitness STATISTICS EXERCISE tolerance NEUROPHYSIOLOGY PAIN measurement SCIENTIFIC observation RESEARCH evaluation CARDIOPULMONARY system CROSS-sectional method MULTIPLE regression analysis PAIN threshold CRONBACH'S alpha HEART beat QUESTIONNAIRES SCALE analysis (Psychology) DESCRIPTIVE statistics ERGOMETRY ALLERGIES DATA analysis DATA analysis software LONGITUDINAL method |
Zdroj: | Disability & Rehabilitation; Oct2022, Vol. 44 Issue 21, p6287-6294, 8p |
Abstrakt: | To analyze the feasibility of and pain-related tolerance to a maximal cardiopulmonary exercise test (CPET), and the relationship between the aerobic capacity and central sensitization (CS) in patients with chronic low back pain (CLBP). An observational study, combining a cross-sectional and a prospective 24-hour follow-up was performed. Participants underwent a maximal CPET on a cycle ergometer and were assessed with three measures of CS (CS Inventory, quantitative sensory testing and heart rate variability). Before the CPET, immediately afterwards and 24 h after, the Pain Response Questionnaire (PRQ) was filled out. The CPET was considered feasible when >80% performed maximally, and tolerable when <20% reported relevant pain increase, body reactions and additional pain medication use in the PRQ. Multiple regression analyses were applied to assess the relationship between the aerobic capacity (VO2max) and CS measures, corrected for confounders. 74 patients with CLBP participated of which 30 were male, mean age was 40.4 years (SD: 12.4) and median VO2max was 23.9 ml/kg/min (IQR: 18.2–29.4). CPET was completed by 92%. No serious adverse events occurred. A relevant pain increase was reported in the upper legs by 40% immediately after CPET and by 28% 24 h afterwards, 27% reported body reactions after 24 h, and 22% increased pain medication use 24 h after CPET. Very weak and not significant relations (r |
Databáze: | Complementary Index |
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