The influence of pain, kinesiophobia and psychological comorbidities on the accuracy of rating of perceived exertion in UK military spinal rehabilitation
| Autor: | Dean Conway, Stephen D. Patterson, A Bliss |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Physical Exertion Affect (psychology) 03 medical and health sciences 0302 clinical medicine Back pain Medicine Aerobic exercise Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Depression (differential diagnoses) Rating of perceived exertion 030222 orthopedics Rehabilitation business.industry General Medicine United Kingdom Military Personnel Physical therapy Anxiety sense organs medicine.symptom business human activities Low Back Pain |
| Zdroj: | BMJ military health. 168(4) |
| ISSN: | 2633-3775 |
| Popis: | IntroductionChronic low back pain (CLBP) is a leading cause of disability in the UK Military. Pain and psychological comorbidities have been reported to influence the rating of perceived exertion (RPE). Exercise rehabilitation can be monitored using RPE; however, the accuracy of RPE in inpatient CLBP rehabilitation is unknown.MethodsA prospective cohort correlation study of 40 UK Military inpatients with CLBP was completed. Disability (ODI), kinesiophobia (TSK), anxiety (GAD-7) and depression (PHQ-9) were subjectively reported at the beginning and end of a 3 week intervention. Pain (VAS) and HR were recorded in the first aerobic exercise (AE) session (T1) and the final aerobic exercise session (T2). RPE was reported for each AE session.ResultsAt T1, a positive correlation was observed between RPE accuracy (−7.2±20.9), and pre-exercise pain (2.7 mm ±1.6 mm) (p>0.001) and ODI (31.0±16.9) (p>0.05), and a negative relationship between RPE accuracy and average HR (135 bpm ±22 bpm) (p>0.001) was observed. At T2, there was no significant correlation between RPE accuracy (−4.4±22.6) and pre-exercise pain (2.8 mm ±1.6 mm) or ODI (34.0±16.5) (p>0.05). The strong negative relationship between RPE accuracy and average HR (137 bpm ±20 bpm) remained at T2. Improved RPE accuracy over the 3-week rehabilitation programme was correlated to the change in average HR (r=−0.314, pConclusionsComorbidities may negatively affect RPE accuracy in CLBP, but the magnitude of the influence reduces over intensive rehabilitation. |
| Databáze: | OpenAIRE |
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