Perceived disability but not pain is connected with autonomic nervous function among patients with chronic low back pain
| Autor: | Heikki Hurri, Maarit Gockel, Leena Niemistö, Harri Lindholm |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Physical Therapy Sports Therapy and Rehabilitation Autonomic Nervous System Risk Assessment Disability Evaluation Electrocardiography Physical medicine and rehabilitation Rating scale Heart Rate medicine Heart rate variability Humans Balance (ability) Pain Measurement Referred pain medicine.diagnostic_test business.industry Rehabilitation General Medicine Middle Aged Self Concept Oswestry Disability Index Cross-Sectional Studies Chronic Disease Physical therapy Pain catastrophizing Female business Low Back Pain |
| Zdroj: | Journal of rehabilitation medicine. 40(5) |
| ISSN: | 1650-1977 |
| Popis: | To assess the association of cardiovascular autonomic balance with perceived functional impairment and pain among patients with chronic low back pain.A cross-sectional analysis of working patients with chronic low back pain.Forty-six consecutive patients aged 24-45 years with chronic low back pain fulfilling the inclusion criteria. A total of 39 subjects had technically acceptable electrocardiographic recordings during periods of rest and standard provocations.Perceived functional disability was assessed with the Oswestry disability index and pain with a numerical rating scale. Autonomic nervous function was assessed by measuring heart rate variability with short recordings.The total power of heart rate variability was lower among those with moderate perceived disability (Oswestry 20-40%) compared with those with minimal disability (Oswestry20%). However, heart rate variability did not differ significantly among those with numerical rating scale valuesor = 5/10 from those with values5/10. The power of the high-frequency component (0.15-0.4 Hz) of heart rate variability was lower among those with moderate perceived functional impairment.A significant association existed between heart rate variability and perceived physical impairment, but not between heart rate variability and pain. Proportionally reduced high-frequency activity was found to reflect decreased parasympathetic activity or increased sympathetic activity. This resulted in sympathetic dominance among the patients with higher subjective disability. The possible clinical implications of this observation are discussed. |
| Databáze: | OpenAIRE |
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