Heart rate variability in patients with low back pain
| Autor: | Felipe José Jandre dos Reis, Orlando Fernandes, Tiago Arruda-Sanchez, Anna C.S. Chaves, Vanessa Cristina Cunha Sequeira, Pamela Martin Bandeira |
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| Přispěvatelé: | Pain in Motion, Physiotherapy, Human Physiology and Anatomy |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Psychological intervention PsycINFO CINAHL Cochrane Library 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation 030202 anesthesiology medicine heart rate Heart rate variability Humans Aged business.industry Chronic pain Middle Aged medicine.disease Low back pain Clinical trial Anesthesiology and Pain Medicine Cross-Sectional Studies young adult Neurology (clinical) medicine.symptom business chronic pain Low Back Pain 030217 neurology & neurosurgery |
| Popis: | ObjectivesHeart rate variability (HRV) is an important physiological measure of the capacity for neurogenic homeostatic regulation, and an indirect measure of emotional processing. We aimed to investigate whether HRV parameters are altered in people with chronic low back pain when compared to healthy controls.MethodsWe searched on PubMed, Scopus, CINAHL, Web of Science, Cochrane Library, and PsycINFO from inception to January 2018. The inclusion criteria were: patients with non-specific chronic low back pain, absence of radiculopathy, age from 18 to 65 years, and comparison with healthy controls. Data extraction was performed by two independent review authors. The methodological quality of the studies was assessed using the appraisal tool for cross-sectional studies.ResultsAfter screening 2,873 potential articles, two studies met the inclusion criteria. Studies were composed of 153 patients with chronic low back pain and 62 healthy controls. An electrocardiogram was used to record HRV and linear methods (time and frequency) were used to analyze the results. The main findings indicate that patients with chronic low back pain have a significant reduction in HRV, with sympathetic predominance compared to healthy controls.ConclusionsThere is limited evidence suggesting that chronic low back pain patients presented a lower vagal activity evidenced by HRV, when compared to healthy controls. The results of this systematic review should be interpreted with caution due to the restricted number of included studies, small sample sizes and different protocols used to measure HRV. The limited evidence about HRV alterations in low back pain also suggests the need of future studies to investigate if HRV parameters can be a useful measure in chronic pain samples or even if it can be used as an outcome in clinical trials aiming to investigate the effectiveness of interventions based on emotion regulation. |
| Databáze: | OpenAIRE |
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