Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain

Introduction: Physiotherapy treatment is a common intervention for low back pain (LBP) patients. These interventions have been related to physiological effects in the central nervous system. Thus, the aim of this study was to analyze the effect of physiotherapy treatment in patients with LBP in the...

Full description

Autores:
Abuin, Vanesa
Clemente-Suárez, Vicente Javier
Crespo, Jaen G
Navarro Flores, Emmanuel
Pareja-Galeano, Helios
Morales Romero, Carlos Alberto
Tipo de recurso:
Article of journal
Fecha de publicación:
2021
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/8295
Acceso en línea:
https://hdl.handle.net/11323/8295
https://doi.org/10.3390/jcm10081793
https://repositorio.cuc.edu.co/
Palabra clave:
Nervous system
Low back pain
Physical therapy
Sistema nervioso
Dolor lumbar
Terapia física
Rights
openAccess
License
CC0 1.0 Universal
id RCUC2_b3574ee801c85a7ff9f3f93fab455b52
oai_identifier_str oai:repositorio.cuc.edu.co:11323/8295
network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
dc.title.spa.fl_str_mv Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain
dc.title.translated.spa.fl_str_mv Efecto del tratamiento fisioterápico en la activación autónoma y la percepción del dolor en pacientes varones con lumbalgia subaguda inespecífica
title Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain
spellingShingle Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain
Nervous system
Low back pain
Physical therapy
Sistema nervioso
Dolor lumbar
Terapia física
title_short Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain
title_full Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain
title_fullStr Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain
title_full_unstemmed Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain
title_sort Effect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back Pain
dc.creator.fl_str_mv Abuin, Vanesa
Clemente-Suárez, Vicente Javier
Crespo, Jaen G
Navarro Flores, Emmanuel
Pareja-Galeano, Helios
Morales Romero, Carlos Alberto
dc.contributor.author.spa.fl_str_mv Abuin, Vanesa
Clemente-Suárez, Vicente Javier
Crespo, Jaen G
Navarro Flores, Emmanuel
Pareja-Galeano, Helios
Morales Romero, Carlos Alberto
dc.subject.spa.fl_str_mv Nervous system
Low back pain
Physical therapy
Sistema nervioso
Dolor lumbar
Terapia física
topic Nervous system
Low back pain
Physical therapy
Sistema nervioso
Dolor lumbar
Terapia física
description Introduction: Physiotherapy treatment is a common intervention for low back pain (LBP) patients. These interventions have been related to physiological effects in the central nervous system. Thus, the aim of this study was to analyze the effect of physiotherapy treatment in patients with LBP in the autonomic nervous system activation and subjective pain perception of patients. Methods: A total of 30 male subjects diagnosed with non-specific subacute LBP received a 50 min session consisting of (a) a manual therapy based on joint mobilization and soft tissues techniques in the lumbo-pelvic area, (b) a stretching program, and (c) motor control exercises of the core muscles. The autonomic modification of participants was assessed prior to and after the physiotherapy treatment. Results: Heart rate variability (HRV) analysis reported a significant increase in average RR (p = 0.001), RMSSD (p = 0.008), LRMSSD (p = 0.001), SDNN (p = 0.005), and PNN50 (p = 0.024) after the session. Frequency-domain measures showed a significant increase in LF (p = 0.030) and HF (p = 0.014), and a decrease in LF/HF ratio (p = 0.046). A significant decrease was found in minimum HR values (p = 0.001) and average HR (p = 0.001). Moreover, maximal HR decreased its value from 116.7 ± 26.1 to 113.7 ± 40.8 after intervention. In addition, subjective pain perception (VAS scores) was significantly lower (p = 0.001) in the post-session assessment. Conclusions: Physiotherapy treatment produced an increase in parasympathetic nervous system activation and a decrease in subjective pain perception in non-specific subacute LBP patients.
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-05-27T20:34:59Z
dc.date.available.none.fl_str_mv 2021-05-27T20:34:59Z
dc.date.issued.none.fl_str_mv 2021-04-20
dc.type.spa.fl_str_mv Artículo de revista
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.content.spa.fl_str_mv Text
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/ART
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
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dc.identifier.issn.spa.fl_str_mv 2077-0383
dc.identifier.uri.spa.fl_str_mv https://hdl.handle.net/11323/8295
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.3390/jcm10081793
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
identifier_str_mv 2077-0383
Corporación Universidad de la Costa
REDICUC - Repositorio CUC
url https://hdl.handle.net/11323/8295
https://doi.org/10.3390/jcm10081793
https://repositorio.cuc.edu.co/
dc.language.iso.none.fl_str_mv eng
language eng
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spelling Abuin, VanesaClemente-Suárez, Vicente JavierCrespo, Jaen GNavarro Flores, EmmanuelPareja-Galeano, HeliosMorales Romero, Carlos Alberto2021-05-27T20:34:59Z2021-05-27T20:34:59Z2021-04-202077-0383https://hdl.handle.net/11323/8295https://doi.org/10.3390/jcm10081793Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Introduction: Physiotherapy treatment is a common intervention for low back pain (LBP) patients. These interventions have been related to physiological effects in the central nervous system. Thus, the aim of this study was to analyze the effect of physiotherapy treatment in patients with LBP in the autonomic nervous system activation and subjective pain perception of patients. Methods: A total of 30 male subjects diagnosed with non-specific subacute LBP received a 50 min session consisting of (a) a manual therapy based on joint mobilization and soft tissues techniques in the lumbo-pelvic area, (b) a stretching program, and (c) motor control exercises of the core muscles. The autonomic modification of participants was assessed prior to and after the physiotherapy treatment. Results: Heart rate variability (HRV) analysis reported a significant increase in average RR (p = 0.001), RMSSD (p = 0.008), LRMSSD (p = 0.001), SDNN (p = 0.005), and PNN50 (p = 0.024) after the session. Frequency-domain measures showed a significant increase in LF (p = 0.030) and HF (p = 0.014), and a decrease in LF/HF ratio (p = 0.046). A significant decrease was found in minimum HR values (p = 0.001) and average HR (p = 0.001). Moreover, maximal HR decreased its value from 116.7 ± 26.1 to 113.7 ± 40.8 after intervention. In addition, subjective pain perception (VAS scores) was significantly lower (p = 0.001) in the post-session assessment. Conclusions: Physiotherapy treatment produced an increase in parasympathetic nervous system activation and a decrease in subjective pain perception in non-specific subacute LBP patients.Introducción: El tratamiento de fisioterapia es una intervención común para el dolor lumbar (LBP) pacientes. Estas intervenciones se han relacionado con efectos fisiológicos en el sistema nervioso central. Así, el objetivo de este estudio fue analizar el efecto del tratamiento de fisioterapia en pacientes con dolor lumbar en la activación del sistema nervioso autónomo y la percepción subjetiva del dolor de los pacientes. Métodos: Un total de 30 sujetos masculinos diagnosticados con dolor lumbar subagudo inespecífico recibieron una sesión de 50 minutos consistente en (a) una terapia manual basada en técnicas de movilización articular y tejidos blandos en el área lumbo-pélvica, (b) un programa de estiramiento y (c) ejercicios de control motor de los músculos centrales. La La modificación autonómica de los participantes se evaluó antes y después del tratamiento de fisioterapia. Resultados: el análisis de variabilidad de la frecuencia cardíaca (VFC) informó un aumento significativo en el RR promedio (p = 0,001), RMSSD (p = 0,008), LRMSSD (p = 0,001), SDNN (p = 0,005) y PNN50 (p = 0,024) después de la sesión. Las medidas en el dominio de la frecuencia mostraron un aumento significativo en LF (p = 0.030) y HF (p = 0.014), y una disminución en la relación LF / HF (p = 0.046). Se encontró una disminución significativa en la FC mínima valores (p = 0,001) y FC media (p = 0,001). Además, la FC máxima disminuyó su valor de 116,7 ± 26,1 a 113,7 ± 40,8 después de la intervención. Además, la percepción subjetiva del dolor (puntuaciones EVA) fue significativamente menor (p = 0,001) en la evaluación posterior a la sesión. Conclusiones: fisioterapia El tratamiento produjo un aumento en la activación del sistema nervioso parasimpático y una disminución en percepción subjetiva del dolor en pacientes con dolor lumbar subagudo inespecífico.Abuin, Vanesa-will be generated-orcid-0000-0002-1782-2524-600Clemente-Suárez, Vicente Javier-will be generated-orcid-0000-0002-2397-2801-600Crespo, Jaen GNavarro Flores, Emmanuel-will be generated-orcid-0000-0002-6170-4779-600Pareja-Galeano, Helios-will be generated-orcid-0000-0002-5780-2712-600Morales Romero, Carlos Alberto-will be generated-orcid-0000-0001-5844-7874-600application/pdfengJournal of Clinical MedicineCC0 1.0 Universalhttp://creativecommons.org/publicdomain/zero/1.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Nervous systemLow back painPhysical therapySistema nerviosoDolor lumbarTerapia físicaEffect of Physiotherapy Treatment in the Autonomic Activation and Pain Perception in Male Patients with Non-Specific Subacute Low Back PainEfecto del tratamiento fisioterápico en la activación autónoma y la percepción del dolor en pacientes varones con lumbalgia subaguda inespecíficaArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/acceptedVersionhttps://www.mdpi.com/2077-0383/10/8/17931. 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