scholarly journals Detection of Changes on Parameters Related to Heart Rate Variability after Applying Current Interferential Therapy in Subjects with Non-Specific Low Back Pain

Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2175
Author(s):  
Luis Espejo-Antúnez ◽  
Carlos Fernández-Morales ◽  
María de los Ángeles Cardero-Durán ◽  
José Vicente Toledo-Marhuenda ◽  
Juan Antonio Díaz-Mancha ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Perception ◽  
Current Therapy ◽  
Low Back ◽  
Activity Increase ◽  
Perceived Pain ◽  
Experimental Group

Interferential current therapy (ICT) is an electrotherapeutic intervention that combines the advantages of high permeability from middle frequency currents and efficient tissue stimulation from low frequency currents, delivering the maximum current with high tissue permeability. The aim was to evaluate the effects of ICT on heart rate variability (HRV) and on pain perception in patients with non-specific chronic low back pain (NSCLBP). In the study, 49 patients with NSCLBP were randomly divided into an experimental (EG) and a sham group (SG). All participants received a single intervention, ICT, or simulated intervention. Outcome measures including baseline (sit-down position) and postintervention (prone position) pain, heart rate (HR), time domain parameter (rMSSD), diameters of the Poincaré plot (SD1, SD2), stress score (SS), and sympathetic/parasympathetic (S/PS) ratio were investigated. In both groups, significant statistical differences were found in perceived pain and in all HRV parameters except in HRmax. Between-group comparisons showed statistically significant differences in all variables except for HRmin and HRmean in favor of the experimental group. These changes reported an increase in parasympathetic activity (rMSSD) (p < 0.05) and a decrease in sympathetic activity (increase in SD2 and decrease in SS) (p < 0.001) and perceived pain (p < 0.001), with a greater size effect (η2 = 0.44) in favor of the experimental group. In conclusion, a single session of ICT can shift the autonomic balance towards increase parasympathetic dominance and decrease the sympathetic dominance and intensity of pain perceived by patients with NSCLBP.

scholarly journals Effects of physiotherapy associated to virtual games in pain perception and heart rate variability in cases of low back pain

2020 ◽  
pp. 1-7 ◽  
Author(s):  
Sergio Fernando Zavarize ◽  
Mário Augusto Paschoal ◽  
Solange Muglia Wechsler
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Pain Perception ◽  
Low Back ◽  
Therapy Program ◽  
Physical Therapy Program ◽  
Group 2

Introduction: The virtual games when appropriately used can stimulate brain activity and excite the creative energy. Therefore, it is important to assess the implications of their use in pain perception in individuals with low back pain (LBP), a disease that affects about 80% of the world’s population. Objective: was to evaluate the effects of virtual games combined with a physiotherapy program on the pain perception and Heart Rate Variability (HRV) in people with LBP. Method: the participants were 21 adults with clinical diagnosis of LBP, aged 24-61 years, of both sexes, divided into two groups. Five weekly meetings were provided. Group 1 participated in a physical therapy program and group 2 participated in the same physical therapy program plus joint sessions with virtual games. The instruments used were a heart rate monitor; a tablet for games; a shortwave equipment; visual analogue scale (VAS); and McGill’s Pain Questionnaire. The measurements were performed before and after the program. Results: Reduction in pain was observed in both groups, being higher in group 2, the one that used the games. Conclusion: There was a decrease in parasympathetic activity in group 2, which indicates that the distraction factor promoted by the games influenced the pain perception.

Effect of interferential current therapy on pain perception and disability level in subjects with chronic low back pain: a randomized controlled trial

2016 ◽  
Vol 31 (2) ◽  
pp. 242-249 ◽  
Author(s):  
Manuel Albornoz-Cabello ◽  
Julián Maya-Martín ◽  
Gabriel Domínguez-Maldonado ◽  
Luis Espejo-Antúnez ◽  
Alberto Marcos Heredia-Rizo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Perception ◽  
Controlled Trial ◽  
Current Therapy ◽  
Low Back ◽  
Interferential Current Therapy ◽  
Interferential Current ◽  
Disability Level ◽  
Experimental Group

Objective: To assess the short-term efficacy of transregional interferential current therapy on pain perception and disability level in chronic non-specific low back pain. Design: A randomized, single-blinded (the assessor collecting the outcome data was blinded), controlled trial. Setting: A private physiotherapy research clinic. Subjects: A total of 64 individuals, 20 men and 44 women, mean (SD) age was 51 years (11.93), with low back pain of more than three months, with or without pain radiating to the lower extremities above the knee, were distributed into a control ( n = 20) or an experimental group ( n = 44). A 2:1 randomization ratio was used in favour of the latter. Interventions: A transregional interferential current electrotherapy protocol was performed for participants in the experimental group, while the control group underwent a ‘usual care’ treatment (massage, mobilization and soft-tissue techniques). All subjects received up to 10 treatment sessions of 25 minutes over a two-week period, and completed the intervention and follow-up evaluations. Outcome measures: Self-perceived pain was assessed with a Visual Analogue Scale. Secondary measure included the Oswestry Low Back Disability Index. Evaluations were collected at baseline and after the intervention protocol. Results: Significant between-group differences were found for interferential current therapy on pain perception ( p = 0.032) and disability level ( p = 0.002). The observed differences in the between-group mean changes were of 11.34 mm (1.77/20.91) and 13.38 points (4.97/21.78), respectively. Conclusions: A two-week transregional interferential current treatment has shown significant short-term efficacy, when compared with a ‘usual care’ protocol, on self-perceived pain and functionality in subjects with chronic low back pain.

scholarly journals Heart rate variability in chronic low back pain patients randomized to yoga or standard care

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Shirley Telles ◽  
Sachin Kumar Sharma ◽  
Ram Kumar Gupta ◽  
Abhishek Kumar Bhardwaj ◽  
Acharya Balkrishna
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Standard Care ◽  
Low Back ◽  
Pain Patients

Heart rate variability in patients with low back pain: a systematic review

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Pamela M. Bandeira ◽  
Felipe J.J. Reis ◽  
Vanessa C.C. Sequeira ◽  
Anna C.S. Chaves ◽  
Orlando Fernandes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Healthy Controls ◽  
Low Back ◽  
Inclusion Criteria ◽  
Limited Evidence

Abstract Objectives Heart 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. Methods We 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. Results After 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. Conclusions There 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.

Heart Rate Variability and Pain Sensitivity in Chronic Low Back Pain Patients Exposed to Passive Viewing of Photographs of Daily Activities

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Pâmela Martin Bandeira ◽  
Felipe José Jandre Dos Reis ◽  
Fernanda Donato Nóbrega Muniz ◽  
Anna Carolina da Silva Chaves ◽  
Orlando Fernandes Junior ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Pain Sensitivity ◽  
Daily Activities ◽  
Low Back ◽  
Passive Viewing ◽  
Pain Patients

scholarly journals Transcutaneous electrical nerve stimulation and diadynamic current therapy in the management of acute low back pain

2020 ◽  
Vol 73 (11-12) ◽  
pp. 369-374
Author(s):  
Mirko Grajic ◽  
Slobodan Pantelinac ◽  
Ksenija Boskovic ◽  
Dejan Nikolic ◽  
Snezana Tomasevic-Todorovic
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Current Therapy ◽  
Low Back ◽  
Paraspinal Muscles ◽  
Electrical Nerve Stimulation ◽  
Acute Low Back Pain ◽  
Experimental Group

Introduction. Although transcutaneous electrical nerve stimulation and diadynamic currents are widely used in the treatment of painful conditions, their effectiveness in acute low back pain is still controversial. The aim of this study was to evaluate the therapeutic effects of transcutaneous electrical nerve stimulation and diadynamic current therapy in patients with acute low back pain. The study was designed as a single-blind randomized controlled trial. Material and Methods. A total of 60 patients with acute low back pain, recruited from physiotherapy referrals, were included in the study. Thirty consecutive patients randomized to receive transcutaneous electrical nerve stimulation were in the experimental group, and 30 patients treated with diadynamic current were included in the control group. The primary outcome variable, measured at days 1 and 10 was pain intensity, measured using a visual analogue scale. Secondary outcome measures were lumbosacral spine flexibility (measured by Schober test), lumbar paraspinal muscle tone evaluated by palpation of the affected paraspinal muscles, and hip range of motion during the straight leg raise test in the supine position. Results. All the parameters in each group showed significant improvements after 10 days of physical therapy (p < 0.01). Statistical analysis showed that there were significant differences between the groups in pain relief and sensitivity of paraspinal muscles after the treatment, mostly due to the experimental group (p < 0.01). Conclusion. In conclusion, transcutaneous electrical nerve stimulation and diadynamic current therapy can be used in rehabilitation of patients with acute low back pain, but transcutaneous electrical nerve stimulation seems to have better pain modulation effect than diadynamic current therapy.

scholarly journals Influence of Pilates Method on Nonspecific Lumbar Pain

2020 ◽  
Vol 39 (04) ◽  
pp. 300-305
Author(s):  
Ana Carla Schimidt ◽  
Paula de Oliveira Herzinger ◽  
Danielle Pacheco Matias ◽  
Leonardo C. Welling
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Perception ◽  
Randomized Clinical Trials ◽  
Lumbar Pain ◽  
Low Back ◽  
Reduction Of Pain ◽  
Pilates Method

AbstractLow back pain is defined as pain located between the lower rib cage and the gluteal folds, and its etiology is multifactorial, considerably affecting quality of life. The aim of this literature review was to analyze the influence of the Pilates method on the symptoms of patients with nonspecific low back pain, which is considered a promising treatment for this type of pathology. A narrative review of the literature was carried out using the PubMed, Pedro, Scopus and Scielo databases. To perform the search, Pilates AND Low back nonspecific AND Pain were used as keywords. Articles published in the last 5 years, randomized clinical trials that verified the influence of the Pilates method in adult individuals with unspecified low back pain and full text in English were included. Of the 77 articles identified, 7 articles met the inclusion criteria, 7 analyzed the primary outcomes of pain intensity and disability, 5 articles compared Pilates with other rehabilitation techniques and 2 studies compared the effectiveness of Pilates solo with Pilates apparatus. It was concluded that all the techniques that were compared with Pilates are effective, being difficult to affirm the superiority of Pilates over them in relation to the reduction of pain and disability and improvement of quality of life. However, the Pilates method has shown good results in pain perception and intensity, functional capacity, fear of movement and the idea that movement can worsen your condition, muscle strength, range of motion and flexibility.

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