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Maximal aerobic power in patients with chronic low back pain: a comparison with healthy subjects

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Abstract

The objective of the study was to compare the maximal aerobic capacity of patients with chronic low back pain with healthy asymptomatic controls matched for age, gender and level of physical activity at work and during sports activities. Reported data in the literature with respect to aerobic capacity in patients with chronic low back pain are not conclusive. Nevertheless, based on the assumption that chronic low back pain leads to deconditioning, physical training programs are widely used as a treatment. A total of 70 patients with chronic low back pain and 70 healthy asymptomatic subjects completed questionnaires regarding demographics and performed a graded maximal exercise test until exhaustion on a cycle ergometer. The maximal aerobic power was measured by indirect calorimetry. Heart rate, respiratory exchange ratio and blood lactate levels were also measured. The test was considered maximal when VO2max achievement criteria were obtained. VO2max values were compared among groups. The absolute and normalized for weight values of VO2max measured in patients with chronic low back pain were significantly lower than that of the control group. Independent comparison between men and women showed that absolute values of VO2max are also significantly lower in men and women with chronic low back pain. Women reached absolute and normalized for weight VO2max values significantly lower than those of men, both in chronic low back pain and control group. In conclusion, chronic low back pain patients, especially women, seem to have a reduced aerobic capacity compared to healthy asymptomatic subjects.

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References

  1. Abenhaim L, Rossignol M, Valat JP, Nordin M, Avouac B, Blotman F, Charlot J, Dreiser RL, Legrand E, Rozenberg S, Vautravers P (2000) The role of activity in the therapeutic management of back pain. Report of the International Paris Task Force on Back Pain. Spine (Phila Pa 1976) 25:1S–33S

    CAS  Google Scholar 

  2. ACSM ACOSM (2006) ACSM’s guidelines for exercise testing and prescription. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  3. Astrand P, Rohdahl K (1986) Textbook of work physiology, physiological bases of exercise. McGraw-Hill, New York

    Google Scholar 

  4. Astrand PO, Saltin B (1961) Maximal oxygen uptake and heart rate in various types of muscular activity. J Appl Physiol 16:977–981

    CAS  PubMed  Google Scholar 

  5. Baecke JA, Burema J, Frijters JE (1982) A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr 36:936–942

    CAS  PubMed  Google Scholar 

  6. Carlsson AM (1983) Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 16:87–101

    Article  CAS  PubMed  Google Scholar 

  7. Convertino VA, Goldwater DJ, Sandler H (1986) Bedrest-induced peak VO2 reduction associated with age, gender, and aerobic capacity. Aviat Space Environ Med 57:17–22

    CAS  PubMed  Google Scholar 

  8. Guttmann N (1974) L-(+) lactate determination with lactate dehydrogenase and NAD. In: Bergmeyer H (ed) Methods of enzymatic analysis. Academic Press, New York, pp 1464–1468

    Google Scholar 

  9. Hamilton M (1959) The assessment of anxiety states by rating. Br J Med Psychol 32:50–55

    CAS  PubMed  Google Scholar 

  10. Han TS, Schouten JS, Lean ME et al (1997) The prevalence of low back pain and associations with body fatness, fat distribution and height. Int J Obes Relat Metab Disord 21:600–607

    Article  CAS  PubMed  Google Scholar 

  11. Hoch AZ, Young J, Press J (2006) Aerobic fitness in women with chronic discogenic nonradicular low back pain. Am J Phys Med Rehabil 85:607–613

    Article  PubMed  Google Scholar 

  12. Howley ET, Bassett DR Jr, Welch HG (1995) Criteria for maximal oxygen uptake: review and commentary. Med Sci Sports Exerc 27:1292–1301

    CAS  PubMed  Google Scholar 

  13. Hurri H, Mellin G, Korhonen O, Harjula R, Harkapaa K, Luoma J (1991) Aerobic capacity among chronic low-back-pain patients. J Spinal Disord 4:34–38

    CAS  PubMed  Google Scholar 

  14. Nielens H, Cornet D, Rigot F (2002) Maximal versus submaximal testing protocols to evaluate fitness of patients with chronic low back pain. Med Sci Sports Exerc 34:s270

    Article  Google Scholar 

  15. Nielens H, Plaghki L (2001) Cardiorespiratory fitness, physical activity level, and chronic pain: are men more affected than women? Clin J Pain 17:129–137

    Article  CAS  PubMed  Google Scholar 

  16. Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC et al (1995) Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 273:402–407

    Article  CAS  PubMed  Google Scholar 

  17. Poiraudeau S, Duvallet A, Barbosa DS (1999) Efficacité à 1 an d’un programme de réconditionnement à l’effort proposé à des lombalgiques chroniques lourdement handicapés. Ann Réad Méd Phys 42:33–41

    Google Scholar 

  18. Rasmussen-Barr E, Lundqvist L, Nilsson-Wikmar L, Ljungquist T (2008) Aerobic fitness in patients at work despite recurrent low back pain: a cross-sectional study with healthy age- and gender-matched controls. J Rehabil Med 40:359–365

    Article  PubMed  Google Scholar 

  19. Shvartz E, Reibold RC (1990) Aerobic fitness norms for males and females aged 6–75 years: a review. Aviat Space Environ Med 61:3–11

    CAS  PubMed  Google Scholar 

  20. Smeets RJ, Wittink H, Hidding A, Knottnerus JA (2006) Do patients with chronic low back pain have a lower level of aerobic fitness than healthy controls?: are pain, disability, fear of injury, working status, or level of leisure time activity associated with the difference in aerobic fitness level? Spine 31:90–97 discussion 98

    Article  PubMed  Google Scholar 

  21. van der Velde G, Mierau D (2000) The effect of exercise on percentile rank aerobic capacity, pain, and self-rated disability in patients with chronic low-back pain: a retrospective chart review. Arch Phys Med Rehabil 81:1457–1463

    Article  PubMed  Google Scholar 

  22. van Weering M, Vollenbroek-Hutten MM, Kotte EM, Hermens HJ (2007) Daily physical activities of patients with chronic pain or fatigue versus asymptomatic controls. A systematic review. Clin Rehabil 21:1007–1023

    Article  PubMed  Google Scholar 

  23. Waddell G, Main CJ (1984) Assessment of severity in low-back disorders. Spine 9:204–208

    Article  CAS  PubMed  Google Scholar 

  24. Wittink H, Hoskins Michel T, Wagner A, Sukiennik A, Rogers W (2000) Deconditioning in patients with chronic low back pain: fact or fiction? Spine 25:2221–2228

    Article  CAS  PubMed  Google Scholar 

  25. Wittink H, Michel TH, Sukiennik A, Gascon C, Rogers W (2002) The association of pain with aerobic fitness in patients with chronic low back pain. Arch Phys Med Rehabil 83:1467–1471

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors thank the 140 subjects who participated in the study and Michelle McArthur for her editing assistance.

Conflict of interest

The manuscript represents an original work without external financial support, and there are no conflicts of interest. We certify that we have full control of all primary data and we agree to allow the journal to review data if requested.

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Correspondence to Ivan Duque.

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Duque, I., Parra, JH. & Duvallet, A. Maximal aerobic power in patients with chronic low back pain: a comparison with healthy subjects. Eur Spine J 20, 87–93 (2011). https://doi.org/10.1007/s00586-010-1561-0

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  • DOI: https://doi.org/10.1007/s00586-010-1561-0

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