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Effect of physiotherapy treatment in the autonomic modulation and pain perception of low back pain patients

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Effect of physiotherapy treatment in the autonomic modulation and pain perception of low back pain patients

dc.contributor.author	Abuín Porras, Vanesa
dc.contributor.author	Clemente Suárez, Vicente Javier
dc.contributor.author	Jaén Crespo, Gonzalo
dc.contributor.author	Navarro Flores, Emmanuel
dc.contributor.author	Pareja Galeano, Helios
dc.contributor.author	Romero Morales, Carlos
dc.date.accessioned	2022-02-14T14:27:47Z
dc.date.available	2022-02-14T14:27:47Z
dc.date.issued	2021
dc.identifier.uri	https://hdl.handle.net/10550/81604
dc.description.abstract	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.
dc.language.iso	eng
dc.relation.ispartof	Journal Of Clinical Medicine, 2021
dc.rights.uri	info:eu-repo/semantics/openAccess
dc.source	Abuín Porras, Vanesa Clemente Suárez, Vicente Javier Jaén Crespo, Gonzalo Navarro Flores, Emmanuel Pareja Galeano, Helios Romero Morales, Carlos 2021 Effect of physiotherapy treatment in the autonomic modulation and pain perception of low back pain patients Journal Of Clinical Medicine. vol. 10, n. 8, pp. 1-9
dc.subject	Fisioteràpia
dc.subject	Malalties
dc.title	Effect of physiotherapy treatment in the autonomic modulation and pain perception of low back pain patients
dc.type	info:eu-repo/semantics/article
dc.date.updated	2022-02-14T14:27:48Z
dc.identifier.doi	https://doi.org/10.3390/jcm10081793
dc.identifier.idgrec	147110