Document Detail


Deconditioning in patients with chronic low back pain: fact or fiction?
MedLine Citation:
PMID:  10973406     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Prospective case series with historical controls (normative data). OBJECTIVES: To compare aerobic fitness levels in patients with chronic low back pain with those published on a sample of 295 healthy subjects. SUMMARY OF BACKGROUND DATA: Clinical belief holds that patients with chronic low back pain have low fitness levels as a result of inactivity because of pain. Because few studies have investigated the level of aerobic fitness in these patients, however, it remains unclear how fitness levels in patients with chronic low back pain patients compare with those published a sample of the normative population. METHODS: A sample of 50 patients with chronic low back pain with a mean pain duration of 40 months referred to an outpatient pain clinic performed a symptom-limited modified treadmill test. Aerobic fitness levels were determined by indirect calorimetry to measure oxygen consumption (VO2). Predicted maximum oxygen consumption (VO2max) levels were calculated for all subjects. Multiple regression analysis with adjustment for age and sex yielded prediction equations for men and women separately. Ninety-five percent confidence intervals were calculated for predicted mean oxygen consumption (VO2) and the slope of the equations. These were compared to established prediction equations on healthy subjects. RESULTS: Prediction equations for estimated maximum oxygen consumption (VO2max) in patients with chronic low back pain equal those in healthy sedentary men and active women. CONCLUSIONS: Levels of aerobic fitness in patients with chronic low back pain are comparable with those in healthy subjects.
Authors:
H Wittink; T Hoskins Michel; A Wagner; A Sukiennik; W Rogers
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Spine     Volume:  25     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-10-16     Completed Date:  2000-10-16     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2221-8     Citation Subset:  IM    
Affiliation:
New England Medical Center, Pain Management Clinic, Boston, MA 02111, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Exercise / physiology
Exercise Test / statistics & numerical data
Exercise Tolerance / physiology*
Female
Humans
Low Back Pain / complications*,  diagnosis,  epidemiology
Male
Physical Fitness / physiology*,  psychology
Predictive Value of Tests
Prospective Studies
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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