Document Detail


Immune responses following McKenzie lumbar spine exercise in individuals with acute low back pain: A preliminary study.
MedLine Citation:
PMID:  24893635     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: This study explores the immune responses following 4 weeks of McKenzie lumbar spine exercise in individuals with acute low back pain (ALBP).
PATIENTS AND METHODS: Fifteen patients with ALBP and 15 healthy individuals volunteered in this study. Ten ml of peripheral blood were obtained from each patient before and after exercise sessions, and from healthy individuals at the beginning of the study. Flow cytometric analysis was used to evaluate the frequencies of CD4+ T lymphocyte sub-populations and the intracellular cytokine expression within this cell population. Pain perceptions were obtained at baseline and following each week of exercise sessions.
RESULTS: In comparison with healthy subjects there was an elevated frequency of memory (CD4+CD45RO+) T cells, helper inducer (CD4+CD29+) T cells, CD3+CD16+CD56+ T cells and a lower frequency of naïve/suppressor (CD4+CD45RA+) T cells at base line in back pain patients (p<0.05). After 4 weeks of McKenzie exercise sessions, pain intensity significantly decreased (p<0.05); however, there was no significant difference in the frequency of memory (CD4+CD45RO+) T cells, helper inducer (CD4+CD29+) T cells, CD3+CD16+CD56+ T cells and naïve/ suppressor (CD4+CD45RA+) T cells at base line relative to these cell populations after exercise sessions. The percentage of Pan (CD3+) T cells expressing IL-8 and TNF-α and the CD3+ T cells expressing the anti-inflammatory cytokine IL-4 increased significantly (p<0.05) following exercise sessions in comparison with baseline and healthy references. The reduction in pain scores did not correlate with elevated anti-inflammatory cytokines.
CONCLUSION: McKenzie exercise sessions induced an immune activation state and simultaneously up regulated anti-inflammatory IL-4 cytokines that boost pain relief.
Authors:
Saud Al-Obaidi; Fadia Mahmoud
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta medica academica     Volume:  43     ISSN:  1840-2879     ISO Abbreviation:  Acta Med Acad     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-06-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101587903     Medline TA:  Acta Med Acad     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  19-29     Citation Subset:  IM    
Copyright Information:
Copyright © 2014 by Academy of Sciences and Arts of Bosnia and Herzegovina.
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