The effect of exercise on adrenocortical responsiveness of patients with chronic low back pain, controlled for psychological strain

Objective: To investigate the effects of high-intensity aerobic exercise on adrenocortical responsiveness and on standard outcome measures in patients with chronic low back pain. Design: Controlled clinical trial. Setting: Physical therapy department of a university general hospital. Subjects: Sixty...

Full description

Saved in:
Bibliographic Details
Published in:Clinical rehabilitation 2008-04, Vol.22 (4), p.319-328
Main Authors: Chatzitheodorou, Dimitris, Mavromoustakos, Savvas, Milioti, Styliani
Format: Article
Language:English
Subjects:
Adrenal Cortex - physiology
Adrenal Cortex - physiopathology
Adrenal Cortex Function Tests
Adult
Aerobics
Aged
Anxiety
Anxiety - diagnosis
Anxiety - metabolism
Back pain
Chronic Disease
Chronic pain
Data analysis
Depression - diagnosis
Depression - metabolism
Dexamethasone - administration & dosage
Disability
Exercise
Exercise - physiology
Female
Hormones
Humans
Hydrocortisone - metabolism
Low Back Pain - metabolism
Low Back Pain - physiopathology
Low Back Pain - psychology
Low Back Pain - rehabilitation
Male
Middle Aged
Pain Measurement
Pathology
Patients
Physical fitness
Physical therapy
Questionnaires
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: To investigate the effects of high-intensity aerobic exercise on adrenocortical responsiveness and on standard outcome measures in patients with chronic low back pain. Design: Controlled clinical trial. Setting: Physical therapy department of a university general hospital. Subjects: Sixty-four patients with chronic low back pain were randomly allocated into positive and negative suppression test groups and assigned to exercise protocol. Interventions: Subjects in the positive and negative dexamethasone suppression test groups received a 12-week high-intensity aerobic exercise programme. Main outcome measures: Dexamethasone suppression test as an index of adrenocortical responsiveness, pain measured with the McGill Pain Questionnaire, functional status measured with the Roland Morris Disability Questionnaire, and psychological strain measured with the Hospital Anxiety and Depression Scale. Results: Data analysis in the positive group identified a significant reduction of pain by 30% (t 30 = 11.2, P
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215507079858