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EFFECTS OF PHYSICAL TRAINING IN CHRONIC LOW BACK PAIN PATIENTS. IMPORTANCE OF VO2max CRITERIA DURING ERGOMETRIC TESTS
Author(s) -
Duque Ivan Leonardo,
Duvallet Alain
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.712.34
Subject(s) - deconditioning , physical therapy , aerobic capacity , medicine , cardiorespiratory fitness , heart rate , low back pain , vo2 max , physical fitness , aerobic exercise , chronic pain , physical medicine and rehabilitation , blood pressure , alternative medicine , pathology
Nowadays physical deconditioning is both a cause and a consequence of chronic low back pain. Health professionals recognize physical exercise as an important compound of chronic low back pain treatment programs; nevertheless published data concerning aerobic capacity in those patients are inconsistent. An accurate measurement of VO2max is necessary to establish the effect of physical training on aerobic capacity. 101 patients with chronic low back pain underwent a 5week physical restoration program including exercises to improve maximal aerobic capacity. The use of the primary criterion and secondary criteria (heart rate, respiratory quotient and lactatemy) for obtaining VO2max or VO2peak values during a maximal exercise protocol before and after training led to the establishment of 4 groups of patients. Comparison of VO2 values before and after training was made using a paired t test. VO2max improved significantly only in subjects achieving VO2max values before and after training. Our study is the first to demonstrate that to determine the evolution of VO2max with training in chronic low back pain patients it is necessary to consider specific metabolic parameters. The inability for all patients to achieve these parameters explains, at least in part, the contradictory results published in the literature.