Clinical and Endocrinological Responses to Different Exercise Training Methods in Chronic Low Back Pain: A Randomized Controlled Trial

被引：1

作者：

Nambi, Gopal ^{[1
]}

Basuodan, Reem M. ^{[2
]}

Alwhaibi, Reem M. ^{[2
]}

Ebrahim, Elturabi Elsayed ^{[3
]}

Verma, Anju ^{[4
]}

Syed, Shahanawaz ^{[5
]}

Mohamed, Shahul Hameed Pakkir ^{[6
]}

Aldhafian, Osama R. ^{[7
]}

Nwihadh, Naif A. ^{[8
]}

Saleh, Ayman K. ^{[7
,9
]}

机构：

[1] Prince Sattam Bin Abdulaziz Univ, Coll Appl Med Sci, Dept Hlth & Rehabil Sci, Alkharj, Saudi Arabia

[2] Princess Nourah Bint Abdulrahman Univ, Coll Hlth & Rehabil Sci, Dept Rehabil Sci, POB 84428, Riyadh 11671, Saudi Arabia

[3] Prince Sattam Bin Abdulaziz Univ, Coll Appl Med Sci, Dept Nursing, Alkharj, Saudi Arabia

[4] Univ Sydney, Dept Exercise & Sports Sci, Sydney, NSW, Australia

[5] Univ Hail, Coll Appl Med Sci, Dept Phys Therapy, Hail, Saudi Arabia

[6] Univ Tabuk, Fac Appl Med Sci, Dept Phys Therapy, Tabuk, Saudi Arabia

[7] Prince Sattam Bin Abdulaziz Univ, Coll Med, Dept Surg, Al Kharj, Saudi Arabia

[8] Dept Surg, King Fahad Med City, Riyadh, Saudi Arabia

[9] Al Azhar Univ, Fac Med Girls, Dept Orthoped, Cairo, Egypt

来源：

ENDOCRINE METABOLIC & IMMUNE DISORDERS-DRUG TARGETS | 2023年 / 23卷 / 06期

关键词：

Exercise training; pain intensity; kinesiophobia; endocrine; chronic low back pain; isokinetic exercises; CROSS-SECTIONAL AREA; STABILIZATION EXERCISE; SWISS BALL; STRENGTH; TRUNK; ENDURANCE; REHABILITATION; DISABILITY;

D O I：

10.2174/1871530323666221031151721

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims and Background The knowledge about the effective implementation of different exercise training methods on clinical and endocrinological responses in soccer players with chronic low back pain (LBP) is lacking. Hence the study is proposed to find the effects of different exercise training methods on clinical and endocrinological responses in soccer players with chronic low back pain. Methods Through the three-block randomization method, 60 chronic LBP participants were randomly divided into the isokinetic exercise group (IKE; n = 20), (CSE; n = 20), and conventional exercise group (n = 20). They received respective training for four weeks. Clinical (pain intensity & kinesiophobia) and endocrinological (glucose, insulin, HOMA-IR, growth hormone, prolactin, ACTH, and cortisol) values were measured at baseline, after 4 weeks, and at 3 months follow up. Results The baseline data between the groups showed no statistical difference (p >= 0.05). Four weeks following training IKE group showed significant changes in pain intensity and kinesiophobia than CSE and conventional training groups (p < 0.05). After 4 weeks of training, all the serum hormone variables show significant changes between the groups (glucose; p = 0.049, insulin; p = 0.005, HOMA-IR; p = 0.021, growth hormone; p = 0.006, prolactin; p = 0.001, ACTH; p = 0.001 and cortisol; p = 0.001). At 3 months follow up, the values for Glucose and Insulin (p > 0.05) variables did not show any statistical changes, but the rest of the variables (p = 0.001) showed significant differences. However, the maximum improvement was seen in the IKE group as calculated by the post hoc Tukey-Kramer's test. Conclusion Our study suggested that strength training through isokinetic exercises improved pain, kinesiophobia status, and temporary changes in serum stress hormone levels than other training methods in soccer players with chronic low back pain.

引用

页码：801 / 810

页数：10

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