Effektivität von Biofeedback bei Patienten mit chronischem Rückenschmerz

Eichler, J; Rachinger-Adam, Banafscheh; Kraft, Eduard; Azad, Shahnaz Christina

doi:10.1007/s00482-019-0393-z

Cited by 6 publications

(3 citation statements)

References 39 publications

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“…In this sense, the postmenopausal women with higher age presented higher serum cortisol levels and lower lumbar strength. Higher levels of this catabolic hormone in the bloodstream may be related to the higher level of deterioration and dehydration that intervertebral discs attempt to present with advancing age (McGill, 2015) and the pain intensity that the participants presented (Eichler et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…In stressful and painful situations, cortisol causes a catabolic state in the metabolism. Individuals with chronic pain who are exposed to permanent stress tend to have elevated cortisol levels compared to healthy people (Eichler, Rachinger-Adam, Kraft, & Azad, 2019).Thus, these biochemical markers of stress and muscle damage (cortisol and CK) may be related to low back pain.…”

Section: Introductionmentioning

confidence: 99%

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2020

JPES

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Objective: To analyze the correlation between cortisol, creatine kinase (CK),estradiol, pain perception, low back functional disability, and abdominal and lumbar muscle strength in postmenopausal women with low back pain.Methods:The sample consisted of eleven postmenopausal women (age: 55.09 ± 6.7 years; range between 44 and 66 years old; body mass: 63.07 ± 9.78 kg; height: 1.55 ± 0.07 m; BMI: 26.01 ± 2.67 kg/m 2) with pain and functional lumbar incapacity.Blood collection for analysis of the basal serum levels of cortisol and estradiolwas performed using the chemiluminescence method, andthe enzymatic method was applied for CK analysis.The pain perception and the perception of lumbar functional incapacity were determined through the Visual Analogue Scale (VAS) and the Roland-Morris Questionnaire (RMQ), respectively. The abdominal strength and the strength of the spine extensor muscles were analyzed by an isometric test. Results: ThePearson correlation showed a highly significant negative correlation between the estradiol levels and the VAS (r =-0.725; p = 0.012). The cortisol presented a significant negative correlation with the strength scores of the spine extensors (r =-0.764; p = 0.006).The participants' age presented significant correlation with cortisol (r =-0.668; p = 0.025) and with the lumbar score (r =-0.601; p = 0.051). No significant differences were found in RMQ, CK, and the abdominal score(p ≥ 0.05).Conclusions:Postmenopausal women with higher age tend to present higher serum cortisol levels and lower levels of lumbar strength.Moreover, greater levels of cortisol are related to smallerlevels of lumbar strength. Lower estradiol levels tend to represent higher pain perception in postmenopausal women withlow back pain.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Untitled

2020

JPES

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“…Under stressful and painful conditions, cortisol creates a catabolic condition in the metabolism and is released into the bloodstream as a pulsatile stress hormone. People with chronic pain who are subjected to constant stress have higher cortisol levels than healthy individuals(Eichler et al, 2019).To the best of researcher's knowledge, this is the first study that measured the effect of HILT on the cortisol levels. In the same context, Mu-Lein et al (2014) who assessed the efficiency of LLLT and cupping on lower back pain used plasma cortisol levels as an assessment method for assessment of pain in the sample participants.…”

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confidence: 96%

Effect of high intensity laser in the treatment of myofascial trigger points in symptomatic knee osteoarthritis: A randomized single-blinded controlled trial

Ahmed¹,

Kasem

Al-Shenqiti

et al. 2022

sportk

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Background: Osteoarthritis (OA) is one of the most prevalent causes of musculoskeletal pain and disability among the middle age and elderly population. It significantly affects the overall quality of life of the affected individuals. Objectives: To find out the impact of high intensity laser therapy (HILT) on myofascial trigger points (MTrPs) in symptomatic knee OA. Methods: This is a single-blinded pre–post randomized experimental trial. A total of 40 patients, both male and female, falling within the age group of 35-55 years, BMI 25–29.9 Kg/Cm2, diagnosed with bilateral knee osteoarthritis (grade 2), were recruited as participants of the study. All the participants were clinically evaluated for the signs and symptoms of myofascial pain, tenderness over the vastus medialis muscle and the medial head of the gastrocnemius muscle. The participants were randomly allocated into two groups with n=20 in each group. The participants of the experimental group received high-power laser therapy and underwent exercises on the MTrPS of the vastus medialis and the medial head of the gastrocnemius muscle. The participants of the control group received placebo laser "sham laser" and underwent exercises for the vastus medialis and the medial head of the gastrocnemius muscle. A blood cortisol level test, pressure algometer, digital electronic goniometer, and the KOOS-PS questionnaire were used to measure the pain level, pain threshold, knee ROM, and knee function. Outcome assessment was done at Day 0 and post intervention at the end of 4 weeks. Results: The MANOVA test revealed that both groups improved significantly in all parameters at week 4, with the HILT group improving more than the sham group in blood cortisol levels, pressure algometer measures, knee passive ROM, and KOOS scores (P < .05). Conclusion: HILT is an efficient approach in the treatment of MTrPs in knee OA.

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Effects of Yoga on Pain, Function, and Depression in Individuals with Nonspecific-Low Back Pain

Song¹,

Choi²,

Cho

et al. 2022

Phys Ther Rehabil Sci

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IntroductionNSLBP is a chronic symptom that occurs in many age groups worldwide [1], and the prevalence was reported to be 39% across all age groups [2]. It is considered to have various biological and behavioral etiology [3], and it is a multidimensional disease that combines psychosocial factors as well as physical problems [4].In the treatment guidelines for NSLBP, pharmacological interventions, usual care, Tai Chi, Pilates, Yoga, psychological therapy, and complex physical and psychological programs are recommended [5,6]. In the meta-analysis of low back pain, it was reported that stabilization exercise was more effective than general exercise for pain and disability [7]. It has also been associated with high cortisol levels in NSLBP [8], and it is used as a biochemical marker to indicate low back pain when cortisol levels are high [9,10]. The positive effects of yoga reported by Field et al. were mediated by increased vagal activity and decreased cortisol [11].Therefore, this study aims to compare the effects of Yoga and stabilization exercise on pain, function, and depression in NSLBP patients.

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Effektivität von Biofeedback bei Patienten mit chronischem Rückenschmerz

Cited by 6 publications

References 39 publications

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Effect of high intensity laser in the treatment of myofascial trigger points in symptomatic knee osteoarthritis: A randomized single-blinded controlled trial

Effects of Yoga on Pain, Function, and Depression in Individuals with Nonspecific-Low Back Pain

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