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http://hdl.handle.net/1942/25844
Title: | Feasibility of high intensity training in nonspecific chronic low back pain: A clinical trial | Authors: | VERBRUGGHE, Jonas AGTEN, Anouk OP 'T EIJNDE, Bert Olivieri, Enzo HUYBRECHTS, Xavier Seelen, Henk VANDENABEELE, Frank TIMMERMANS, Annick |
Issue Date: | 2018 | Source: | JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION, 31 (4), p. 657-666 | Status: | In press | Abstract: | BACKGROUND: Although low to moderate intensity exercise therapy is a predominant part of rehabilitation in nonspecific chronic low back pain (NSCLBP), effect sizes are small and optimal exercise modalities/intensities are unclear. Conversely, effects of high intensity training have not yet been investigated in this population. OBJECTIVE: The aim of this study is to investigate the feasibility of high intensity training (HIT) and to explore the magnitude of the effects of a HIT program may have on exercise capacity and disease related outcome measures compared to conventional therapy for persons with NSCLBP. METHODS: In this non-randomized controlled feasibility study, treatment satisfaction, adherence, disability, pain, physical activity, body composition, exercise capacity and self-reported motivation, were assessed in persons with NSCLBP, before (PRE) and after (POST) 6 weeks (12 sessions, 1.5 hours/session, 2 x/week) of high intensity cardiovascular (100% VO2Max) and high load resistance (80% 1RM) training (HIT, n= 10) and compared to average intensity/load (60% VO2max) conventional physical therapy (CON, n= 10). RESULTS: At PRE, CON and HIT did not differ, except for gender ratio and lean mass. Compared to CON, HIT retained motivation to rehabilitate better (HIT: +3%; CON: -25%) and had higher therapy adherence (+16%) during the study course. No adverse events were noted in both groups. Whereas disability reduced in both groups (HIT: -10.4%; CON: -8.3%), peak workload (+7.0%), time to exhaustion (+9.5%), and activity level (+5.6%) only improved in HIT. CONCLUSIONS: High intensity exercise therapy appears to be a feasible rehabilitation approach in NSCLBP. Outcomes improved following the HIT protocol, warranting the investigation of its effectiveness in future large scale RCT studies. | Notes: | Verbrugghe, J (reprint author), Agoralaan 5,Gebouw A, B-3590 Diepenbeek, Belgium. Jonas.verbrugghe@uhasselt.be | Keywords: | low back pain; rehabilitation; high intensity; exercise therapy | Document URI: | http://hdl.handle.net/1942/25844 | ISSN: | 1053-8127 | e-ISSN: | 1878-6324 | DOI: | 10.3233/BMR-170810 | ISI #: | 000445002100009 | Rights: | (c) 2018 – IOS Press and the authors. All rights reserved | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
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bmr--1-bmr170810.pdf | Peer-reviewed author version | 1.22 MB | Adobe PDF | View/Open |
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