Effects of aerobic exercise on pain sensitivity, heart rate recovery, and health-related quality of life in patients with chronic musculoskeletal pain.


Karaca S. O., Demirsoy N., GÜNENDİ Z.

International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation, cilt.40, sa.2, ss.164-170, 2017 (SCI-Expanded) identifier identifier identifier

Özet

We aimed to investigate the effects of aerobic exercise on pain perception, sensitivity, and health-related quality of life; to assess its effect on parasympathetic tonus by analysis of heart rate recovery; and to examine the effects of parasympathetic tone on pain sensitivity in patients with chronic musculoskeletal pain. Fifty patients with chronic musculoskeletal pain were randomized into two groups: control group (C group) and aerobic exercise group (AE group). Both groups received conventional physical therapy for 2 weeks; the AE group performed submaximal aerobic exercise on a treadmill for 30 min additionally. Exercise test, pressure-pain threshold measurement, short form-36, and visual analog scale were administered initially and finally for evaluation. Visual analog scale scores in both groups decreased significantly after treatment (P < 0.001). Pressure-pain threshold sum increased significantly in the AE group, remaining unchanged in the C group. Increase in exercise test duration was significant in the AE group compared with the C group (P = 0.0002). Heart rate recovery did not change with therapy in the groups. For short form-36, the AE group showed alterations in role limitations because of physical problems and general health perceptions; both groups showed a significant improvement in the physical function and bodily pain subscales, but mental health significantly improved only in C group. Short-term aerobic exercise along with conventional physical therapy decreased pain sensitivity and increased aerobic capacity, with significant improvements in health-related quality of life. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved.