Chatzitheodorou Dimitris, Kabitsis Chris, Malliou Paraskevi, Mougios Vassilis
Department of Physical Therapy, Technological Educational Institute of Thessaloniki, PO Box 141, 57400 Sindos, Greece.
Phys Ther. 2007 Mar;87(3):304-12. doi: 10.2522/ptj.20060080. Epub 2007 Feb 6.
Given the complex nature of chronic pain, the effects of high-intensity aerobic exercise on pain, disability, psychological strain, and serum cortisol concentrations in people with chronic low back pain were investigated.
Twenty subjects receiving primary health care were randomly allocated into exercise and control groups.
Subjects in the exercise group received a 12-week, high-intensity aerobic exercise program. Subjects in the control group received 12 weeks of passive modalities without any form of physical activity.
Data analysis identified reductions in pain (41%, t(10)=8.51, P<.001), disability (31%, t(10)=7.32, P<.001), and psychological strain (35%, t(10)=7.09, P<.001) in subjects in the exercise group and no changes in subjects in the control group. High-intensity exercise failed to influence serum cortisol concentrations.
Regular high-intensity aerobic exercise alleviated pain, disability, and psychological strain in subjects with chronic low back pain but did not improve serum cortisol concentrations.
鉴于慢性疼痛的复杂性，本研究调查了高强度有氧运动对慢性下腰痛患者的疼痛、功能障碍、心理压力及血清皮质醇浓度的影响。
20名接受初级卫生保健的受试者被随机分为运动组和对照组。
运动组受试者接受为期12周的高强度有氧运动计划。对照组受试者接受为期12周的被动治疗，不进行任何形式的体育活动。
数据分析显示，运动组受试者的疼痛（降低41%，t(10)=8.51，P<.001）、功能障碍（降低31%，t(10)=7.32，P<.001）和心理压力（降低35%，t(10)=7.09，P<.001）均有所减轻，而对照组受试者无变化。高强度运动未能影响血清皮质醇浓度。
规律的高强度有氧运动可减轻慢性下腰痛患者的疼痛、功能障碍和心理压力，但未改善血清皮质醇浓度。
