Sanchis-Soler Gema, Tortosa-Martinez Juan, Sebastia-Amat Sergio, Chulvi-Medrano Ivan, Cortell-Tormo Juan Manuel
Department of General and Specific Didactics, University of Alicante, 03690 San Vicente del Raspeig, Spain.
Health, Physical Activity and Sports Technology (HEALTH-TECH), University of Alicante, 03690 San Vicente del Raspeig, Spain.
Healthcare (Basel). 2024 Feb 3;12(3):397. doi: 10.3390/healthcare12030397.
Acute lower back pain (ALBP) is an extremely common musculoskeletal problem. ALBP consists of a sudden onset of short-duration pain in the lower back. However, repeated attacks can make the pain chronic. It can be measured through a self-report scale as well as through physical and physiological evaluations. Heart Rate Variability (HRV) has been used to evaluate the body's response to pain. However, to the best of our knowledge, no clear consensus has been reached regarding the relationship between both variables and on an optimal protocol for ALBP evaluation based on HRV. The objective of this review is to analyze the relationship and effectiveness of HRV as an instrument for measuring ALBP. Furthermore, we consider the influence of different types of interventions in this relationship. The protocol of this review was previously recorded in the International Prospective Register of Systematic Reviews (number CRD42023437160). The PRISMA guidelines for systematic reviews and PubMed, WOS and Scopus databases are employed. Studies with samples of adults with ALBP are included. This study sets out a systematic review protocol to help identify the relationship between HRV and ALBP. Understanding this relationship could help in designing early detection or action protocols that alleviate ALBP.
急性下背痛（ALBP）是一种极为常见的肌肉骨骼问题。ALBP表现为下背部突然发作的短期疼痛。然而，反复发痛会使疼痛转为慢性。它可以通过自我报告量表以及身体和生理评估来衡量。心率变异性（HRV）已被用于评估身体对疼痛的反应。然而，据我们所知，关于这两个变量之间的关系以及基于HRV的ALBP评估的最佳方案，尚未达成明确的共识。本综述的目的是分析HRV作为测量ALBP工具的关系和有效性。此外，我们考虑不同类型干预措施在这种关系中的影响。本综述的方案先前已记录在国际系统评价前瞻性注册库中（编号CRD42023437160）。采用系统评价的PRISMA指南以及PubMed、WOS和Scopus数据库。纳入了以患有ALBP的成人为样本的研究。本研究制定了一项系统评价方案，以帮助确定HRV与ALBP之间的关系。了解这种关系有助于设计缓解ALBP的早期检测或行动方案。
