在患有慢性腰痛和没有慢性腰痛的成年人之间,通过心率变化的自主平衡差异
Carlos Fernández-Morales1, Luis Espejo-Antúnez1, Manuel Albornoz-Cabello2
1Department of Medical-Surgical Therapy, Faculty of Medicine and Health Sciences, University of Extremadura, 06006 Badajoz, Spain.
与健康个体相比,患有慢性腰部疼痛 (CLBP) 的成年人表现出自主平衡的改变,表现出较高的同情活动和较低的副同情活动. 这突显了疼痛与神经系统之间的联系.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛是一个全球性的健康问题,在全球范围内对残疾有着重大影响.
- 在患有慢性疼痛的个体中,自主神经系统 (ANS) 的平衡可能会受到干扰.
研究的目的:
- 通过心率变化 (HRV) 来研究交感和副交感神经系统活动的差异.
- 为了比较患有和没有慢性腰痛 (CLBP) 的成年人之间的HRV参数.
主要方法:
- 采用了观察性研究设计.
- 用时间域 (rMSSD,Min HR,Max HR,Mean HR) 和非线性措施 (SD1,SD2,压力评分,S:PS比率) 评估心率变化 (HRV).
主要成果:
- 在CLBP和对照组之间观察到HRV参数的统计学上显著差异 (p < 0.05).
- 健康的受试者表现出更高的副交感活动 (rMSSD,SD1),而CLBP组表现出更高的同情活动 (SD2,SS,S:PS比率).
- 所有测量的参数都表明了很大的效果大小.
结论:
- 研究结果表明,在患有CLBP的成年人中,自主平衡和疼痛调节机制之间存在显著的关联.
- 自主功能障碍可能在慢性腰部疼痛的病理生理学或维持中发挥作用.
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