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Effect of whole body cryotherapy on low back pain and release of endorphins and stress hormones in patients with lumbar spine osteoarthritis

Barłowska-Trybulec M, Zawojska K, Szklarczyk J, Góralska M

Reumatologia · 11 citas

Cómo se estudió

Diseño
Ensayo clínico controlado (clasificado por nuestro filtro de IA)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente

Según la declaración de financiación del texto completo.

Publicación

Publicado
2022-08-31 · Reumatologia · vol. 60 · número 4 · págs. 247–251
Editorial
Termedia Publishing House
Citado
19 citas · más que el 83% de estudios similares · 1.5× el promedio de su campo
Referencias
21 trabajos
Acceso
Acceso abierto (publicación gratuita) · OTHER-OA
Áreas de investigación
Exercise and Physiological Responses · Therapeutic Uses of Natural Elements · Myofascial pain diagnosis and treatment
Palabras clave
Medicine, Cryotherapy, Massage, Visual analogue scale, Low back pain, Lumbar, Osteoarthritis, Physical therapy, Anesthesia, Internal medicine, Surgery, Pathology

4 autores

  • Marta Barłowska-Trybulec🇵🇱Jagiellonian University
  • Klaudia Zawojska🇵🇱 · autor de correspondenciaJagiellonian University
  • Joanna Szklarczyk🇵🇱Jagiellonian University
  • Marta Góralska🇵🇱Jagiellonian University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Introduction

Low back pain (LBP) is the most common ailment in patients with lumbar spine osteoarthritis (OA). There are many methods to treat LBP, such as manual therapy, osteopathy, massage, physical exercise, and physical therapy. The most effective of these are manual therapy and exercises combined with physical procedures, such as whole body cryotherapy (WBCT). Whole body cryotherapy can induce various hormonal adaptations in patients with OA. This is probably the body's reaction to cold and stress. The purpose of the study was to evaluate the impact of WBCT on β-endorphins, cortisol and adrenaline release, as well as on LBP in patients with OA of the lumbar spine.

Material and methods

The study group consisted of 30 patients with lumbar spine OA who underwent a series of WBCT combined with therapeutic exercises. Before and after the therapy each patient was examined using a visual analogue scale (VAS) and blood samples were collected for laboratory determinations (ELISA).

Results

After WBCT, the decrease in LBP measured by VAS was statistically significant (p p = 0.10). The mean value of the plasma level of cortisol after treatment increased and the difference was statistically significant (p = 0.0009). The plasma level of adrenalin after treatment increased slightly, but the difference was statistically insignificant (p = 0.08).

Conclusions

Whole body cryotherapy combined with therapeutic exercises had a positive effect on LBP reduction in patients with OA. On the basis of these changes, processes that take place in the nervous and endocrine systems are a response to the stimuli of cold and stress. The mechanism of action of extremely low temperatures on the human body is still not fully understood.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-SA).

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