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The association of pain with aerobic fitness in patients with chronic low back pain

      Abstract

      Wittink H, Hoskins Michel T, Sukiennik A, Gascon C, Rogers W. The association of pain with aerobic fitness in patients with chronic low back pain. Arch Phys Med Rehabil 2002;83:1467-71. Objective: To investigate the association of aerobic fitness (V̇O2max) with pain intensity as reported by a sample of patients with chronic low back pain (LBP). Design: Cross-sectional with partial longitudinal follow-up. Setting: Outpatient interdisciplinary pain management program in a teaching hospital. Patients: A convenience sample of 75 patients with chronic LBP. Intervention: Patients reported pain intensity before and after undergoing a modified treadmill test. Peak VO2 was measured by using indirect calorimetry. Predicted V̇O2max was determined by extrapolating peak VO2 and heart rate values during testing to predicted maximal heart rate. Main Outcome Measures: Aerobic fitness and pain intensity before and after testing. Results: No significant relation was found between pain intensity and predicted V̇O2max or aerobic fitness. Conclusion: There is no association between pain intensity and aerobic fitness. Deconditioning, defined as a lack of cardiovascular fitness levels normal for age and gender, therefore does not contribute to pain intensity in patients with chronic LBP. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation

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