title: An exercise therapy program can increase oxygenation and blood volume of the erector spinae muscle during exercise in chronic low back pain patients.
abstract: OBJECTIVE
  To determine whether erector spinae muscle oxygenation (OXY) and blood volume during a progressive isoinertial lifting evaluation (PILE) are modified by an exercise therapy program.
  
  
  METHODS
  Pre- (t1) and post- (t2) exercise therapy experimental design.
  
  
  METHODS
  Hospital.
  
  
  METHODS
  Subjects with chronic low back pain (LBP group) (n=24) and healthy subjects (control group) (n=24) were evaluated.
  
  
  METHODS
  Exercise program.
  
  
  METHODS
  The control group was evaluated once, and the LBP group was evaluated before (t1) the exercise therapy program and 28 days thereafter (t2). The maximal load lifted, total work, and total power were determined using the PILE test. Continuous-wave near-infrared spectroscopy was used to measure OXY and blood volume during the PILE test.
  
  
  RESULTS
  The maximal load lifted, total power, and total work were significantly lower in the LBP group (-42%±5%, -46%±6%, and -67%±6% at t1, respectively; P<.05) than the control group. In the LBP subjects, these parameters improved significantly after the exercise therapy program (+20%±3%, +56%±4%, and +61%±5%; P<.05). At each submaximal power (ie, 25, 50, 75, and 100% of maximal load lifted at t1), OXY and blood volume were significantly higher at t2 than t1. One-half recovery time for OXY was significantly higher in the LBP group (at t1 and t2) than in control subjects.
  
  
  CONCLUSIONS
  The findings in this study suggest that LBP subjects present an impairment in their capacity to deliver oxygen at the level of the erector spinae muscle, which can be partly restored by an exercise therapy program.
authors.affiliation: University Lille Nord de France, Lille, France; UDSL, EA4488, Ronchin, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Olivier
authors.forename: André
authors.initials: A
authors.lastname: Thevenon
authors.forename: Serge
authors.initials: S
authors.lastname: Berthoin
authors.forename: Fabrice
authors.initials: F
authors.lastname: Prieur
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001810:Blood Volume / Q000502:physiology*; D016022:Case-Control Studies; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000503:physiopathology* / Q000534:rehabilitation*; D008297:Male; D018482:Muscle, Skeletal / Q000098:blood supply* / Q000502:physiology*; D010100:Oxygen / Q000378:metabolism*; D019265:Spectroscopy, Near-Infrared; D016896:Treatment Outcome
chemical_list: D010100:Oxygen