Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain

Background: Chronic pain has been reported as one of the leading causes of disability in the world, being associated with a potential impact on autonomic balance. Objective: The aim was to compare sympathetic and parasympathetic activity through heart rate variability (HRV) between adults with and w...

Full description

Bibliographic Details
Authors: Fernández Morales, Carlos; Espejo Antúnez, Luís; Albornoz Cabello, Manuel; Yañez Álvarez, Ángel; Cardero Durán, María de los Ángeles
Format: Article
Status:Published version
Publication date:2027
Country:España
Institution:Universidad de Sevilla (US)
Repository:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:dnet:idus________::5d783c522a487b3a5e7c5ceb688f6ad7
Online Access:https://hdl.handle.net/11441/186271
https://doi.org/10.3390/healthcare13050509
Access Level:Open access
Keyword:Chronic low back pain
Heart rate variability
Autonomic nervous system
_version_ 1878741138868797440
author Fernández Morales, Carlos
author2 Espejo Antúnez, Luís
Albornoz Cabello, Manuel
Yañez Álvarez, Ángel
Cardero Durán, María de los Ángeles
author2_role author
author
author
author
author_browse Albornoz Cabello, Manuel
Cardero Durán, María de los Ángeles
Espejo Antúnez, Luís
Fernández Morales, Carlos
Yañez Álvarez, Ángel
author_facet Fernández Morales, Carlos
Espejo Antúnez, Luís
Albornoz Cabello, Manuel
Yañez Álvarez, Ángel
Cardero Durán, María de los Ángeles
author_role author
collection idUS. Depósito de Investigación de la Universidad de Sevilla
description Background: Chronic pain has been reported as one of the leading causes of disability in the world, being associated with a potential impact on autonomic balance. Objective: The aim was to compare sympathetic and parasympathetic activity through heart rate variability (HRV) between adults with and without chronic low back pain (CLBP). Methods: An observational study was conducted in which HRV parameters were recorded using time-domain measures—root mean square of successive differences between consecutive RR intervals (rMSSD), minimum and maximum heart rate variability (Min HR and Max HR), and mean heart rate (Mean HR)—and nonlinear measures—Poincaré plot indices SD1 and SD2, Stress Score (SS), and sympathetic/parasympathetic ratio (S:PS). Results: The results showed statistically significant differences between groups (p < 0.05), with higher parasympathetic activity parameters in the group of healthy subjects (rMSSD: p < 0.001; SD1: p = 0.030) and higher sympathetic activity in the CLBP group (SD2, SS, and S:PS ratio: p < 0.001). All parameters showed large effect sizes. Conclusions: These findings show the association between autonomic balance mechanisms and pain regulation in adults with CLBP.
eu_rights_str_mv openAccess
format article
id ES_dfd52b48b64f93a659e07bc04bfb7690
institution Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
network_acronym_str ES
network_name_str España
oai_identifier_str oai:dnet:idus________::5d783c522a487b3a5e7c5ceb688f6ad7
publishDate 2027
publishDateSort 2027
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
spelling Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain Fernández Morales, Carlos Espejo Antúnez, Luís Albornoz Cabello, Manuel Yañez Álvarez, Ángel Cardero Durán, María de los Ángeles Chronic low back pain Heart rate variability Autonomic nervous system Background: Chronic pain has been reported as one of the leading causes of disability in the world, being associated with a potential impact on autonomic balance. Objective: The aim was to compare sympathetic and parasympathetic activity through heart rate variability (HRV) between adults with and without chronic low back pain (CLBP). Methods: An observational study was conducted in which HRV parameters were recorded using time-domain measures—root mean square of successive differences between consecutive RR intervals (rMSSD), minimum and maximum heart rate variability (Min HR and Max HR), and mean heart rate (Mean HR)—and nonlinear measures—Poincaré plot indices SD1 and SD2, Stress Score (SS), and sympathetic/parasympathetic ratio (S:PS). Results: The results showed statistically significant differences between groups (p < 0.05), with higher parasympathetic activity parameters in the group of healthy subjects (rMSSD: p < 0.001; SD1: p = 0.030) and higher sympathetic activity in the CLBP group (SD2, SS, and S:PS ratio: p < 0.001). All parameters showed large effect sizes. Conclusions: These findings show the association between autonomic balance mechanisms and pain regulation in adults with CLBP. https://hdl.handle.net/11441/186271 https://doi.org/10.3390/healthcare13050509
spellingShingle Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain
Fernández Morales, Carlos
Chronic low back pain
Heart rate variability
Autonomic nervous system
status_str publishedVersion
title Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain
title_full Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain
title_fullStr Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain
title_full_unstemmed Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain
title_short Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain
title_sort Autonomic Balance Differences Through Heart Rate Variability Between Adults with and Without Chronic Low Back Pain
topic Chronic low back pain
Heart rate variability
Autonomic nervous system
topic_facet Chronic low back pain
Heart rate variability
Autonomic nervous system
url https://hdl.handle.net/11441/186271
https://doi.org/10.3390/healthcare13050509