Applying a menthol pain reliever prior to strength training reduces chronic low back pain and increases functional capacity in overweight or obese older adult

  1. Nicole B. Fritz 1
  2. Joaquín Calatayud 2
  3. Phil Page 3
  4. Mahendra Yadav 4
  5. Mohammad Sidiq 5
  6. JUAN C. COLADO 1
  1. 1 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  2. 2 Universidad de Los Lagos
    info

    Universidad de Los Lagos

    Osorno, Chile

    ROR https://ror.org/05jk8e518

  3. 3 Franciscan Missionary University of Baton Rouge
  4. 4 Quality Care Medical Center
  5. 5 Northern Area Armed Forces Hospital King Khalid
Revista:
Journal of Human Sport and Exercise: JHSE

ISSN: 1988-5202

Año de publicación: 2020

Título del ejemplar: Summer Conferences of Sports Science

Volumen: 15

Número: 4

Páginas: 1224-1241

Tipo: Artículo

DOI: 10.14198/JHSE.2020.15.PROC4.24 DIALNET GOOGLE SCHOLAR lock_openRUA editor

Otras publicaciones en: Journal of Human Sport and Exercise: JHSE

Resumen

The combined effect of a muscle strength training program with the previous application of a topical menthol gel on the intensity of chronic low back pain (CLP) and the functional capacity of overweight/obese older women was evaluated. A randomized controlled clinical trial with parallel group comparison was conducted. In Phase 1 (12-weeks), 31 women were randomly assigned: (i) a control group that did not change their habits (CG; n = 11); (ii) group of strength training prior to application of a gel with menthol (RTM; n = 10) and (iii) group that performed the same training prior to application of a placebo gel (RTP; n = 10). After 12 weeks of no training, phase 2 of the study (32-week duration) was run, where the RTM and RTP women were randomly reassigned. It was evaluated before and after each phase: body composition, functional capacity, pain perception and Oswestry disability index. The significance level established for the study was p ≤ .05. Both training groups significantly improved all variables after stages 1 and 2, with significant post-intervention differences but no significant intergroup differences, although RTM obtained better results. The percentage of improvement in pain perception and functional parameters were related to the intervention time without positive effects for CG. In conclusion, the use of menthol gel prior to a muscle strength program reduced pain and enhanced the functional improvements achieved as a result of moderate-high intensity training in older adult women with CLP and overweight or obesity.

Información de financiación

The authors thank the National Service for Older Adults (SENAMA) Los R?os and the Human Movement Analysis Laboratory of the Austral University of Chile for permitting the use of their facilities to carry out this study

Financiadores

Referencias bibliográficas

  • Aagaard, P., Suetta, C., Caserotti, P., Magnusson, S. P., & Kjær, M. (2010). Role of the nervous system in sarcopenia and muscle atrophy with aging: strength training as a countermeasure. Scand. J Med Sci Sports, 20(1), 49-64. https://doi.org/10.1111/j.1600-0838.2009.01084.x
  • Avila, J. J., Gutierres, J. A., Sheehy, M. E., Lofgren, I. E., & Delmonico, M. J. (2010). Effect of moderate intensity resistance training during weight loss on body composition and physical performance in overweight older adults. Eur J Appl Physiol, 109 (3), 517-525. https://doi.org/10.1007/s00421-010- 1387-9
  • Bohannon, R. W., & Crouch, R. (2017). Minimal clinically important difference for change in 6‐minute walk test distance of adults with pathology: a systematic review. J Eval Clin Pract, 23(2), 377-381. https://doi.org/10.1111/jep.12629
  • Boscheinen-Morrin, J., & Conolly, W. B. (2001). The arthritic hand the hand (pp. 183-201). https://doi.org/10.1016/B978-0-7506-4577-5.50021-8
  • Bouchard, D. R., Soucy, L., Sénéchal, M., Dionne, I. J., & Brochu, M. (2009). Impact of resistance training with or without caloric restriction on physical capacity in obese older women. Menopause, 16 (1), 66- 72. https://doi.org/10.1097/gme.0b013e31817dacf7
  • Candow, D. G., Chilibeck, P. D., Abeysekara, S., & Zello, G. A. (2011). Short-term heavy resistance training eliminates age-related deficits in muscle mass and strength in healthy older males. J Strength Cond Res, 25(2), 326-333. https://doi.org/10.1519/JSC.0b013e3181bf43c8
  • Cavani, V., Mier, C. M., Musto, A. A., & Tummers, N. (2002). Effects of a 6-week resistance-training program on functional fitness of older adults. J Aging Phys Activ, 10(4), 443-452. https://doi.org/10.1123/japa.10.4.443
  • Cedraschi, C., Luthy, C., Allaz, A. F., Herrmann, F. R., & Ludwig, C. (2016). Low back pain and healthrelated quality of life in community-dwelling older adults. Eur Spine J, 25(9), 2822-2832. https://doi.org/10.1007/s00586-016-4483-7
  • Chen, S. M., Liu, M. F., Cook, J., Bass, S., & Lo, S. K. (2009). Sedentary lifestyle as a risk factor for low back pain: a systematic review. Int Arch Occup Environ. Health, 82(7), 797-806. https://doi.org/10.1007/s00420-009-0410-0
  • Colado, J. C., García-Massó, X., Pellicer Catalán, M., Alakhdar, Y., Benavent, J., & Cabeza Ruiz, R. (2010). A comparison of elastic tubing and isotonic resistance exercises. Int J Sports Med, 31(11), 810-817. https://doi.org/10.1055/s-0030-1262808
  • Colado, J. C., Pedrosa, F. M., Juesas, A., Gargallo, P., Carrasco, J. J., Flandez, J., Chupel M.U & Naclerio, F. (2018). Concurrent validation of the OMNI-Resistance Exercise Scale of perceived exertion with elastic bands in the elderly. Exp Gerontol, 103, 11-16. https://doi.org/10.1016/j.exger.2017.12.009
  • Coyle, P. C., Velasco, T., Sions, J. M., & Hicks, G. E. (2017). Lumbar mobility and performance-based function: an investigation in older adults with and without chronic low back pain. Pain Med, 18(1), 161-168. https://doi.org/10.1093/pm/pnw136
  • Edmond, S. L., & Felson, D. T. (2000). Prevalence of back symptoms in elders. J Rheumatol, 27(1), 220- 225.
  • Fairbank, J. C., & Pynsent, P. B. (2000). The Oswestry disability index. Spine, 25(22), 2940-2953. https://doi.org/10.1097/00007632-200011150-00017
  • Ferreira, P. H., Ferreira, M.L., Maher,C.G., Herbert, R. D., & Refshauge, K. (2006). Specific stabilisation exercise for spinal and pelvic pain: a systematic review. Aust J Physiother, 52(2), 79-88. https://doi.org/10.1016/S0004-9514(06)70043-5
  • Foster, N. E., Anema, J. R., Cherkin, D., Chou, R., Cohen, S. P., Gross, D. P., ... & Turner, J. A. (2018). Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet, 391(10137):2368-2383. https://doi.org/10.1016/S0140-6736(18)30489-6
  • Fritz, N. B., Juesas, Á., Gargallo, P., Calatayud, J., Fernández-Garrido, J., Rogers, M. E., & Colado, J. C. (2018). Positive effects of a short-term intense elastic resistance training program on body composition and physical functioning in overweight older women. Biol Res Nurs, 20 (3), 321-334. https://doi.org/10.1177/1099800418757676
  • Gargallo, P., Colado, J. C., Juesas, A., Hernando-Espinilla, A., Estañ-Capell, N., Monzó-Beltran, L., ... & Sáez, G. T. (2018). The Effect of Moderate-Versus High-Intensity Resistance Training on Systemic Redox State and DNA Damage in Healthy Older Women. Biol Res Nurs, 20 (2), 205-217. https://doi.org/10.1177/1099800417753877
  • Greenstein, J. S., Barton, N. Bishop, P.T., Robert, V. (2013). Evaluation of transcutaneous electrical nerve stimulation vs. Biofreeze in the treatment of back pain. (Abstract). J Chiropr Med, 27(1):90-91.
  • Hägg, O., Fritzell, P., & Nordwall, A. (2003). The clinical importance of changes in outcome scores after treatment for chronic low back pain. Eur Spine J, 12(1), 12-20. https://doi.org/10.1007/s00586-002- 0464-0
  • Haldeman, S., & Dagenais, S. (2008). What have we learned about the evidence-informed management of chronic low back pain? Spine J, 8 (1), 266-277. https://doi.org/10.1016/j.spinee.2007.10.026
  • Hayden, J. A., Van Tulder, M. W., & Tomlinson, G. (2005). Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med, 142(9), 776-785. https://doi.org/10.7326/0003-4819-142-9-200505030-00014
  • Henchoz, Y.,& Kai-Lik, So A. (2008). Exercise and nonspecific low back pain: a literature review. Joint Bone Spine, 75(5), 533-9. https://doi.org/10.1016/j.jbspin.2008.03.003
  • Hicks, G. E., Benvenuti, F., Fiaschi, V., Lombardi, B., Segenni, L., Stuart, M., ... & Macchi, C. (2012). Adherence to a community-based exercise program is a strong predictor of improved back pain status in older adults: an observational study. Clin J Pain, 28(3), 195. https://doi.org/10.1097/AJP.0b013e318226c411
  • Hofheinz, M., & Schusterschitz, C. (2010). Dual task interference in estimating the risk of falls and measuring change: a comparative, psychometric study of four measurements. Clin Rehabil,24 (9), 831-842. https://doi.org/10.1177/0269215510367993
  • Hubley-Kozey, C. L., McCulloch, T. A., & McFarland, D. H. (2003). Chronic low back pain: a critical review of specific therapeutic exercise protocols on musculoskeletal and neuromuscular parameters. J Man Manip Ther, 11(2), 78-87. https://doi.org/10.1179/106698103790826419
  • Ishak, N. A., Zahari, Z., & Justine, M. (2016). Effectiveness of strengthening exercises for the elderly with low back pain to improve symptoms and functions: A systematic review. Scientifica. https://doi.org/10.1155/2016/3230427
  • Johar, P., Grover, V., Topp, R., & Behm, D. G. (2012). A comparison of topical menthol to ice on pain, evoked tetanic and voluntary force during delayed onset muscle soreness. Int J Sports Phys Ther, 7(3), 314.
  • Katz, R.T. (2006). Impairment and disability rating in low back pain. Clin Occup Environ Med, 5(3), 719- 40.
  • Kim, J. W., Eom, G. M., Kim, C. S., Kim, D. H., Lee, J. H., Park, B. K., & Hong, J. (2010). Sex differences in the postural sway characteristics of young and elderly subjects during quiet natural standing. Geriatr Gerontol Int, 10(2), 191-198.
  • Kuo, Y. L., Huang, K. Y., Chiang, P. T., Lee, P. Y., & Tsai, Y. J. (2015). Steadiness of spinal regions during single-leg standing in older adults with and without chronic low back pain. PloS one, 10(5), e0128318. https://doi.org/10.1371/journal.pone.0128318
  • Kuss, K., Becker, A., Quint, S., & Leonhardt, C. (2015). Activating therapy modalities in older individuals with chronic non-specific low back pain: a systematic review. Physiotherapy, 101(4), 310-318. https://doi.org/10.1016/j.physio.2015.04.009
  • Leboeuf-Yde, C., Fejer, R., Nielsen, J., Kyvik, K. O., & Hartvigsen, J. (2011). Consequences of spinal pain: do age and gender matter? A Danish cross-sectional population-based study of 34,902 individuals 20-71 years of age. BMC Musculoskelet Disord, 12 (1), 39. https://doi.org/10.1186/1471- 2474-12-39
  • MacDonald, D. A., Moseley, G. L., & Hodges, P. W. (2006). The lumbar multifidus: does the evidence support clinical beliefs? Man Ther, 11(4), 254-263. https://doi.org/10.1016/j.math.2006.02.004
  • Martin, D., Valdez, J., Boren, J., & Mayersohn, M. (2004). Dermal absorption of camphor, menthol, and methyl salicylate in humans. J Clin Pharmacol, 44 (10), 1151-1157. https://doi.org/10.1177/0091270004268409
  • Motalebi, S. A., & Loke, S. C. (2014). Efficacy of progressive resistance tube training in community dwelling older adults: A pilot study. Int J Gerontol, 8 (4), 213-218. https://doi.org/10.1016/j.ijge.2013.12.007
  • National health and nutrition examination survey (NHANES) (2009). Anthropometry Procedures Manual.United States: Center for Disease Control and Prevention.
  • Ostelo, R. W., & de Vet, H. C. (2005). Clinically important outcomes in low back pain. Best Pract Res Cl Rh, 19(4), 593-607. https://doi.org/10.1016/j.berh.2005.03.003
  • Page, P., & Alexander, L. (2017). The Clinical Effectiveness of Biofreeze Topical Analgesic on Musculoskeletal Pain: A Systematic Review. J Perform Health, 10122017(1), 1641.
  • Podichetty, V. K., Mazanec, D. J., & Biscup, R. S. (2003). Chronic non-malignant musculoskeletal pain in older adults: clinical issues and opioid intervention. Postgrad Med J, 79 (937), 627-633. https://doi.org/10.1136/pmj.79.937.627
  • Reid, M. C., Williams, C. S., & Gill, T. M. (2005). Back pain and decline in lower extremity physical function among community-dwelling older persons. J Gerontol A Biol Sc, 60(6), 793-797. https://doi.org/10.1093/gerona/60.6.793
  • Rikli, R. E., & Jones, C. J. (2013). Senior fitness test manual. Human Kinetics.
  • Sakai, Y., Matsui, H., Ito, S., Hida, T., Ito, K., Koshimizu, H., & Harada, A. (2017). Sarcopenia in elderly patients with chronic low back pain. Osteoporos Sarcopenia, 3(4), 195-200. https://doi.org/10.1016/j.afos.2017.09.001
  • Searle, A., Spink, M., Ho, A., & Chuter, V. (2015). Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clin Rehabil, 29(12), 1155-1167. https://doi.org/10.1177/0269215515570379
  • Slade S. C., Keating J. L. (2006). Trunk-strengthening exercises for chronic low back pain: a systematic review. J Manip Physiol Ther, 29(2):163-173.
  • Springer, B. A., Marin, R., Cyhan, T., Roberts, H., & Gill, N. W. Normative values for the unipedal stance test with eyes open and closed (2007). J Geriatr Phys, 30(1), 8-15. https://doi.org/10.1519/00139143- 200704000-00003
  • Steib, S., Schoene, D., & Pfeifer, K. (2010). Dose-response relationship of resistance training in older adults: a meta-analysis. Med Sci Sports Exerc, 42(5), 902-14. https://doi.org/10.1249/MSS.0b013e3181c34465
  • Sundstrup, E., Jakobsen, M. D., Brandt, M., Jay, K., Colado, J. C., Wang, Y., & Andersen, L. L. (2014). Acute effect of topical menthol on chronic pain in slaughterhouse workers with carpal tunnel syndrome: triple-blind, randomized placebo-controlled trial. Rehabil Res Pract, 2014:310913. https://doi.org/10.1155/2014/310913
  • Topp, R., Brosky, J.A., Pieschel, D. (2013). The effect of either topical menthol or a placebo on functioning and knee pain among patients with knee OA. J Geriatr Phys Ther, 36(2):92-99. https://doi.org/10.1519/JPT.0b013e318268dde1
  • van der Velde, G., & Mierau, D. (2000). The effect of exercise on percentile rank aerobic capacity, pain, and self-rated disability in patients with chronic low-back pain: a retrospective chart review. Arch Phys Med Rehab, 81(11), 1457-1463. https://doi.org/10.1053/apmr.2000.9629
  • van Middelkoop, M., Rubinstein, S. M., Verhagen, A. P., Ostelo, R. W., Koes, B. W., & van Tulder, M. W. (2010). Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Cl Rh, 24(2), 193- 204. https://doi.org/10.1016/j.berh.2010.01.002
  • van Tulder, M., Malmivaara, A., Esmail, R., & Koes, B. (2000). Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine, 25(21), 2784-2796 https://doi.org/10.1097/00007632-200011010-00011
  • Vincent, H. K., George, S. Z., Seay, A. N., Vincent, K. R., & Hurley, R. W. (2014a). Resistance exercise, disability, and pain catastrophizing in obese adults with back pain. Med Sci Sports Exerc, 46 (9), 1693. https://doi.org/10.1249/MSS.0000000000000294
  • Vincent, H. K., Vincent, K. R., Seay, A. N., Conrad, B. P., Hurley, R. W., & George, S. Z. (2014b). Back strength predicts walking improvement in obese, older adults with chronic low back pain. PM&R, 6 (5), 418-426. https://doi.org/10.1016/j.pmrj.2013.11.002
  • Vincent HK, Vincent KR, Seay AN, Hurley RW. (2011). Functional Impairment in Obesity: A Focus on Knee and Back Pain. Pain Med,1(5):427-439. https://doi.org/10.2217/pmt.11.39
  • Wang, X. Q., Zheng, J. J., Yu, Z. W., Bi, X., Lou, S. J., Liu, J., ... & Shen, H. M. (2012). A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PloS one, 7(12), e52082. https://doi.org/10.1371/journal.pone.0052082
  • Weiner, D. K., Perera, S., Rudy, T. E., Glick, R. M., Shenoy, S., & Delitto, A. (2008). Efficacy of percutaneous electrical nerve stimulation and therapeutic exercise for older adults with chronic low back pain: a randomized controlled trial. Pain, 140(2), 344-357. https://doi.org/10.1016/j.pain.2008.09.005
  • Wright, L. J., Schur, E., Noonan, C., Ahumada, S., Buchwald, D., & Afari, N. (2010). Chronic pain, overweight, and obesity: findings from a community-based twin registry. J Pain Res, 11 (7), 628-635. https://doi.org/10.1016/j.jpain.2009.10.004
  • Zhang, J., Enix, D., Snyder, B., Giggey, K., & Tepe, R. (2008). Effects of Biofreeze and chiropractic adjustments on acute low back pain: a pilot study. J Chiropr Med, 7 (2), 59-65. https://doi.org/10.1016/j.jcme.2008.02.004