Visceral obesity and chronic pain: effect of a 4-week rehabilitation program on adipokines and insulin resistance.

Obesity and chronic pain are two major diseases of the 21th century. Our principal objective was to investigate the effects of a 4-week rehabilitation program on adiponectin and leptin concentrations, and insulin resistance, in patients with abdominal obesity and chronic pain syndrome. Our secondary objectives were to investigate the effects of this program on pain, body mass index (BMI), waist circumference and maximal oxygen consumption (VO) and to compare changes in VO between patients with or without insulin resistance.

Kinesiophobia negatively influences recovery of joint function following total knee arthroplasty.

Background: The influence of kinesiophobia on disability in patients with knee osteoarthritis is known, but its influence on functional recovery after total knee arthroplasty remains unexplored.

Aims: To assess the influence of kinesiophobia on functional recovery following total knee arthroplasty (TKA) in patients with knee osteoarthritis and to investigate if kinesiophobia was more common in obese patients than in non-obese patients.

Design: Cohort study.

VO₂max in patients with chronic pain: the effect of a 4-week rehabilitation program.

Background: In patients with chronic pain, aerobic deconditioning can explain part of observed disability and disadvantage. The objective of the present study was to assess the change in VO₂max after a four-week exercise rehabilitation programme in this population.

Methods: In a prospective study, 121 patients underwent a cycle ergometer exercise tolerance test with VO₂max measurement before and after a four-week exercise rehabilitation programme (which included aerobic training, muscle strengthening, occupational therapy and stretching).

VO(2)max in patients with chronic pain: comparative analysis with objective and subjective tests of disability.

Objectives: To establish the level of maximal aerobic capacity in patients with chronic pain of different etiologies and to compare these results with different parameters of disability.

Patients And Methods: A cycloergometer exercise test with VO(2)max measurement, fatigue assessment and objective and subjective disability parameter testing was performed on 155 patients (mean age 42.1 ± 9.