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Transcutaneous vagal nerve stimulation may elicit anti- and pro-nociceptive effects under experimentally-induced pain - a crossover placebo-controlled investigation.

作者信息

Laqua René, Leutzow Bianca, Wendt Michael, Usichenko Taras

机构信息

Institute for Diagnostic Radiology and Neuroradiology, University Medicine of Greifswald, Germany.

Department of Anesthesiology, Intensive Care Medicine, University Medicine of Greifswald, Germany.

出版信息

Auton Neurosci. 2014 Oct;185:120-2. doi: 10.1016/j.autneu.2014.07.008. Epub 2014 Aug 7.


DOI:10.1016/j.autneu.2014.07.008
PMID:25135040
Abstract

Vagal nerve stimulation is a promising method for the treatment of pain. The aim was to investigate the effect of non-invasive transcutaneous vagal nerve stimulation (TVNS) on the experimental pain threshold (PT) and to compare it with placebo. PT of standardized electrical stimulation was measured in 22 healthy male volunteers during two study sessions. TVNS was applied to the auricular concha bilaterally for 35min using 2Hz/100Hz bursts with the intensity, which was individually maximal but non-painful. During the placebo session, the volunteers received no stimulation. PT, heart rate and blood pressure were registered as outcome measures. There were no differences in PT values between TVNS and placebo conditions in the group analysis. Fifteen volunteers (responders) reacted with an increase in PT during TVNS (p<0.01 vs. baseline) but not during the placebo session. Another six participants reported decreased PT during and after TVNS (p<0.05 vs. baseline), but not during the placebo session. Heart rate and blood pressure did not change during the study. Transcutaneous vagal nerve stimulation may produce both anti- and pro-nociceptive effects in healthy volunteers. The individual sensitivity and TVNS parameters might play a role.

摘要

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[10]
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