Kobuch Sophie, Fazalbhoy Azharuddin, Brown Rachael, Macefield Vaughan G
School of Medicine, Western Sydney University Sydney, NSW, Australia.
School of Medicine, Western Sydney UniversitySydney, NSW, Australia; Neuroscience Research AustraliaSydney, NSW, Australia; School of Health Sciences, RMIT UniversityBundoora, VIC, Australia.
Front Neurosci. 2015 Dec 17;9:471. doi: 10.3389/fnins.2015.00471. eCollection 2015.
We have previously reported that there are inter-individual differences in the cardiovascular responses to experimental muscle pain, which are consistent over time: intramuscular infusion of hypertonic saline, causing pain lasting ~60 min, increases muscle sympathetic nerve activity (MSNA)-as well as blood pressure and heart rate-in certain subjects, but decrease it in others. Here, we tested the hypothesis that baseline physiological parameters (resting MSNA, heart rate, blood pressure, heart rate variability) determine the cardiovascular responses to long-lasting muscle pain. MSNA was recorded from the common peroneal nerve, together with heart rate and blood pressure, during a 45-min intramuscular infusion of hypertonic saline solution into the tibialis anterior of 50 awake human subjects (25 females and 25 males). Twenty-four subjects showed a sustained increase in mean amplitude of MSNA (160.9 ± 7.3%), while 26 showed a sustained decrease (55.1 ± 3.5%). Between the increasing and decreasing groups there were no differences in baseline MSNA (19.0 ± 1.5 vs. 18.9 ± 1.2 bursts/min), mean BP (88.1 ± 5.2 vs. 88.0 ± 3.8 mmHg), HR (74.7 ± 2.0 vs. 72.8 ± 1.8 beats/min) or heart rate variability (LF/HF 1.8 ± 0.2 vs. 2.2 ± 0.3). Furthermore, neither sex nor body mass index had any effect on whether MSNA increased or decreased during tonic muscle pain. We conclude that the measured baseline physiological parameters cannot account for the divergent sympathetic responses during tonic muscle pain.
我们之前曾报道,对实验性肌肉疼痛的心血管反应存在个体差异,且这种差异随时间保持一致:向肌肉内输注高渗盐水,引发持续约60分钟的疼痛,会使某些受试者的肌肉交感神经活动(MSNA)以及血压和心率增加,但在另一些受试者中则会使其降低。在此,我们检验了这样一个假设,即基线生理参数(静息MSNA、心率、血压、心率变异性)决定了对持久肌肉疼痛的心血管反应。在对50名清醒的人类受试者(其中25名女性和25名男性)的胫前肌进行45分钟的高渗盐溶液肌肉内输注期间,记录了腓总神经的MSNA以及心率和血压。24名受试者的MSNA平均幅度持续增加(160.9±7.3%),而26名受试者则持续降低(55.1±3.5%)。在增加组和降低组之间,基线MSNA(19.0±1.5对18.9±1.2次/分钟)、平均血压(88.1±5.2对88.0±3.8 mmHg)、心率(74.7±2.0对72.8±1.8次/分钟)或心率变异性(低频/高频1.8±0.2对2.2±0.3)均无差异。此外,无论是性别还是体重指数,对强直肌肉疼痛期间MSNA是增加还是降低均无任何影响。我们得出结论,所测量的基线生理参数无法解释强直肌肉疼痛期间交感反应的差异。