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异位有害反向刺激对与Aβ纤维激活相关的感知和大脑活动的抑制作用。

Inhibitory effects of heterotopic noxious counter-stimulation on perception and brain activity related to Aβ-fibre activation.

作者信息

Rustamov Nabi, Tessier Jessica, Provencher Benjamin, Lehmann Alexandre, Piché Mathieu

机构信息

Department of Chiropractic, Université du Québec à Trois-Rivières, 3351 Boul. des Forges, C.P. 500, Trois-Rivières, QC, G9A 5H7, Canada.

Groupe de Recherche en Cognition, Neuroscience, Affect et Comportement (CogNAC), Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada.

出版信息

Eur J Neurosci. 2016 Jul;44(1):1771-8. doi: 10.1111/ejn.13258. Epub 2016 Jun 1.


DOI:10.1111/ejn.13258
PMID:27086672
Abstract

Heterotopic noxious counter-stimulation (HNCS) inhibits pain and pain processes through cerebral and cerebrospinal mechanisms. However, it is unclear whether HNCS inhibits non-nociceptive processes, which needs to be clarified for a better understanding of HNCS analgesia. The aim of this study was to examine the effects of HNCS on perception and scalp somatosensory evoked potentials (SEPs). Seventeen healthy volunteers participated in two counter-balanced sessions, including non-nociceptive (selective Aβ-fibre activation) or nociceptive electrical stimulation, combined with HNCS. HNCS was produced by a 20-min cold pressor test (left hand) adjusted individually to produce moderate pain (mean ± SEM: 42.5 ± 5.3 on a 0-100 scale, where 0 is no pain and 100 the worst pain imaginable). Non-nociceptive electrical stimulation was adjusted individually at 80% of pain threshold and produced a tactile sensation in every subject. Nociceptive electrical stimulation was adjusted individually at 120% of RIII-reflex threshold and produced moderate pain (45.3 ± 4.5). Shock sensation was significantly decreased by HNCS compared with baseline for non-nociceptive (P < 0.001) and nociceptive (P < 0.001) stimulation. SEP peak-to-peak amplitude at Cz was significantly decreased by HNCS for non-nociceptive (P < 0.01) and nociceptive (P < 0.05) stimulation. These results indicate that perception and brain activity related to Aβ-fibre activation are inhibited by HNCS. The mechanisms of this effect remain to be investigated to clarify whether it involves inhibition of spinal wide-dynamic-range neurons by diffuse noxious inhibitory controls, supraspinal processes or both.

摘要

异位有害反刺激(HNCS)通过大脑和脑脊液机制抑制疼痛及疼痛过程。然而,尚不清楚HNCS是否抑制非伤害性过程,为更好地理解HNCS镇痛作用,这一点需要阐明。本研究旨在探讨HNCS对感觉及头皮体感诱发电位(SEP)的影响。17名健康志愿者参与了两个平衡的实验环节,包括非伤害性(选择性Aβ纤维激活)或伤害性电刺激,并结合HNCS。HNCS通过20分钟的冷加压试验(左手)产生,该试验根据个体情况进行调整以产生中度疼痛(平均±标准误:在0 - 100的量表上为42.5±5.3,其中0表示无疼痛,100表示可想象的最严重疼痛)。非伤害性电刺激根据个体疼痛阈值的80%进行调整,在每个受试者中产生触觉。伤害性电刺激根据RIII反射阈值的120%进行个体调整,产生中度疼痛(45.3±4.5)。与基线相比,HNCS使非伤害性(P < 0.001)和伤害性(P < 0.001)刺激的电击感显著降低。对于非伤害性(P < 0.01)和伤害性(P < 0.05)刺激,HNCS使Cz处SEP的峰峰值显著降低。这些结果表明,HNCS抑制了与Aβ纤维激活相关的感觉和大脑活动。这种效应的机制仍有待研究,以阐明其是否涉及通过弥散性有害抑制控制、脊髓上过程或两者来抑制脊髓广动力范围神经元。

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[2]
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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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