Institute of Physical Culture and Health Promotion Sciences, University of Szczecin, Szczecin, Poland.
Department of Biochemistry, Poznań University of Physical Education, Poznań, Poland.
Sports Health. 2021 May-Jun;13(3):278-284. doi: 10.1177/1941738120953165. Epub 2020 Dec 15.
Pain is a characteristic, unpleasant sensory and emotional experience associated with actual or potential tissue damage. Pain is a subjective sensation, modulated by many factors such as age, sex, emotional state, national origin, or physical activity. Moreover, it is closely associated with intense physical activity, injuries, and traumas, which can significantly modulate pain tolerance.
We postulate that there are correlations between past injuries, physical activity, and intensity of pain perception (pain threshold and pain tolerance) in a population of healthy men and women.
Retrospective cohort study.
Level 4.
A total of 302 participants aged 18 to 32 years were included. The participants were divided into 2 groups (active and inactive individuals), in accordance with the scope of physical activity they had indicated. The test of pressure pain threshold and pressure pain tolerance was performed using an algometer.
Active women achieved significantly higher pain threshold and pain tolerance values in all measurements on the upper limb (except for the pain threshold on the left hand) compared with inactive women. In mediation analysis, the effect of injury remained significant only for the pressure pain tolerance in the dominant arm and the left hand in the female group. In the case of men, there were no significant differences in all measurements in view of the threshold and tolerance for pain between the groups of active and inactive and between men with injuries and without injuries.
Intense, regular physical activity is a factor modulating the perception of pain. This was demonstrated as lowered sensitivity to pain stimuli in a population of healthy women.
Injuries should be treated as an important factor modulating the perception of pain. We recommend detailed monitoring of injuries during treatment and control of pain sensation.
疼痛是一种与实际或潜在组织损伤相关的特征性、不愉快的感觉和情绪体验。疼痛是一种主观感觉，受许多因素调节，如年龄、性别、情绪状态、国籍或身体活动等。此外，疼痛与剧烈的身体活动、损伤和创伤密切相关，这些因素可以显著调节疼痛耐受力。
我们假设在健康男性和女性人群中，过去的损伤、身体活动和疼痛感知强度（疼痛阈值和疼痛耐受力）之间存在相关性。
回顾性队列研究。
4 级。
共纳入 302 名年龄在 18 至 32 岁的参与者。根据他们所表示的身体活动范围，将参与者分为 2 组（活跃和不活跃个体）。使用压力测痛仪进行压力疼痛阈值和压力疼痛耐受力测试。
与不活跃的女性相比，活跃的女性在所有上肢测量中（左手的疼痛阈值除外）均获得了显著更高的疼痛阈值和疼痛耐受力值。在中介分析中，只有女性组中优势手臂和左手的压力疼痛耐受力的损伤效应仍然显著。对于男性，考虑到活跃和不活跃组以及有损伤和无损伤男性之间的疼痛阈值和耐受力，在所有测量中均未发现显著差异。
剧烈、规律的身体活动是调节疼痛感知的因素。这在健康女性人群中表现为对疼痛刺激的敏感性降低。
损伤应被视为调节疼痛感知的重要因素。我们建议在治疗和控制疼痛感觉期间详细监测损伤。
