在健康受试者中,手腕而非背部的等长收缩诱发广泛的痛觉减退。
Wrist, but Not Back, Isometric Contraction Induced Widespread Hypoalgesia in Healthy Participants.
作者信息
Mailloux Catherine, Wideman Timothy H, Massé-Alarie Hugo
机构信息
Centre interdisciplinaire de recherche en réadaptation et intégration sociale, Université Laval, Quebec City, QC, Canada.
Lethbridge-Layton-Mackay Rehabilitation Centre, School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.
出版信息
Front Pain Res (Lausanne). 2021 Aug 4;2:701830. doi: 10.3389/fpain.2021.701830. eCollection 2021.
Exercise may reduce pain sensitivity. This phenomenon called exercise-induced hypoalgesia is observed in different types of exercises and involves the activation of endogenous pain modulation systems. Although the effect of limb exercise on pain sensitivity has often been tested, few studies explored the impact of back exercises that are often used to treat low back pain. The main objective is to measure the effect of back-muscle exercise on pain sensitivity and compare it to the effect of a limb-muscle exercise. Twenty-three participants who were pain-free performed a 4-min wrist flexion isometric contraction followed by a 4-min low back extension, separated by a 20-min break. Pressure pain thresholds were tested at two low back (S1 spinous process, lumbar erector spinae muscle) and two wrist (capitate bone, wrist flexor muscles) sites before and after each exercise. For each exercise, sites were considered as remote or local in relation to the muscles contracted during the exercise. An independent sample of 11 participants was recruited to confirm the influence of low back extension on pain sensitivity. Wrist exercise induced a larger increase in pain sensitivity than back exercise at the remote site. Only wrist exercise induced a hypoalgesia effect at both the local and the remote sites. Back exercise induced a similar effect in the independent sample. This study showed that back and wrist exercises induced a distinct effect on pain sensitivity in participants who were pain-free. The wrist exercise induced a systemic reduction in pain sensitivity (locally and remotely), whereas the back exercise did not. This differential effect may be present because wrist exercise induced most fatigue compared with the back exercise.
运动可能会降低疼痛敏感度。这种被称为运动诱导性痛觉减退的现象在不同类型的运动中都有观察到,并且涉及内源性疼痛调节系统的激活。尽管肢体运动对疼痛敏感度的影响经常被测试,但很少有研究探讨常用于治疗腰痛的背部运动的影响。主要目的是测量背部肌肉运动对疼痛敏感度的影响,并将其与肢体肌肉运动的影响进行比较。23名无疼痛的参与者先进行4分钟的腕关节屈曲等长收缩,然后进行4分钟的下背部伸展,中间间隔20分钟的休息时间。在每次运动前后,在两个下背部部位(S1棘突、腰竖脊肌)和两个腕部部位(头状骨、腕屈肌)测试压力痛阈。对于每项运动,根据运动过程中收缩的肌肉,将这些部位视为远端或近端。招募了11名参与者的独立样本以确认下背部伸展对疼痛敏感度的影响。在远端部位,腕部运动比背部运动引起的疼痛敏感度增加更大。只有腕部运动在近端和远端部位都诱导出痛觉减退效应。背部运动在独立样本中诱导出类似的效应。这项研究表明,背部和腕部运动对无疼痛的参与者的疼痛敏感度产生了不同的影响。腕部运动诱导了疼痛敏感度的全身性降低(在局部和远端),而背部运动则没有。可能存在这种差异效应是因为与背部运动相比,腕部运动诱导了更多的疲劳。
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