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通过躯体表面的躯体感觉刺激抑制 Aδ和 C 纤维的电流感知阈值。

Inhibition of current perception thresholds in A-delta and C fibers through somatosensory stimulation of the body surface.

机构信息

Department of Physical Therapy, Faculty of Rehabilitation, Kobe Gakuin University, 518 Arise, Ikawadani-cho, Nishi-ku, Kobe, Hyogo, 651-2180, Japan.

Faculty of Rehabilitation, Kobe Gakuin University Graduate School, Kobe, Japan.

出版信息

Sci Rep. 2022 Aug 12;12(1):13705. doi: 10.1038/s41598-022-18016-y.


DOI:10.1038/s41598-022-18016-y
PMID:35962024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9374682/
Abstract

Somatosensory stimulation of the body surface, such as through tactile and noxious stimulation, is widely known to inhibit pain. However, no studies have measured the threshold changes due to somatosensory stimulation of each nerve fiber (Aβ, Aδ, and C) separately. We examined the changes in the current perception thresholds of Aδ, C, and Aβ fibers induced by non-noxious and noxious somatosensory stimulation of the body surface. The current stimuli were sinusoidal waves at frequencies of 2000 Hz, 250 Hz, and 5 Hz, which selectively stimulated the Aβ, Aδ, and C fibers, respectively. In the case of non-noxious stimulation, lightly rubbing the dorsal side of the forearm with a brush showed no significant physiological or clinical changes in the current perception thresholds of the Aδ, and C fibers; a significant increase was observed only in the Aβ fibers. However, applying noxious stimulation to the body surface through hand immersion in cold water increased pain thresholds in both the Aδ and C fibers, and sensory threshold of the Aβ fibers; changes in tactile thresholds were not significant. Inhibition of sensory information by nociceptive inputs may selectively suppress nociceptive stimuli.

摘要

躯体表面感觉刺激,如触觉和伤害性刺激,广泛被认为可以抑制疼痛。然而,目前还没有研究测量由于每个神经纤维(Aβ、Aδ 和 C)的躯体感觉刺激而引起的阈值变化。我们检查了非伤害性和伤害性躯体感觉刺激引起的 Aδ、C 和 Aβ纤维的电流感知阈值的变化。电流刺激为频率为 2000 Hz、250 Hz 和 5 Hz 的正弦波,分别选择性地刺激 Aβ、Aδ 和 C 纤维。在非伤害性刺激的情况下,用刷子轻轻刷前臂背面,Aδ 和 C 纤维的电流感知阈值没有明显的生理或临床变化;仅在 Aβ纤维中观察到显著增加。然而,通过将手浸入冷水中对体表施加伤害性刺激,会增加 Aδ 和 C 纤维以及 Aβ纤维的痛觉阈值;触觉阈值的变化不显著。伤害性输入对感觉信息的抑制可能会选择性地抑制伤害性刺激。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0e/9374682/01eb0ca4fd76/41598_2022_18016_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0e/9374682/90e338706da9/41598_2022_18016_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0e/9374682/01eb0ca4fd76/41598_2022_18016_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0e/9374682/90e338706da9/41598_2022_18016_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c0e/9374682/01eb0ca4fd76/41598_2022_18016_Fig2_HTML.jpg

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Inhibition of current perception thresholds in A-delta and C fibers through somatosensory stimulation of the body surface.

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本文引用的文献

[1]
Psychophysical or spinal reflex measures when assessing conditioned pain modulation?

Eur J Pain. 2019-7-29

[2]
Verification of the reliability of current perception threshold and pain threshold testing by application of an electrical current stimulus to mandibular mucosa in young adults.

J Oral Rehabil. 2019-3-1

[3]
Conditioned pain modulation using painful cutaneous electrical stimulation or simply habituation?

Eur J Pain. 2018-4-11

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Quantitative Sensory Testing and Current Perception Threshold Testing in Patients With Chronic Pain Following Lower Extremity Fracture.

Biol Res Nurs. 2018-1

[5]
Spinal Circuits Transmitting Mechanical Pain and Itch.

Neurosci Bull. 2017-5-8

[6]
Slow brushing reduces heat pain in humans.

Eur J Pain. 2017-8

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J Neurophysiol. 2017-4-1

[8]
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Pain Med. 2016-9

[9]
Assessment of Peripheral Neuropathy Using Measurement of the Current Perception Threshold with the Neurometer® in patients with type 1 diabetes mellitus.

Diabetes Res Clin Pract. 2015-7

[10]
Conditioned pain modulation.

Curr Opin Support Palliat Care. 2015-6

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