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划船与疼痛:划船会导致运动诱导性镇痛吗?

Rowing and pain: does rowing lead to exercise-induced hypoalgesia?

机构信息

Department of Sports Medicine, University of Wuppertal, Wuppertal, Germany.

出版信息

Appl Physiol Nutr Metab. 2024 May 1;49(5):626-634. doi: 10.1139/apnm-2023-0346. Epub 2024 Jan 5.

Abstract

Physical activity acutely alters pain processing known as exercise-induced hypoalgesia (EIH). This randomized controlled crossover study investigated the effects of two different rowing exercises on EIH and to explore whether possible EIH effects are related to individual rowing specific performance. Fifty male experienced rowers conducted two rowing sessions (submaximal: 30 min of moderate rowing (70% of maximum heart rate); maximal: 350 m in an all-out fashion) and a control session. Pre and post exercise pain sensitivity was measured bilaterally using pressure pain thresholds (PPT; Newton (N)) at the elbow, knee, ankle, sternum, and forehead. Individual performance was determined as maximum watt/kg and was tested for correlations with changes in PPT. Higher PPT values were observed after maximal exercise at all landmarks with a mean change ranging from 2.5 ± 7.8 N (right elbow;  = 0.027;  = 0.323) to 10.0 ± 12.2 N (left knee;  ≤ 0.001;  = 0.818). The submaximal (range from -1.6 ± 8.8 N (Sternum;  0.205;  = 0.182) to 2.0 ± 10.3 N (right ankle;  0.176;  = 0.194)) and control session (range from -0.5 ± 7.6 N (left elbow;  0.627;  = 0.069) to 2.6 ± 9.1 N (right ankle;  0.054;  = 0.279)) did not induce changes. Relative performance levels were not correlated to EIH (range from: = -0.129 ( = 0.373) at sternum to  = 0.176 ( = 0.221) at left knee). EIH occurred globally after a short maximal rowing exercise while no effects occurred after rowing for 30 min at submaximal intensity. EIH cannot be explained by rowing specific performance levels in experienced rowers. However, the sample may lack sufficient heterogeneity in performance levels to draw final conclusions.

摘要

身体活动会急性改变疼痛处理,即运动诱导的镇痛(EIH)。这项随机对照交叉研究调查了两种不同的划船运动对 EIH 的影响,并探讨了 EIH 效应是否与个体划船特定表现有关。50 名经验丰富的划船运动员进行了两次划船运动(亚最大强度:30 分钟中等强度划船(最大心率的 70%);最大强度:全力以赴地划 350 米)和一次对照运动。使用肘部、膝盖、脚踝、胸骨和额头的压力疼痛阈值(PPT;牛顿(N))双侧测量运动前后的疼痛敏感性。个体表现被确定为最大瓦特/公斤,并测试了与 PPT 变化的相关性。在所有标志物上,最大运动后观察到更高的 PPT 值,平均变化范围从 2.5 ± 7.8 N(右肘;= 0.027;= 0.323)到 10.0 ± 12.2 N(左膝;≤ 0.001;= 0.818)。亚最大强度(范围从-1.6 ± 8.8 N(胸骨;0.205;= 0.182)到 2.0 ± 10.3 N(右脚踝;0.176;= 0.194))和对照运动(范围从-0.5 ± 7.6 N(左肘;0.627;= 0.069)到 2.6 ± 9.1 N(右脚踝;0.054;= 0.279))没有引起变化。相对表现水平与 EIH 无关(范围从:= -0.129(= 0.373)在胸骨到= 0.176(= 0.221)在左膝)。在短暂的最大划船运动后,EIH 会在全身发生,而在亚最大强度下进行 30 分钟的划船运动则不会产生影响。EIH 不能用经验丰富的划船运动员的划船特定表现水平来解释。然而,由于样本在表现水平上缺乏足够的异质性,因此无法得出最终结论。

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