Pen L J, Fisher C A
Faculty of Nursing and Health Sciences, Griffith University, Gold Coast University College, Southport, Queensland, Australia.
Sports Med. 1994 Nov;18(5):319-29. doi: 10.2165/00007256-199418050-00004.
Athletes' attitudes towards pain, and the cognitive strategies they use while experiencing pain, may be reflected in their pain tolerance levels and their performance and adherence to sport injury rehabilitation. Association and dissociation are 2 of the more popular cognitive strategies, and most research has found that these strategies increase pain tolerance and performance. It has not clearly been established how these results are transferred to athletes overcoming the pain associated with injury rehabilitation. The major limitation of most of these pain induction techniques is that they are inherently safe, and individuals know that the induced pain can be terminated at any time. Not only will the stressor be terminated, but the pain experienced will also decline because the pain is due to the stimulation. Thus, it is possible that pain tolerance and performance levels are higher in experimental settings than would normally be in real-life situations. However, exercise-induced muscle soreness is one pain induction technique which attempts to alleviate this limitation and therefore provide more realistic levels of pain to tolerate. The pain, stiffness, prolonged reduction in muscle strength, and decreased range-of-motion that appear 24 to 48 hours after strenuous eccentric exercise does not fully subside until 8 to 10 days after the initial bout of exercise. Study participants experience long-lasting, real-life pain. Thus, it is worthwhile for those involved in sport injury rehabilitation to be aware of the effectiveness of these cognitive strategies that may assist athletes to overcome the pain associated with exercise-induced muscle soreness, and how this relates to rehabilitation.
运动员对疼痛的态度,以及他们在经历疼痛时所使用的认知策略,可能会体现在他们的疼痛耐受水平、运动表现以及对运动损伤康复的坚持程度上。关联和分离是两种较为常用的认知策略,大多数研究发现这些策略能提高疼痛耐受性和运动表现。目前尚不清楚这些结果如何转化为运动员克服与损伤康复相关的疼痛。大多数这些疼痛诱导技术的主要局限性在于它们本质上是安全的,而且个体知道诱发的疼痛可以随时终止。不仅应激源会终止,而且所经历的疼痛也会减轻,因为疼痛是由刺激引起的。因此,在实验环境中疼痛耐受性和运动表现水平可能高于现实生活中的正常水平。然而,运动诱导的肌肉酸痛是一种试图减轻这一局限性的疼痛诱导技术,从而提供更接近现实生活的疼痛耐受水平。在剧烈离心运动后24至48小时出现的疼痛、僵硬、肌肉力量长期下降以及运动范围减小,直到初次运动后的8至10天才会完全消退。研究参与者会经历持久的、现实生活中的疼痛。因此,参与运动损伤康复的人员有必要了解这些认知策略的有效性,这些策略可能有助于运动员克服与运动诱导的肌肉酸痛相关的疼痛,以及这与康复的关系。