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Single-point but not tonic cuff pressure pain sensitivity is associated with level of physical fitness: a study of non-athletic healthy subjects
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-4385-428X
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-2530-4126
Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
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2015 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, no 5, e0125432Article in journal (Refereed) Published
Abstract [en]

Exercise is often used for pain rehabilitation but the link between physical activity level and pain sensitivity is still not fully understood. Pressure pain sensitivity to cuff algometry and conditioned pain modulation (CPM) were evaluated in highly active men (n=22), normally active men (n=26), highly active women (n=27) and normally active women (n=23) based on the Godin Leisure-Time Exercise Questionnaire. Cuff pressure pain sensitivity was assessed at the arm and lower leg. The subjects scored the pain intensity on an electronic Visual Analogue Scale (VAS) during ten minutes with 25 kPa constant cuff pressure and two minutes with zero pressure. The maximal VAS score and area under the VAS-curve were extracted. Pressure pain thresholds (PPT) were recorded by manual pressure algometry on the ipsilateral tibialis anterior muscle before, during and after the tonic arm stimulation.

Tonic cuff stimulation of the arm and leg resulted in higher VAS peak scores in women compared with men (p<0.04). In all groups the PPTs were reduced during and after the cuff stimulation compared with baseline (p=0.001). PPT were higher in men compared with women (p=0.03) and higher in highly physical active compared with normal active (p=0.048). 

Besides the well-known gender difference in pressure pain sensitivity this study demonstrates  that a high physical fitness degree in non-athletic subjects is associated with increased pressure pain thresholds but does not affect cuff pressure pain sensitivity in healthy people.

Place, publisher, year, edition, pages
Public Library of Science , 2015. Vol. 10, no 5, e0125432
Keyword [en]
Pain assessment, Cuff algometry, Tonic muscle pressure sensitivity, Experimental pain
National Category
Public Health, Global Health, Social Medicine and Epidemiology Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-131422DOI: 10.1371/journal.pone.0125432ISI: 000353887100112PubMedID: 25933412OAI: oai:DiVA.org:liu-131422DiVA: diva2:760446
Note

Research data for the above article to be published in Plos One.

Available from: 2014-11-04 Created: 2014-11-04 Last updated: 2017-12-05Bibliographically approved

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Lemming, DagBörsbo, BjörnSjörs, AnnaGerdle, Björn
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Public Health, Global Health, Social Medicine and EpidemiologyClinical Medicine
Lemming, D., Börsbo, B. & Sjörs, A. (2015). Single-point but not tonic cuff pressure pain sensitivity is associated with level of physical fitness: a study of non-athletic healthy subjects. Linköping: Linköping University Electronic Press.

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