• Pediatr Phys Ther · Jan 2016

    Clinical Trial

    Does Exercise Decrease Pain via Conditioned Pain Modulation in Adolescents?

    • Stacy Stolzman and Bement Marie Hoeger MH.
    • Health and Human Performance Department (Dr Stolzman), Exercise Physiology Program, Concordia University Wisconsin, Mequon, Wisconsin; Department of Physical Therapy (Dr Bement), Marquette University, Milwaukee, Wisconsin.
    • Pediatr Phys Ther. 2016 Jan 1; 28 (4): 470-3.

    PurposePain relief after exercise, exercise-induced hypoalgesia (EIH), is established across the lifespan. Conditioned pain modulation (CPM: pain inhibits pain) may be a mechanism for EIH.MethodsIn 55 adolescents, pressure pain thresholds were measured before and after exercise (deltoid, quadriceps, and nail bed) and during CPM at the nail bed and deltoid test stimulus sites. The relationship between EIH and CPM was explored.ResultsEIH occurred at deltoid and quadriceps; CPM occurred at nail bed and deltoid. CPM and EIH correlated at deltoid; adolescents with greater CPM experienced greater pain relief after exercise. At this site, CPM predicted 5.4% of EIH. Arm lean mass did not add a significant effect. Peak exercise pain did not influence EIH. Adolescents with none, minimal, moderate, or severe peak exercise pain experienced similar EIH.ConclusionsA potential relationship exists between CPM and EIH in adolescents. Pediatric physical therapists should consider the CPM response when prescribing exercise as a pain management tool.

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