Articles: pain-threshold.
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1. Pain hypersensitivity is characterized by an increase in the response to noxious stimuli (hyperalgesia) and a reduction in threshold such that innocuous stimuli begin to elicit pain (allodynia). These sensitivity changes can be produced by an increase in excitability of dorsal horn neurons; the phenomenon of central sensitization. ⋯ The nociceptive flexion withdrawal reflex is under the control, therefore, of segmental inhibitory mechanisms mediated by glycine and GABAA receptors. Removal of this inhibition enables the reflex to be activated by low-intensity cutaneous stimuli. Given the similarities between the stimulus-response profiles of the nociceptive flexion reflex and the production of pain in man, these findings indicate that a decrease in the efficacy of spinal inhibitory circuits may contribute to the touch-evoked allodynia that occurs in pain hypersensitivity states, where A beta inputs begin to produce pain.
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Comparative Study Clinical Trial
Are runners stoical? An examination of pain sensitivity in habitual runners and normally active controls.
Anecdotal and clinical reports suggest that athletes are stoical. However, there are few studies comparing persons who exercise regularly with those who do not. This study compared two independent samples of regular runners and normally active controls, both without recent exercise, on cold pressor, cutaneous heat, and tourniquet ischemic pain tests. ⋯ The cohorts also did not differ in their report of ischemic pain sensations. Thus, these data do not generally support the hypothesis of pain insensitivity or stoicism in habitual runners. Rather, insensitivity occurs only in their response to noxious cold, which is suggested to be an adaptation to regular training.
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1. Electromyographic recordings were made from the biceps femoris muscle through a pair of noninsulated platinum/iridium needle electrodes in male Sprague-Dawley rats artificially ventilated and anesthetized with 0.8% halothane in a N2O-O2 mixture (2/3:1/3). The animals' ventilation, heart rates, and body temperatures were continuously monitored. ⋯ The C-fiber reflex was recorded when the duration and frequency of the stimuli applied to the sural nerve varied within the 0.5- to 4-ms and 0.02- to 1-Hz ranges, respectively. It was concluded that a single 2-ms duration shock at an intensity of 1.2 times the C-fiber reflex threshold, delivered every 6 s (0.16 Hz), constituted an acceptable and optimal protocol for experiments in which the C-fiber reflex was studied as a function of time. These parameters were used throughout the subsequent experiments.(ABSTRACT TRUNCATED AT 400 WORDS)
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J Behav Ther Exp Psychiatry · Jun 1994
Randomized Controlled Trial Comparative Study Clinical TrialPain ameliorating effect of eye movement desensitization.
This study explores the efficacy of eye movement desensitization and reprocessing (EMD/R) in the management of acute pain induced by hand exposures to ice water. Thirty participants were randomly assigned to one of the following interventions: (a) eye movement desensitization and reprocessing, (b) eye movement desensitization with music (EMD/M), and (c) control. ⋯ Repeated measures univariate and multivariate analysis of covariance was used to analyze the data. Results indicated that both procedures alleviated participants' pain to a similar degree and significantly more than the control, P < 0.05.
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In a series of three studies with right handed subjects, left side pain is tolerated less well than right side pain with a cold pressor, and results in greater emotional disturbance, both with a cold pressor and in chronic pain patients. In the second study where comparisons are made with non-stimulated controls, acute left side pain results in higher state anxiety scores than controls; right side pain and control groups are comparable. The differences between the reactions to left and right side pain are consistent with activation of the emotional properties of the hemisphere contralateral to the painful stimulation.