The relationship between sensitivity to pain and conditioned pain modulation in healthy people.
Cold pressor test
Conditioned pain modulation
Healthy subjects
Sensitivity to pain
Tolerance
Journal
Neuroscience letters
ISSN: 1872-7972
Titre abrégé: Neurosci Lett
Pays: Ireland
ID NLM: 7600130
Informations de publication
Date de publication:
24 08 2019
24 08 2019
Historique:
received:
13
01
2019
revised:
28
05
2019
accepted:
12
06
2019
pubmed:
27
6
2019
medline:
6
2
2020
entrez:
26
6
2019
Statut:
ppublish
Résumé
The relationship between sensitivity to pain and conditioned pain modulation (CPM) - a paradigm reflecting the activity of the endogenous descending analgesic system - is still unclear. This study aimed at investigating CPM magnitude in two distinct subgroups of healthy subjects, presenting low vs. high sensitivity to pain (LSP vs. HSP, respectively), by employing two different thermal paradigms of CPM. Ninety-five healthy subjects (out of 293 tested) were identified as LSP (n = 48) or HSP (n = 47) according to their tolerance time to noxious cold stimulation (Cold Pressor Test, 1 °C). All subjects were exposed to two different paradigms of CPM: 1) Fixed temperature 'test-pain' (TP) where phasic, fixed painful heat stimuli of 47 °C were administered before and during a prolonged 'conditioning stimulus' (cold water at 12 °C for 30 s); and 2) Individually based 'pain-60' where TP was determined as the temperature that induced pain at a magnitude of 60 on a 0-100 rating scale (with the same conditioning stimulus). Using both thermal paradigms, LSP subjects showed decreased CPM magnitudes in comparison to HSP (p < 0.0001 in both paradigms). Within each group, no differences in the magnitudes of CPM were found between the two paradigms. These findings show that regardless of the thermal CPM paradigm employed, healthy individuals exhibiting low sensitivity to pain have a low pain inhibition profile and vice-versa. It is suggested that in healthy subjects, pain sensitivity predisposes the magnitude of CPM and not the other way around.
Sections du résumé
BACKGROUND
The relationship between sensitivity to pain and conditioned pain modulation (CPM) - a paradigm reflecting the activity of the endogenous descending analgesic system - is still unclear. This study aimed at investigating CPM magnitude in two distinct subgroups of healthy subjects, presenting low vs. high sensitivity to pain (LSP vs. HSP, respectively), by employing two different thermal paradigms of CPM.
METHOD
Ninety-five healthy subjects (out of 293 tested) were identified as LSP (n = 48) or HSP (n = 47) according to their tolerance time to noxious cold stimulation (Cold Pressor Test, 1 °C). All subjects were exposed to two different paradigms of CPM: 1) Fixed temperature 'test-pain' (TP) where phasic, fixed painful heat stimuli of 47 °C were administered before and during a prolonged 'conditioning stimulus' (cold water at 12 °C for 30 s); and 2) Individually based 'pain-60' where TP was determined as the temperature that induced pain at a magnitude of 60 on a 0-100 rating scale (with the same conditioning stimulus).
RESULT
Using both thermal paradigms, LSP subjects showed decreased CPM magnitudes in comparison to HSP (p < 0.0001 in both paradigms). Within each group, no differences in the magnitudes of CPM were found between the two paradigms.
CONCLUSION
These findings show that regardless of the thermal CPM paradigm employed, healthy individuals exhibiting low sensitivity to pain have a low pain inhibition profile and vice-versa. It is suggested that in healthy subjects, pain sensitivity predisposes the magnitude of CPM and not the other way around.
Identifiants
pubmed: 31238132
pii: S0304-3940(19)30432-X
doi: 10.1016/j.neulet.2019.134333
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
134333Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.