A Fast Track to Hypoalgesia – The Anaerobic Exercise Effect on Pain Sensitivity

Samuelly-Leichtag, Gil; Kodesh, Einat; Meckel, Yoav; Weissman-Fogel, Irit

doi:10.1055/s-0043-123645

Cited by 20 publications

(14 citation statements)

References 53 publications

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“… 195 Findings on the influence of aerobic exercise duration are more equivocal, with one study observing a dose-response with larger effects after bicycling for 30 minutes compared with 10 minutes, 69 and one study observing no difference between bicycling for 10 minutes compared with 20 minutes. 195 Moreover, the fact that very short-duration aerobic exercise can elicit EIH 129 , 162 implies that intensity, or the combination of intensity and duration, may be more important for determining the size of EIH after aerobic exercise than either variable alone.…”

Section: Pain Outcomes After Acute and Regular Exercise In Pain-frmentioning

confidence: 99%

“… 130 Controlled studies using similar methodology but different designs (eg, crossover trials and parallel trials) have also been conducted. 80 , 162 , 195 , 204 The results of these studies, especially those where participants were randomized to exercise or control, or where the order of exercise and control were randomized and counterbalanced for crossover trials, give a less biased estimate of the effect of a single bout of exercise on pain.…”

Section: Introductionmentioning

confidence: 99%

“… 17 , 93 Interestingly, EIH is reproducible with each type of exercise, even when modest doses are used. 129 , 162 This is described in more detail below.…”

Section: Introductionmentioning

confidence: 99%

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Exercise-induced hypoalgesia after acute and regular exercise: experimental and clinical manifestations and possible mechanisms in individuals with and without pain

Vægter

Jones

2020

PR9

113

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Section: Pain Outcomes After Acute and Regular Exercise In Pain-frmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exercise-induced hypoalgesia after acute and regular exercise: experimental and clinical manifestations and possible mechanisms in individuals with and without pain

Vægter

Jones

2020

PR9

113

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“…Pain causes an increase in HR and BP by activating the sympathetic nervous system (31). Recent research indicates that acute anaerobic exercise can mitigate the sensation of pain (32), possibly decreasing the cold pressor test-mediated cardiovascular response following exercise. In the present study, the participants reported a significantly greater decrease in pain sensation after the ECT compared to ET.…”

Section: Discussionmentioning

confidence: 99%

Gaming Instead of Training? Exergaming Induces High-Intensity Exercise Stimulus and Reduces Cardiovascular Reactivity to Cold Pressor Test

Ketelhut

Kircher

et al. 2022

Front. Cardiovasc. Med.

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IntroductionThe present study assessed if an exercise session in an innovative exergame can modulate hemodynamic reactivity to a cold pressor test (CPT) to a similar extent as a typical moderate endurance training (ET). Furthermore, cardiorespiratory, and affective responses of an exergame session and an ET were compared.MethodsTwenty-seven healthy participants aged 25 ± 4 years (48% female; BMI 23.0 ± 2.1 kg/m2) participated in this cross-sectional study. All participants completed both an ET on a treadmill and training in the ExerCube (ECT). HR and oxygen consumption were recorded during both training sessions. Before and after both exercise sessions, the hemodynamic reactivity to a CPT was determined.ResultsDuring ECT, HR, oxygen consumption, energy expenditure, and the metabolic equivalent of the task were significantly higher than those obtained during ET (p < 0.001). With regard to the CPT, the participants showed significantly lower responses in peripheral systolic (p = 0.004) and diastolic blood pressure (p = 0.009) as well as central systolic (p = 0.002) and diastolic BP (P = 0.01) after ECT compared to ET. The same was true for pulse wave velocity (p = 0.039).ConclusionThe ECT induced a significantly higher exercise stimulus compared to the ET. At the same time, it attenuated hemodynamic stress reactivity. The ECT presents a relevant training stimulus that modulates cardiovascular reactivity to stress, which has been proven as a predictor for the development of hypertension.Trial RegistrationISRCTN registry, ISRCTN43067716, 14 April 2020, Trial number: 38154.

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“…However, unlike PPT, this parameter involves inputting repetitive noxious stimuli at a constant intensity and measuring the level of pain facilitation through these stimuli. Improvement, that is, decrease in TS, is considered an important marker of central nervous system sensitization in patients with CNSLBP (Arribas‐Romano et al, 2020; Corrêa et al, 2015; Leite et al, 2018; Samuelly‐Leichtag et al, 2018). On the other hand, CPM is a psychophysical measure measured in humans and is correlated with the diffuse noxious inhibitory control (DNIC) mechanism (Lima et al, 2017), initially identified in rats and suggested as a phenomenon in which ‘pain inhibits pain’.…”

Section: Discussionmentioning

confidence: 99%

Neuroendocrine effects of a single bout of functional and core stabilization training in women with chronic nonspecific low back pain: A crossover study

Santos

Vasconcelos³

et al. 2022

Physiological Reports

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Exercise‐induced hypoalgesia (EIH) is characterized as the pain reduction after an exercise session and it seems to be related to the release of plasma β‐endorphin. In this sense, the core stabilization training (CT) has been suggested for patients with chronic nonspecific low back pain (CNSLBP), but it is unclear whether it induces EIH. Patients with CNSLBP have neuromotor dysfunctions that can affect the performance of functional tasks, thus, performing functional training (FT) could improve motor control and promote EIH, since functional training uses multi‐joint exercises that aim to improve the functionality of actions performed in daily life. EIH is usually assessed using quantitative sensory tests (QST) such as conditioned pain modulation, pressure pain threshold, and temporal summation. Thus, the sum of parameters from quantitative sensory tests and plasma β‐endorphin would make it possible to understand what the neuroendocrine effects of FT and CT session are. Our study compared the acute effect of CT and FT on the EIH and plasma β‐endorphin release, and correlated plasma β‐endorphin with quantitative sensory testing in patients with CNSLBP. Eighteen women performed two training sessions (CT and FT) with an interval of 48 h between sessions. EIH was assessed by QST and plasma β‐endorphin levels. Results showed that only FT significantly increased plasma β‐endorphin (FT p < 0.01; CT p = 0.45), which correlated with pain pressure threshold (PPT) and conditioned pain modulation (CPM). However, QST values were not different in women with CNSLBP after CT or FT protocols. Plasma β‐endorphin correlated with PPT and CPM, however, the same did not occur with a temporal summation.

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A Fast Track to Hypoalgesia – The Anaerobic Exercise Effect on Pain Sensitivity

Cited by 20 publications

References 53 publications

Exercise-induced hypoalgesia after acute and regular exercise: experimental and clinical manifestations and possible mechanisms in individuals with and without pain

Exercise-induced hypoalgesia after acute and regular exercise: experimental and clinical manifestations and possible mechanisms in individuals with and without pain

Gaming Instead of Training? Exergaming Induces High-Intensity Exercise Stimulus and Reduces Cardiovascular Reactivity to Cold Pressor Test

Neuroendocrine effects of a single bout of functional and core stabilization training in women with chronic nonspecific low back pain: A crossover study

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