Effects of Exercise-induced Hypoalgesia and Its Neural Mechanisms

Bao, Wu; Zhou, Lili; Chen, Changcheng; Wang, Juan; Hu, Li; Wang, Xueqiang

doi:10.1249/mss.0000000000002781

Cited by 35 publications

(25 citation statements)

References 55 publications

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“…However, the mechanism driving clinically meaningful changes in function requires a different form of engagement: time in the program. Exercise-induced analgesia is well documented in the literature, although the mechanism remains unclear [ 49 , 50 ]. We speculate that patients may associate exercise with pain reduction because they perceive a change in tissue status after stretching and movement.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Mobile Care Delivery on Clinically Meaningful Outcomes, Satisfaction, and Engagement Among Physical Therapy Patients: Observational Retrospective Study

Beresford¹,

Norwood²

2022

JMIR Rehabil Assist Technol

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Background Musculoskeletal care is now delivered via mobile apps as a health care benefit. Although preliminary evidence shows that the clinical outcomes of mobile musculoskeletal care are comparable with those of in-person care, no research has examined the features of app-based care that secure these outcomes. Objective Drawing on the literature around in-person physical therapy, this study examines how patient-provider relationships and program engagement in app-based physical therapy affect clinically meaningful improvements in pain, function, and patient satisfaction. It then evaluates the effects of patient-provider relationships forged through in-app messages or video visits and timely, direct access to care on patients’ engagement in their recovery. Methods We conducted an observational, retrospective study of 814 pre- and postsurveyed participants enrolled in a mobile app physical therapy program where physical therapists prescribed workouts, education, and therapeutic activities after a video evaluation from February 2019 to December 2020. We estimated generalized linear models with logit functions to evaluate the effect of program engagement on clinical outcomes, minimal clinically important differences (MCIDs) in pain (ΔVisual Analogue Scale ≤−1.5) and function (ΔPatient Specific Functional Scale ≥1.3), and the effects of patient-provider relationships and clinical outcomes on patient satisfaction—participant reported likelihood to recommend the program (Net Promoter Scores of 9-10). We estimated Poisson generalized linear models to evaluate the effects of stronger patient-provider relationships and timely access to physical therapy within 24 hours on engagement including the number of weekly workouts and weeks in the program. Results The odds that participants (N=814) had a pain MCID increased by 13% (odds ratio [OR] 1.13, 95% CI 1.04-1.23; P=.003) with each weekly workout and the odds of a function MCID by 4% (OR 1.04, 95% CI 1.00-1.08; P=.03) with each week in the program. Participants with MCIDs in function and large changes in pain (Δ Visual Analogue Scale ≤−3.5) were 1.85 (95% CI 1.17-2.93; P=.01) and 2.84 times (95% CI 1.68-4.78; P<.001) more satisfied, respectively. Those with video follow-up visits were 2 to 3 times (P=.01) more satisfied. Each physical therapist’s message increased weekly workouts by 11% (OR 1.11, 95% CI 1.07-1.16; P<.001). Video follow-up visits increased weekly workouts by at least 16% (OR 1.16, 95% CI 1.04-1.29; P=.01) and weeks in the program at least 8% (OR 1.08, 95% CI 1.01-1.14; P=.02). Access was associated with a 14% increase (OR 1.14, 95% CI 1.05-1.24; P=.003) in weekly workouts. Conclusions Similar to in-person care, program engagement positively affects clinical outcomes, and strong patient-provider relationships positively affect satisfaction. In app-based physical therapy, clinical outcomes positively affect patient satisfaction. Timely access to care and strong patient-provider relationships, particularly those forged through video visits, affect engagement.

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Section: Discussionmentioning

confidence: 99%

The Effect of Mobile Care Delivery on Clinically Meaningful Outcomes, Satisfaction, and Engagement Among Physical Therapy Patients: Observational Retrospective Study

Beresford¹,

Norwood²

2022

JMIR Rehabil Assist Technol

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“…Various exercises have been recommended to mitigate chronic pain, and different types of exercise produce different analgesic effects. [19][20][21][22][23] A quasi-experiment found that healthy women experienced an increase in PPTs after completing knee extension strength training, and the effect returned to baseline levels after 20-minute exercise even if the test sites were far from the area of active muscles. 24 Jones et al recruited 16 healthy adults to complete 20 minutes of moderateintensity aerobic exercise on a cycle ergometer, and the results showed a substantial increase in PPTs but not in heat pain thresholds after exercise.…”

Section: Introductionmentioning

confidence: 99%

Effect of Tai Chi Quan on the Pressure Pain Thresholds of Lower Back Muscles in Healthy Women

Wang¹,

Chang²,

Kiartivich³

et al. 2022

JPR

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Although studies on the improvement of pain after exercise are increasingly diverse, whether Tai Chi Quan can improve the pressure pain thresholds remains unknown. This study was to observe the effect of Tai Chi Quan on the pressure pain thresholds of lower back muscles in healthy women. Patients and Methods: This was a randomized controlled trial. Sixty healthy women aged 18-40 years were randomly assigned to Tai Chi group or control group. The Tai Chi group received 40-minute practice, and the control group received 5-minute sham Tai Chi Quan practice and 35-minute rest. The pressure pain thresholds of the longissimus thoracis, iliocostalis lumborum, multifidus muscle, quadratus lumborum, gluteus medius and supraspinous ligament were assessed before and immediately after intervention. Results: The pressure pain thresholds of test points in the Tai Chi group showed substantial improvements after exercise, whereas those in the control group did not improve. Overall, the pressure pain thresholds in the Tai Chi group significantly increased compared with the control group (longissimus thoracis: p = 0.000, iliocostalis lumborum: p = 0.000, multifidus muscle: p = 0.000, quadratus lumborum: p = 0.012, gluteus medius: p = 0.000 and supraspinous ligament: p = 0.000). Conclusion: Forty minutes of Tai Chi Quan exercise remarkably increased the pressure pain thresholds of lower back muscles in healthy women, and thresholds at by an these points increased average of 17.2%.

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“…These findings indicate that the incidence of neuropathic pain is far from being low, and neuropathic pain is worth investigating. However, thus far, only a few studies have revealed the exact mechanism and treatment methods despite the increase in research on neuropathic pain (11).…”

Section: Introductionmentioning

confidence: 99%

Top 100 Most-Cited Papers in Neuropathic Pain From 2000 to 2020: A Bibliometric Study

Xiong

Liu²,

Wang

2021

Front. Neurol.

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Background: Neuropathic pain research has grown impressively in the past two decades, as evidenced by improvements in research quality and increments in the number of research papers. In views of this situation, the use of quantitative measurements to analyze and characterize existing research has become imperative. The aim of this research is to identify and analyze the 100 most-cited papers in neuropathic pain research.Methods: Neuropathic pain-related articles published between 2000 and 2020 were screened from Web of Science (WOS) by using the following subject terms: TI = (Neuralgia$ OR Neurodynia$ OR “Neuropathic pain” OR sciatica OR “Nerve pain$”). The publications were ranked in a descending order on the basis of citation counts, and the top 100 most-cited neuropathic pain papers were determined. Subsequently, we conducted a bibliometric study to determine the authors, journals, countries, and institutions that contributed the most to the top 100 neuropathic pain lists; describe the keywords and hotspots of the top 100 most-cited papers; and explore the factors associated with successful citations.Results: The top 100 most-cited papers were published from 2000 to 2017, and 2003 had the largest number of published papers (n = 16). The mean number of citations per paper was 480.72, with a range of 262–1,569. Forty-four kinds of journals contributed to the top 100 most-cited papers, which were predominantly published in “Pain” (n = 23). The USA was determined to be the leader of neuropathic pain research in terms of quality and quantity.Conclusion: This study provides a comprehensive list of the most influential papers on neuropathic pain and demonstrates the important advances in this field to help understand academic concerns and the directions of technological innovations in neuropathic pain worldwide.

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Effects of Exercise-induced Hypoalgesia and Its Neural Mechanisms

Cited by 35 publications

References 55 publications

The Effect of Mobile Care Delivery on Clinically Meaningful Outcomes, Satisfaction, and Engagement Among Physical Therapy Patients: Observational Retrospective Study

The Effect of Mobile Care Delivery on Clinically Meaningful Outcomes, Satisfaction, and Engagement Among Physical Therapy Patients: Observational Retrospective Study

Effect of Tai Chi Quan on the Pressure Pain Thresholds of Lower Back Muscles in Healthy Women

Top 100 Most-Cited Papers in Neuropathic Pain From 2000 to 2020: A Bibliometric Study

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