Isometric Back Exercise Has Different Effect on Pressure Pain Thresholds in Healthy Men and Women

Gajsar, Hannah; Titze, Christina; Hasenbring, Monika; Vægter, Henrik Bjarke

doi:10.1093/pm/pnw176

Cited by 27 publications

(46 citation statements)

References 44 publications

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“…Aerobic and isometric exercise increased PPTs at local and remote assessment sites, which is in agreement with other studies showing a hypoalgesic response after exercise in healthy subjects [13][14][15][16]42] and patients with chronic pain [17,[43][44][45][46]. In contrast to these findings, earlier studies have demonstrated a lack of EIH response in patients with chronic pain [18,19,[47][48][49], and the results from a recent meta-analysis indicate that a subset of patients with chronic pain demonstrated impaired EIH responses compared with asymptomatic controls [11].…”

Section: Exercise-induced Hypoalgesiasupporting

confidence: 92%

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Kinesiophobia is associated with pain intensity but not pain sensitivity before and after exercise: an explorative analysis

et al. 2018

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Clinical pain intensity was significantly higher in patients with a high degree of kinesiophobia compared with patients with a low degree of kinesiophobia. Despite a difference in isometric exercise performance, the hypoalgesic responses after cycling and isometric knee exercise were comparable between patients with high and low degrees of kinesiophobia. If replicated in larger studies, these findings indicate that although kinesiophobic beliefs influence pain intensity, they do not significantly influence PPTs and exercise-induced hypoalgesia in patients with chronic musculoskeletal pain.

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Section: Exercise-induced Hypoalgesiasupporting

confidence: 92%

“…cycling or running) [13,14] and low-and high-intensity isometric exercise (i.e. muscle contraction without joint movement) [13,15,16]. In subjects with different musculoskeletal pain conditions, the effect of exercise on pain sensitivity is still controversial as both hypoalgesia [17,18] and hyperalgesia [19,20] have been reported.…”

Section: Resultsmentioning

confidence: 99%

Kinesiophobia is associated with pain intensity but not pain sensitivity before and after exercise: an explorative analysis

et al. 2018

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“…Ademais, o estudo de Gajsar et al 9 demonstrou que as mulheres são mais sensíveis a estímulos isométricos. Isso torna interessante a prescrição do EI para esse grupo durante o treinamento, objetivando ganhos de força e hipertrofia, melhora nos aspectos hemodinâmicos e autonômicos, diminuindo valores da PAS em repouso e apresentando melhora na função e resistência vaso endotelial após estímulos crônicos em mulheres normotensas 11,12 .…”

Section: Discussionunclassified

“…Naugle et. al 8 verificaram que tanto o EI quanto o ED tem a particularidade de causar o efeito hipoalgésico causado pelo exercício, atenuando os limiares de dor, no entanto foi identificado que as mulheres respondem melhor ao protocolo isométrico e apresentam maior redução na dor muscular 9 . Além disso, tem sido demonstrado na literatura a usualidade do exercício isométrico, tanto em pacientes saudáveis como naqueles que possuem patologias cardiovasculares, auxilia na redução da pressão arte-rial e promove efeitos favoráveis na modulação da regulação autonômica, que combinado ao ED pode ser aconselhável para melhoras substanciais no sistema cardiovascular 10 .…”

Section: Introductionunclassified

Efeitos agudos da combinação de série isométrica com dinâmica nos aspectos hemodinâmicos

et al. 2017

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Introdução: O objetivo foi verificar as respostas hemodinâmicas durante a combinação de série isométrica com séries dinâmicas no agachamento. Métodos: Quatorze mulheres treinadas realizaram primeiramente a antropometria e identificação da carga de 1RM no agachamento. Posteriormente, foi realizado o Protocolo Isométrico+Dinâmico executando uma série isométrica máxima de 20seg e três séries dinâmicas a 80% de 1RM até a exaustão, mensurando frequência cardíaca, pressão arterial sistólica e diastólica, em repouso (pré), isometria e dinâmico (pós). Após, foi realizada apenas a execução dinâmica no Protocolo Dinâmico mensurando as mesmas variáveis, em repouso (pré) e dinâmico (pós). Resultados: Não foram encontradas diferenças significativas nas variáveis entre protocolos e na análise intragrupo do Protocolo Isométrico-Dinâmico, identificou-se aumento somativo na frequência cardíaca, pressão arterial sistólica e diastólica e duplo produto (p

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“…Whilst there is debate regarding the exact pathway by which EIH operates it is consistently reported in healthy populations, and is thought to represent a normally functioning endogenous analgesic system [12]. The EIH response is reportedly influenced by factors such as gender [13,14] and activity levels [15,16]. Furthermore, studies in healthy individuals have demonstrated an EIH response at both local [17,18] and remote [18,19] assessment sites.…”

Section: Introductionmentioning

confidence: 99%

Exercise-induced hypoalgesia in women with varying levels of menstrual pain

Travers

Moss

Gibson

et al. 2018

Scandinavian Journal of Pain

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Abstract Background and aims: Exercise-induced hypoalgesia (EIH) is a well-established phenomenon in pain-free individuals that describes a decrease in pain sensitivity after an acute bout of exercise. The EIH response has been demonstrated to be sub-optimal in the presence of persisting pain. Menstrual pain is a common recurrent painful problem with many women experiencing high levels of pain each cycle. However, the EIH response has not been examined in a cohort of women with high levels of menstrual pain. This research aimed to examine whether EIH manifests differently in women with varying levels of menstrual pain. The primary hypothesis was that women with high levels of menstrual pain would demonstrate compromised EIH. Secondary aims were to explore relationships between EIH and emotional state, sleep quality, body mass index (BMI) or physical activity levels. Methods: Pressure pain thresholds (PPT) were measured in 64 participants using a digital handheld algometer before and after a submaximal isometric-handgrip exercise. EIH index was compared between low (VAS 0–3), moderate (VAS 4–7) and high (VAS 8–10) pain groups, using a linear mixed model analysis with participant as a random effect, and site, menstrual pain category and the interaction between the two, as fixed effects. Results: EIH was consistently induced in all groups. However, there was no statistically significant difference between the pain groups for EIH index (p=0.835) or for any co-variates (p>0.05). Conclusions: EIH was not found to differ between women who report regular low, moderate or high levels of menstrual pain, when measured at a point in their menstrual cycle when they are pain free. Implications: This study provides insight that EIH does not vary in women with differing levels of menstrual pain when they are not currently experiencing pain. The current findings indicate that, although menstrual pain can involve regular episodes of high pain levels, it may not be associated with the same central nervous system dysfunctions as seen in sustained chronic pain conditions.

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Isometric Back Exercise Has Different Effect on Pressure Pain Thresholds in Healthy Men and Women

Cited by 27 publications

References 44 publications

Kinesiophobia is associated with pain intensity but not pain sensitivity before and after exercise: an explorative analysis

Kinesiophobia is associated with pain intensity but not pain sensitivity before and after exercise: an explorative analysis

Efeitos agudos da combinação de série isométrica com dinâmica nos aspectos hemodinâmicos

Exercise-induced hypoalgesia in women with varying levels of menstrual pain

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