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Cuff Pressure Pain Detection Is Associated with Both Sex and Physical Activity Level in Nonathletic Healthy Subjects
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-4385-428X
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-2530-4126
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
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2017 (English)In: Pain medicine (Malden, Mass.), ISSN 1526-2375, E-ISSN 1526-4637, Vol. 18, no 8, 1573-1581 p.Article in journal (Refereed) Published
Abstract [en]

Purpose. The aim of this study was to evaluate pressure pain sensitivity on leg and arm in 98 healthy persons (50 women) using cuff algometry. Furthermore, associations with sex and physical activity level were investigated.

Method. Normal physical activity level was defined as Godin Leisure-Time Exercise Questionnaire (GLTEQ) score ≤ 45 and high activity level as GLTEQ > 45. A pneumatic double-chamber cuff was placed around the arm or leg where a single chamber was inflated. The cuff inflation rate (1 kPa/s) was constant, and pain intensity was registered continuously on a 10 cm electronic visual analogue scale (VAS). The pain detection threshold (PDT) was defined as when the pressure was perceived as painful, and pain tolerance (PTT) was when the subject terminated the cuff inflation. For PTT, the corresponding VAS score was recorded (VAS-PTT). The protocol was repeated with two chambers inflated.

Result. Only single cuff results are given. For women compared with men, the PDT was lower when assessed in the arm (P = 0.002), PTTs were lower in the arm and leg (P < 0.001), and the VAS-PTT was higher in the arm and leg (P < 0.033). Highly active participants compared with less active had higher PDT (P = 0.027) in the leg. Women showed facilitated spatial summation (P < 0.014) in the arm and leg and a steeper VAS slope (i.e., the slope of the VAS pressure curve between PDT and PPT) in the arm and leg (P < 0.003).

Conclusion. This study indicates that reduced pressure pain sensitivity is associated both with male sex and physical activity level.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2017. Vol. 18, no 8, 1573-1581 p.
Keyword [en]
Experimental Pain, Pain Assessment, Cuff Pressure Sensitivity, Physical Activity, Sex, Gender
National Category
Physiotherapy Sport and Fitness Sciences Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:liu:diva-140496DOI: 10.1093/pm/pnw309ISI: 000409845200018OAI: oai:DiVA.org:liu-140496DiVA: diva2:1138454
Note

Funding agencies: Swedish Research Council [K2011-69X-21874-01-6]; FORTE The Swedish Research Council for Health, Working life and Welfare [2010-0913]

Available from: 2017-09-05 Created: 2017-09-05 Last updated: 2017-09-22Bibliographically approved

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Lemming, DagBörsbo, BjörnSjörs, AnnaLind, Eva-BrittGerdle, Björn
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Pain medicine (Malden, Mass.)
PhysiotherapySport and Fitness SciencesEnvironmental Health and Occupational Health

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