Pain Clinical Trial
Official title:
The Influence of Pain on Exercise-Induced Hypoalgesia in Healthy Subjects: A Randomized Controlled Trial
The purpose of this study is to investigate how acute pain induced by hypertonic saline prior to exercise influence the magnitude of exercise-induced hypoalgesia after a 3 min isometric wallsquat exercise in healthy subjects. The study is a single blinded (investigator) randomized cross-over trial The results from the study may be of great importance to the understanding of exercise-induced hypoalgesia, and whether the presence of pain affects the effects of exercise.
Exercise is recommended to promote and maintain health and as treatment for more than 25
chronic diseases and pain conditions.
The mechanisms underlying pain relief of exercise are largely unknown but may be related to
the modulation of central descending pain inhibitory pathways after acute exercise bouts.
Exercise-induced hypoalgesia (EIH) is typically assessed as the temporary change in PPTs
after a short acute exercise bout and EIH is seen as a proxy of descending pain inhibitory
control. In general, EIH seems hypoalgesic (functional) in asymptomatic subjects. A
hyperalgesic (impaired) EIH response has been reported in different chronic pain populations,
although a functional EIH response also has been reported in subgroups of knee osteoarthritis
patients. This implies differences in the acute response to exercise between healthy
(pain-free) subjects and chronic pain patients, but it is still unknown whether the presence
of pain itself affects the pain alleviating response (i.e. the EIH response) to acute
exercise.
It is hypothesized that acute pain will decrease the EIH response magnitude following
hypertonic saline injection compared with the control injection. This study will increase the
insight into the EIH mechanisms in healthy subjects in general, and how the presence of pain
affects the body's own ability to modulate pain during exercise.
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