scholarly journals Does It Hurt?

2019 ◽  
Vol 28 (2) ◽  
pp. 231-249
Author(s):  
Koraljka Modić Stanke ◽  
Dragutin Ivanec ◽  
Luka Butić
Keyword(s):  
Pain Assessment ◽  
Pain Threshold ◽  
The Other ◽  
Professional Status ◽  
Pain Thresholds ◽  
Thermal Pain ◽  
Lower Status ◽  
Moderate Effect ◽  
Electrical Stimuli ◽  
Pain Unpleasantness

The aim of this paper is to determine whether experimenter's professional status (Study 1) and familiarity (Study 2) affect participant's pain assessment, even when there are no other differences in the experimenter's characteristics. Both studies measured pain threshold and tolerance, and assessment of pain unpleasantness and intensity induced by thermal and electrical stimuli. In Study 1, experimenter introduced himself to participants as either a student (lower status) or an expert associate (higher status). ANOVA revealed significant and moderate to large effect of status only in thermal modality; as expected, participants tested by the higher status experimenter displayed higher thermal pain thresholds and tolerances. In Study 2, another experimenter conducted all the measurements; hers (higher) status was previously familiar to one group of students and disclosed to the other group just before the measurement. ANOVA revealed statistically significant and moderate effect of familiarity only in electrical modality; as expected, participants tested by the familiar higher status experimenter displayed higher electrical pain thresholds and tolerances. These results suggest that not only the professional status of a person measuring pain, but also individual's familiarity with it influences someone's pain assessment. With this in mind, researchers are encouraged to conduct studies that control for these factors and to include more information regarding experimenter's characteristics within their reports.

scholarly journals Pain threshold - measure of pain sensitivity or social behavior?

Psihologija ◽  
2016 ◽  
Vol 49 (1) ◽  
pp. 37-50 ◽  
Author(s):  
Koraljka Modic-Stanke ◽  
Dragutin Ivanec
Keyword(s):  
Pain Sensitivity ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Professional Status ◽  
Pain Thresholds ◽  
Factorial Anova ◽  
Lower Status ◽  
Threshold Measure ◽  
Males And Females ◽  
Main Effects

The aim was to examine the effect of the experimenter?s social status and its interaction with participant?s gender on pressure pain threshold. Both male and female students participated in the study (N = 96) and were evenly assigned into two groups which differed only in the professional status of the experimenter who was a professor (higher status) in one group and a student (lower status) in the other. The factorial ANOVA revealed statistically significant and large main effects of the experimenter?s status and the participants? gender, indicating higher pain thresholds in male participants and in the higher status experimenter group. Although both males and females had higher pain thresholds when measured by a higher status experimenter, a statistically significant interaction revealed that status affected male participants more so than females. The obtained results are probably due to social behaviour, emphasizing relevance of the experimenter?s and participants? characteristics in pain measurement.

Adaptation of thermal pain in the skin

1962 ◽  
Vol 17 (4) ◽  
pp. 693-696 ◽  
Author(s):  
Leon C. Greene ◽  
James D. Hardy
Keyword(s):  
Thermal Radiation ◽  
Skin Temperature ◽  
Radiation Intensity ◽  
Pain Threshold ◽  
Human Subjects ◽  
Initial Period ◽  
Pain Thresholds ◽  
Thermal Pain ◽  
Cutaneous Pain ◽  
The Subject

Cutaneous pain thresholds were determined on blackened skin of foreheads and forearms of human subjects over areas of 16 cm2 by recording skin temperature during exposure to thermal radiation for periods up to 50 min. Intensity of stimulus was controlled by the subject so that threshold pain was maintained throughout the exposure. After the initial period of adjustment by the subject, radiation intensity was generally maintained constant although skin temperature for the pain threshold decreased from 44.9 C to 43.8 C. By using an intensity as low as 22 mcal/cm2/sec, threshold pain was evoked in 29 min at a skin temperature of 42.2 C. In both groups, once pain had been established it did not disappear. It is inferred from these observations that thermal pain does not adapt for near-threshold stimulation in the period between onset of pain at 30 sec and termination of stimulation. Submitted on December 26, 1961

Repeatability of cold pain and heat pain thresholds: The application of sensory testing in migraine research

Cephalalgia ◽  
2010 ◽  
Vol 30 (8) ◽  
pp. 904-909 ◽  
Author(s):  
Trond Sand ◽  
Kristian Bernhard Nilsen ◽  
Knut Hagen ◽  
Lars Jacob Stovner
Keyword(s):  
Pain Threshold ◽  
Heat Pain ◽  
Cold Pain ◽  
Pain Thresholds ◽  
Thermal Pain ◽  
Normal Limits ◽  
Normal Test ◽  
Heat Pain Threshold ◽  
The Face ◽  
Repeatability Limit

Normal heat pain threshold (HPT) and cold pain threshold (CPT) repeatability should be estimated in order to identify thermal allodynia in longitudinal studies, but such data are scarce in the literature. The aim of our study was to estimate normal HPT and CPT repeatability in the face, forehead, neck and hand. In addition, we reviewed briefly normative studies of thermal pain thresholds relevant for headache research. Thermal pain thresholds were measured on three different days in 31 healthy headache-free subjects. Coefficients of repeatability and normal limits were calculated. HPT and CPT were lowest in the face. Pooled across regions, the lower repeatability limit for the test/retest ratio was 63% for HPT and 55% for CPT. The upper normal CPT limit varied between 24.5°C and 29.7°C. Lower HPT limits ranged between 35.5°C and 40.8°C. Quantitative sensory methods provide useful information about headache and pain pathophysiology, and it is important to estimate the normal test/retest repeatability range in follow-up studies.

scholarly journals Low mechano-afferent fibers reduce thermal pain but not pain intensity in CRPS

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kathrin Habig ◽  
Gothje Lautenschläger ◽  
Hagen Maxeiner ◽  
Frank Birklein ◽  
Heidrun H. Krämer ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Pain Threshold ◽  
Glabrous Skin ◽  
Healthy Controls ◽  
Cold Pain ◽  
Pain Thresholds ◽  
Thermal Pain ◽  
C Fibers ◽  
Ct Afferents ◽  
Heat Pain Threshold

Abstract Background Human hairy (not glabrous skin) is equipped with a subgroup of C-fibers, the C-tactile (CT) fibers. Those do not mediate pain but affective aspects of touch. CT-fiber-activation reduces experimental pain if they are intact. In this pilot study we investigated pain modulating capacities of CT-afferents in CRPS. Methods 10 CRPS-patients (mean age 33 years, SEM 3.3) and 11 healthy controls (mean age 43.2 years, SEM 3.9) participated. CT-targeted-touch (brush stroking, velocity: 3 cm/s) was applied on hairy and glabrous skin on the affected and contralateral limb. Patients rated pleasantness of CT-targeted-touch (anchors: 1 “not pleasant”—4 “very pleasant”) twice daily on 10 days. Pain intensity (NRS: 0 “no pain” – 10 “worst pain imaginable”) was assessed before, 0, 30, 60 and 120 min after each CT-stimulation. To assess sensory changes, quantitative-sensory-testing was performed at the beginning and the end of the trial period. Results CT-targeted-touch was felt more pleasant on the healthy compared to the affected limb on hairy (p < 0.001) and glabrous skin (p 0.002), independent of allodynia. In contrast to healthy controls patients felt no difference between stimulating glabrous and hairy skin on the affected limb. Thermal pain thresholds increased after CT-stimulation on the affected limb (cold-pain-threshold: p 0.016; heat-pain-threshold: p 0.033). Conclusions CT-stimulation normalizes thermal pain thresholds but has no effect on the overall pain in CRPS. Therefore, pain modulating properties of CT-fibers might be too weak to alter chronic pain in CRPS. Moreover, CT-fibers appear to lose their ability to mediate pleasant aspects of touch in CRPS.

scholarly journals Do Multiple Body Modifications Alter Pain Threshold?

2017 ◽  
pp. S493-S500 ◽  
Author(s):  
A. YAMAMOTOVÁ ◽  
P. HRABÁK ◽  
P. HŘÍBEK ◽  
R. ROKYTA
Keyword(s):  
Pain Threshold ◽  
Pain Perception ◽  
Epidemiological Data ◽  
Pain Thresholds ◽  
Affective Component ◽  
Thermal Pain ◽  
Thermal Stimulator ◽  
Body Modifications ◽  
Mechanical Pain Thresholds ◽  
Neutral Conditions

In recent years, epidemiological data has shown an increasing number of young people who deliberately self-injure. There have also been parallel increases in the number of people with tattoos and those who voluntarily undergo painful procedures associated with piercing, scarification, and tattooing. People with self-injury behaviors often say that they do not feel the pain. However, there is no information regarding pain perception in those that visit tattoo parlors and piercing studios compared to those who don’t. The aim of this study was to compare nociceptive sensitivity in four groups of subjects (n=105, mean age 26 years, 48 women and 57 men) with different motivations to experience pain (i.e., with and without multiple body modifications) in two different situations; (1) in controlled, emotionally neutral conditions, and (2) at a "Hell Party" (HP), an event organized by a piercing and tattoo parlor, with a main event featuring a public demonstration of painful techniques (burn scars, hanging on hooks, etc.). Pain thresholds of the fingers of the hand were measured using a thermal stimulator and mechanical algometer. In HP participants, information about alcohol intake, self-harming behavior, and psychiatric history were used in the analysis as intervening variables. Individuals with body modifications as well as without body modifications had higher thermal pain thresholds at Hell Party, compared to thresholds measured at control neutral conditions. No such differences were found relative to mechanical pain thresholds. Increased pain threshold in all HP participants, irrespectively of body modification, cannot be simply explained by a decrease in the sensory component of pain; instead, we found that the environment significantly influenced the cognitive and affective component of pain.

ANALGESIC AND ANTI-INFLAMMATORY EFFECTS OF ACETYLSALICYLIC ACID: PHYSIOLOGICAL MECHANISMS

2020 ◽  
Vol 6(72) (1) ◽  
pp. 197-219
Author(s):  
I. V. Cheretaev ◽  
D. R. Khusainov ◽  
E. N. Chuyan ◽  
M. Yu. Ravaeva ◽  
A. N. Gusev ◽  
...  
Keyword(s):  
Acetylsalicylic Acid ◽  
Physiological Mechanism ◽  
The Body ◽  
Physiological Mechanisms ◽  
Scientific Publications ◽  
Thermal Pain ◽  
Order Of Magnitude ◽  
Anti Inflammatory ◽  
Number Of Publications ◽  
Electrical Stimuli

The purpose of the review is to summarize current literature data and the results of our own research on the analgesic and anti-inflammatory effects of acetylsalicylic acid, as well as the physiological mechanisms underlying them. This acid is the most studied reference representative of salicylates, which is convenient to consider the physiological effects characteristic in general for this group of chemical and medicinal products. Acetylsalicylic acid has analgesic properties against thermal pain and pain caused by electrical stimuli, as well as a pronounced anti-inflammatory effect. The realization of these properties depends on the peculiarities of aspirin metabolism in the body, ion and synaptic mechanisms for controlling the functional state of the cell, neurotransmitter systems of the сentral nervous system, and mechanisms of peripheral and сentral analgesia. Analgesic properties of acetylsalicylic acid founded not only in normal, but also in ultra-small doses. Various physical and especially chemical factors significantly change their effects. This increases the interest in studying the analgesic activity of salicylates and their physiological mechanisms, since such studies can serve as a basis for creating new non-steroidal anti-inflammatory drugs with low toxicity and high safety for patients, and improve the strategy of their practical use. Currently, the most detailed study of the physiological mechanism of analgesic and anti-inflammatory action of aspirin and its main metabolite – salicylic acid. However, it should be note that despite the abundance of existing data obtained in scientific studies of the effects of aspirin and its practical use, there are a number of unexplained aspects of the action of this drug, the mechanism of which has not yet been deciphered. The continuing interest in the effects and mechanisms of action of this drug and in connection with the expansion of its use evidenced by a consistently high number of scientific publications on aspirin in the most famous foreign and domestic publications. At the same time, the number of publications about aspirin is an order of magnitude higher than about any other drug known to humanity.

scholarly journals Spectral Clustering Reveals Different Profiles of Central Sensitization in Women with Carpal Tunnel Syndrome

Symmetry ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1042
Author(s):  
Oscar J. Pellicer-Valero ◽  
José D. Martín-Guerrero ◽  
César Fernández-de-las-Peñas ◽  
Ana I. De-la-Llave-Rincón ◽  
Jorge Rodríguez-Jiménez ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Clinical Features ◽  
Carpal Tunnel ◽  
Spectral Clustering ◽  
Grip Force ◽  
The Other ◽  
Pressure Pain ◽  
Thermal Pain ◽  
Pressure Pain Thresholds ◽  
Tunnel Syndrome

Identification of subgroups of patients with chronic pain provides meaningful insights into the characteristics of a specific population, helping to identify individuals at risk of chronification and to determine appropriate therapeutic strategies. This paper proposes the use of spectral clustering (SC) to distinguish subgroups (clusters) of individuals with carpal tunnel syndrome (CTS), making use of the obtained patient profiling to argue about potential management implications. SC is a powerful algorithm that builds a similarity graph among the data points (the patients), and tries to find the subsets of points that are strongly connected among themselves, but weakly connected to others. It was chosen due to its advantages with respect to other simpler clustering techniques, such as k-means, and the fact that it has been successfully applied to similar problems. Clinical (age, duration of symptoms, pain intensity, function, and symptom severity), psycho-physical (pressure pain thresholds—PPTs—over the three main nerve trunks of the upper extremity, cervical spine, carpal tunnel, and tibialis anterior), psychological (depressive levels), and motor (pinch tip grip force) variables were collected in 208 women with clinical/electromyographic diagnosis of CTS, whose symptoms usually started unilaterally but eventually evolved into bilateral symmetry. SC was used to identify clusters of patients without any previous assumptions, yielding three clusters. Patients in cluster 1 exhibited worse clinical features, higher widespread pressure pain hyperalgesia, higher depressive levels, and lower pinch tip grip force than the other two. Patients in cluster 2 showed higher generalized thermal pain hyperalgesia than the other two. Cluster 0 showed less hypersensitivity to pressure and thermal pain, less severe clinical features, and more normal motor output (tip grip force). The presence of subgroups of individuals with different altered nociceptive processing (one group being more sensitive to pressure pain and another group more sensitive to thermal pain) could lead to different therapeutic programs.

scholarly journals Office-Cycling: A Promising Way to Raise Pain Thresholds and Increase Metabolism with Minimal Compromising of Work Performance

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Rebecca Tronarp ◽  
André Nyberg ◽  
Mattias Hedlund ◽  
Charlotte K. Häger ◽  
Suzanne McDonough ◽  
...  
Keyword(s):  
Cognitive Performance ◽  
Work Performance ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Pain Modulation ◽  
Moderate Intensity ◽  
Thermal Pain ◽  
Metabolic Expenditure ◽  
Pointing Precision ◽  
Mouse Pointing

Aim.Establishing the effects of low intensity cycling (LC), moderate intensity cycling (MC), and standing at a simulated office workstation on pain modulation, work performance, and metabolic expenditure.Methods.36 healthy adults (21 females), mean age 26.8 (SD 7.6) years, partook in this randomized3×3crossover trial with 75 minutes of LC on 20% of maximum aerobic power (MAP) output, 30 minutes of MC on 50% of MAP, and standing 30 minutes with 48-hour wash-out periods. Outcome measures were pain modulation (pressure pain threshold (PPT) and thermal pain threshold)), work performance (transcription, mouse pointing, and cognitive performance), and metabolic expenditure.Results.PPTs increased in all conditions. PPT trapezius showed the highest increase after LC, 39.3 kilopascals (kPa) (15.6; 78.6), compared to MC, 17.0 kPa (2.8; 49.9), and standing, 16.8 kPa (−5.6; 39.4),p=0.015. Transcription was reduced during LC and MC. Mouse pointing precision was best during standing and worst and slowest during MC. Cognitive performance did not differ between conditions. Metabolic expenditure rates were 1.4 (1.3; 1.7), 3.3 (2.3; 3.7), and 7.5 (5.8; 8.7) kcal/minute during standing, LC, and MC, respectively(p<0.001).Conclusions.LC seems to be the preferred option; it raised PPTs, more than doubled metabolic expenditure, whilst minimally influencing work performance.

Somatosensory and trophic findings in the referred pain area in patients with kidney stone disease

2013 ◽  
Vol 4 (3) ◽  
pp. 165-170 ◽  
Author(s):  
Katja Venborg Pedersen ◽  
Asbjørn Mohr Drewes ◽  
Ole Graumann ◽  
Susanne Sloth Osther ◽  
Anne Estrup Olesen ◽  
...  
Keyword(s):  
Ct Scan ◽  
Kidney Stone ◽  
Stone Disease ◽  
Referred Pain ◽  
Lateral Side ◽  
Pain Thresholds ◽  
Kidney Stone Disease ◽  
Trophic Changes ◽  
Electrical Stimuli ◽  
Pain Area

AbstractBackground and purposeVisceral and somatic afferents activate the same neuronal structures in the central nervous system. Assessing somatosensory function and trophic changes in the referred pain area may therefore indirectly increase information on mechanisms involved in painful visceral diseases. The aim of this study was to evaluate the sensory and trophic changes in the flank corresponding to the referred pain area in patients with kidney stone disease.MethodsA total of 24 patients with unilateral pain-causing kidney stone disease were studied before and after endoscopic percutaneous kidney stone surgery. Trophic changes and sensitivity on the affected and on the contra-lateral side in the pain free period were investigated. For this purpose we used standardized experimental sensory testing including pressure stimulation and electrical (single and repeated) skin stimulation. Five repeated stimuli were used to investigate temporal summation (increased responses to repeated stimuli). To investigate trophic changes ultrasound as well as CT-scan was used, since the latter is considered more precise for exact tissue layer measurements.ResultsThe pain tolerance thresholds to pressure and pain thresholds to electrical stimulation were not significantly different on the two sides (all P>0.1). After surgery no significant alterations in sensitivity were detected, but there was a tendency to higher pain thresholds to electrical stimuli on the affected side (single stimuli P=0.06; repeated stimuli P=0.09). No trophic changes were observed (all P>0.3), and there were no relations between the pain thresholds or trophic findings and the number of colics (all P >0.08).ConclusionIn patients with unilateral pain-causing kidney stone disease the pain to experimental pressure and electrical stimuli were comparable on the affected and contra-lateral side. For the first time a CT-scan was used to evaluate tissue thickness in the referred pain area. No trophic changes were seen in the muscle or subcutaneous tissue at the affected side, and there were no correlations between the pain thresholds or trophic findings and the patients history of number of colics. After the operation no significant alterations in sensitivity were detected.ImplicationsThis study could not confirm previous studies showing referred hyperalgesia in the skin and trophic changes in the referred pain area to painful visceral disease. Differences in the pain intensity/duration between different diseases and hence the corresponding central neuronal changes may explain the negative findings in the present study.

An Examination by Forearm EMG on Pain Reaction Time to Radiant Heat

1993 ◽  
Vol 76 (3_suppl) ◽  
pp. 1139-1146 ◽  
Author(s):  
Toshiteru Hatayama ◽  
Kayoko Shimizu
Keyword(s):  
Reaction Time ◽  
Time Delay ◽  
Skin Temperature ◽  
Motor Response ◽  
Pain Threshold ◽  
Radiant Heat ◽  
Repeated Measurements ◽  
Pain Sensation ◽  
Pain Thresholds ◽  
Pain Reaction

The present study was done to estimate rise in skin temperature during a pain reaction time (pain RT) as a means of investigating why a pricking pain threshold, produced by thermal stimulation using time method, often increases during repeated measurements. The pain RT, or the time-delay between occurrence of pain sensation and a subsequent motor response, was measured by making EMG recording on a forearm. The radiant heat stimuli were three, 200, 300, and 350 mcal/sec./cm2, each of which was given through a round radiation window of an algesiometer head. Analysis showed that the pain RTs would be too short to explain higher pain thresholds often found using the time method.

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