Document Detail


Central modulation of exercise-induced muscle pain in humans.
MedLine Citation:
PMID:  17932155     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of the current study was to determine if exercise-induced muscle pain is modulated by central neural mechanisms (i.e. higher brain systems). Ratings of muscle pain perception (MPP) and perceived exertion (RPE), muscle sympathetic nerve activity (MSNA), arterial pressure, and heart rate were measured during fatiguing isometric handgrip (IHG) at 30% maximum voluntary contraction and postexercise muscle ischaemia (PEMI). The exercise trial was performed twice, before and after administration of naloxone (16 mg intravenous; n = 9) and codeine (60 mg oral; n = 7). All measured variables increased with exercise duration. During the control trial in all subjects (n = 16), MPP significantly increased during PEMI above ratings reported during IHG (6.6 +/- 0.8 to 9.5 +/- 1.0; P < 0.01). However, MSNA did not significantly change compared with IHG (7 +/- 1 to 7 +/- 1 bursts (15 s)(-1)), whereas mean arterial blood pressure was slightly reduced (104 +/- 4 to 100 +/- 3 mmHg; P < 0.05) and heart rate returned to baseline values during PEMI (83 +/- 3 to 67 +/- 2 beats min(-1); P < 0.01). These responses were not significantly altered by the administration of naloxone or codeine. There was no significant relation between arterial blood pressure and MSNA with MPP during either IHG or PEMI. A second study (n = 8) compared MPP during ischaemic IHG to MPP during PEMI. MPP was greater during PEMI as compared with ischaemic IHG. These findings suggest that central command modulates the perception of muscle pain during exercise. Furthermore, endogenous opioids, arterial blood pressure and MSNA do not appear to modulate acute exercise-induced muscle pain.
Authors:
Chester A Ray; Jason R Carter
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Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2007-10-11
Journal Detail:
Title:  The Journal of physiology     Volume:  585     ISSN:  0022-3751     ISO Abbreviation:  J. Physiol. (Lond.)     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-20     Completed Date:  2008-02-25     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0266262     Medline TA:  J Physiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  287-94     Citation Subset:  IM    
Affiliation:
Heart & Vascular Institute H047, Penn State College of Medicine, The Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033-2390, USA. caray@psu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesics, Opioid / metabolism
Blood Pressure / drug effects,  physiology
Brain / physiology*
Codeine / pharmacology
Exercise / physiology*,  psychology*
Female
Hand Strength / physiology
Heart Rate / drug effects,  physiology
Humans
Male
Muscle, Skeletal / innervation,  physiopathology*
Naloxone / pharmacology
Narcotic Antagonists / pharmacology
Narcotics / pharmacology
Pain / physiopathology*,  psychology*
Perception / physiology
Sympathetic Nervous System / physiology
Grant Support
ID/Acronym/Agency:
C06-RR-016499/RR/NCRR NIH HHS; DC-006459/DC/NIDCD NIH HHS; HL-58503/HL/NHLBI NIH HHS; M01-RR-10732/RR/NCRR NIH HHS; P01HL077670/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 0/Narcotic Antagonists; 0/Narcotics; 465-65-6/Naloxone; 76-57-3/Codeine
Comments/Corrections

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