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Related Concept Videos

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Preventing motor training through nocebo suggestions.

Antonella Pollo1, Elisa Carlino, Lene Vase

  • 1Department of Neuroscience, University of Turin, Corso Raffaello 30, 10125, Torino, Italy. antonella.pollo@unito.it

European Journal of Applied Physiology
|March 14, 2012
PubMed
Summary

Negative suggestions, or nocebos, can significantly reduce physical performance and endurance. This nocebo effect can even counteract the benefits gained from training programs.

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Area of Science:

  • Exercise Physiology
  • Psychoneuroimmunology
  • Sports Science

Background:

  • Placebos are known to enhance physical performance.
  • The negative effects of nocebos on physical performance are less understood.
  • Nocebos involve negative suggestions and can impact physiological outcomes.

Purpose of the Study:

  • To investigate the impact of nocebo conditioning on physical performance.
  • To differentiate the effects of expectation versus conditioning plus expectation.
  • To quantify the nocebo effect on work performed and perceived exertion.

Main Methods:

  • Healthy subjects performed leg extension exercises to exhaustion.
  • A nocebo conditioning procedure involved negative suggestions and sham electrical stimulation.
  • Two protocols assessed expectation alone or combined with conditioning.

Main Results:

  • Nocebo conditioning negatively modulated physical performance in both protocols.
  • Expectation alone and conditioning plus expectation both reduced performance.
  • The nocebo effect was evaluated by changes in work performed and perceived exertion.

Conclusions:

  • Nocebos can significantly impair physical performance and endurance.
  • The nocebo effect can potentially negate the gains from physical training.
  • Understanding nocebos is crucial for exercise and performance contexts.