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Related Experiment Video

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Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing
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Increased conditioned pain modulation in athletes.

Andrew Flood1,2, Gordon Waddington2,3, Kevin Thompson2

  • 1a Centre for Applied Psychology, Faculty of Health , University of Canberra , Canberra , Australia.

Journal of Sports Sciences
|July 26, 2016
PubMed
Summary

Athletes exhibit enhanced endogenous pain modulation compared to non-athletes. This study investigated conditioned pain modulation (CPM) in athletes versus non-athletes, revealing superior pain inhibitory capacity in athletes.

Keywords:
CPMPain modulationconditioned pain modulationpain perception

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Area of Science:

  • Pain research
  • Exercise physiology
  • Neuroscience

Background:

  • The relationship between physical activity and endogenous pain modulation is not fully understood.
  • Previous research has yielded mixed findings regarding pain modulation in athletes.

Purpose of the Study:

  • To compare the pain modulatory responses between athletes and non-athletes.
  • To investigate differences in conditioned pain modulation (CPM) capacity.

Main Methods:

  • Assessed CPM in 15 male athletes and 15 male non-athletes (aged 18-40, pain-free).
  • Utilized a sequential CPM protocol involving pressure pain threshold (PPT) testing before and after a cold-pressor test.
  • Collected pain intensity ratings using a numerical rating scale during the conditioning stimulus.

Main Results:

  • Athletes had significantly higher baseline PPTs than non-athletes (P = .03).
  • Athletes reported lower mean and maximum pain intensity ratings during the cold-pressor test (P < .001).
  • Athletes demonstrated enhanced CPM, indicating a stronger inhibitory effect on pain (P < .05).

Conclusions:

  • Athletes possess a demonstrably enhanced capacity for endogenous pain modulation compared to non-athletes.
  • This finding clarifies previous inconsistencies in the literature regarding physical activity and pain modulation.
  • Enhanced CPM in athletes may have implications for exercise performance and injury risk.