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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

883
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
883

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[Pain modulation through exercise : Exercise-induced hypoalgesia in physiotherapy].

Pauline Kuithan1,2, Alison Rushton3,4, Nicola R Heneghan3

  • 1Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, B15 2TT, Edgbaston, Birmingham, Großbritannien. ad8146@coventry.ac.uk.

Schmerz (Berlin, Germany)
|February 15, 2022
PubMed
Summary
This summary is machine-generated.

Exercise-induced hypoalgesia (EIH) is a short-term reduction in pain sensitivity after exercise. Current evidence for EIH is limited, especially in patient populations, highlighting the need for further research.

Keywords:
Exercise programPain inhibitionPain sensitivityRehabilitationReview

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Area of Science:

  • Physiotherapy
  • Pain Modulation
  • Exercise Science

Background:

  • Exercise prescription is fundamental in physiotherapy.
  • Exercise influences endogenous pain modulation.
  • Exercise-induced hypoalgesia (EIH) is a temporary decrease in pain sensitivity post-exercise.

Purpose of the Study:

  • Provide an overview of EIH, including its definition, mechanisms, and mediating factors.
  • Evaluate recent systematic reviews on EIH in individuals with and without musculoskeletal complaints.
  • Identify challenges and areas for future research in EIH.

Main Methods:

  • Narrative review of existing literature on EIH.
  • Evaluation of systematic reviews using AMSTAR2 criteria.
  • Analysis of EIH in asymptomatic individuals and those with pain.

Main Results:

  • EIH is confirmed in both asymptomatic individuals and those with pain.
  • Confidence in EIH evidence is low to very low due to study heterogeneity and bias.
  • Very low confidence exists regarding altered EIH in specific exercise types or patient subgroups.

Conclusions:

  • Significant challenges exist in the current EIH evidence base.
  • Further research is needed on outcome measures, exercise parameters, reliability, and validity of EIH.
  • Clinical research, particularly in patient populations, is required to inform rehabilitation strategies.