Related Experiment Video
Updated: Jun 16, 2025

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
A proposed test to determine physical working capacity at pain intensity threshold (PWCPIT)
Danielle A Sterner1, Jeffrey R Stout2, Brandi B Antonio2
1Physiology of Work and Exercise Response (POWER) Lab, Institute of Exercise Physiology and Rehabilitation Science, College of Health Professions and Sciences, University of Central Florida, 12805 Pegasus Drive, Orlando, FL, 32816, USA. Danielle.Sterner@ucf.edu.
Purpose:
This study aimed to establish a new threshold parameter called the physical working capacity at pain intensity threshold (PWCPIT) using a pain intensity scale and mathematical methods similar to those used to develop the physical working capacity at oxygen consumption threshold (PWCVO2) and physical working capacity at heart rate threshold (PWCHRT). The study had two objectives: (i) to examine the relationship between PWCPIT and traditional PWC measures and (ii) to explore the physiological mechanisms underlying the relationship between pain perception and capacity thresholds.
Methods:
Fourteen male volunteers (age 21 ± 2 years, height 176 ± 6 cm, weight 76 ± 9 kg, VO2peak 37.8 ± 7.8 ml/kg/min-1) underwent an incremental exhaustion test and four 8-min randomly ordered work bouts on different days at 70-100% peak power output (119-320 W) to establish their PWCPIT, PWCHRT and PWCVO2. One-way repeated-measures ANOVA with Bonferroni post hoc tests and a zero-order correlation matrix were used to analyze these thresholds.
Results:
PWCPIT significantly correlated with PWCHRT (r = 0.88, P < 0.001), PWCVO2 (r = 0.84, P < 0.001), and gas exchange threshold (GET) (r = 0.7, P = 0.006).
Conclusion:
The model for estimating PWCHRT and PWCVO2 can be applied to determine the PWCPIT. By examining how PWCPIT aligns with, differs from, or complements existing PWC threshold measures, researchers may provide a more comprehensive understanding of the factors that govern endurance performance.

