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Association Between Interoceptive Accuracy and Pain Perception: Insights From Trained Musicians and Athletes
Boris Kleber1, Carol Sitges2, Elvira Brattico1,3
1Center for Music in the Brain, Department of Clinical Medicine, Aarhus University & The Royal Academy of Music Aarhus/Aalborg, Aarhus, Denmark.
European Journal of Pain (London, England)
|April 2, 2025
Summary
Sensorimotor training enhances interoceptive accuracy and alters pain perception. Distinct training types influence pain sensitivity, with separate pathways for interoception and pain modulation. This clarifies the complex relationship between training, body awareness, and pain.
Area of Science:
- Neuroscience
- Psychology
- Sports Science
Background:
- Sensorimotor training integrates multisensory information, potentially enhancing interoception and altering pain perception.
- Previous research shows mixed results regarding training modality and pain stimulus effects.
- This study investigates the specific associations between different sensorimotor training types, interoception, and pain perception.
Purpose of the Study:
- To examine how distinct sensorimotor training (musicians vs. athletes) influences interoceptive accuracy and pain perception.
- To explore the relationship between training duration, interoceptive accuracy, and pain thresholds.
- To elucidate the pathways linking sensorimotor training, interoception, and pain modulation.
Main Methods:
- Recruited musicians, athletes, and a control group.
- Assessed cardiac interoceptive accuracy (IAcc) and quantitative sensory tests (mechanical, electrical, pressure, heat pain thresholds).
- Included music-related discrimination tasks and physical activity self-reports.
Main Results:
- Athletes showed superior interoceptive accuracy and pressure pain thresholds compared to controls.
- Musicians displayed increased heat pain sensitivity.
- Training duration positively predicted interoceptive accuracy; pressure pain thresholds correlated with interoceptive accuracy and training, but via independent pathways.
Conclusions:
- Sensorimotor training enhances interoceptive accuracy, supporting the role of multisensory integration.
- Pain processing differs based on training modality and pain stimulus type.
- Findings reveal distinct pathways for training's effects on interoception and pain, offering insights for clinical applications.
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