Does Exercise Decrease Pain via Conditioned Pain Modulation in Adolescents? Pediatr Phys Ther 2016;28(4):470-3
Date
09/24/2016Pubmed ID
27661245Pubmed Central ID
PMC5098832DOI
10.1097/PEP.0000000000000312Scopus ID
2-s2.0-84991113131 (requires institutional sign-in at Scopus site) 38 CitationsAbstract
PURPOSE: Pain relief after exercise, exercise-induced hypoalgesia (EIH), is established across the lifespan. Conditioned pain modulation (CPM: pain inhibits pain) may be a mechanism for EIH.
METHODS: In 55 adolescents, pressure pain thresholds were measured before and after exercise (deltoid, quadriceps, and nail bed) and during CPM at the nail bed and deltoid test stimulus sites. The relationship between EIH and CPM was explored.
RESULTS: EIH occurred at deltoid and quadriceps; CPM occurred at nail bed and deltoid. CPM and EIH correlated at deltoid; adolescents with greater CPM experienced greater pain relief after exercise. At this site, CPM predicted 5.4% of EIH. Arm lean mass did not add a significant effect. Peak exercise pain did not influence EIH. Adolescents with none, minimal, moderate, or severe peak exercise pain experienced similar EIH.
CONCLUSIONS: A potential relationship exists between CPM and EIH in adolescents. Pediatric physical therapists should consider the CPM response when prescribing exercise as a pain management tool.
Author List
Stolzman S, Bement MHAuthor
Marie Hoeger Bement MPT,PhD Associate Professor in the Physical Therapy department at Marquette UniversityMESH terms used to index this publication - Major topics in bold
AdolescentBody Weights and Measures
Deltoid Muscle
Exercise
Humans
Male
Nails
Pain
Pain Management
Pain Measurement
Pain Perception
Pain Threshold
Pressure
Quadriceps Muscle
