Does Stress within a Muscle Change in Response to an Acute Noxious Stimulus?
Identifieur interne : 001860 ( Ncbi/Curation ); précédent : 001859; suivant : 001861Does Stress within a Muscle Change in Response to an Acute Noxious Stimulus?
Auteurs : Kylie Tucker [Australie] ; Paul W. Hodges [Australie] ; Wolbert Van Den Hoorn [Australie] ; Antoine Nordez [France] ; François Hug [Australie, France]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Contraction isométrique (physiologie), Contraction musculaire (physiologie), Douleur (imagerie diagnostique), Douleur (physiopathologie), Genou (imagerie diagnostique), Genou (physiologie), Humains, Imagerie d'élasticité tissulaire, Muscles squelettiques (imagerie diagnostique), Muscles squelettiques (physiopathologie), Myalgie (imagerie diagnostique), Myalgie (physiopathologie), Mâle.
- MESH :
- imagerie diagnostique : Douleur, Genou, Muscles squelettiques, Myalgie.
- physiologie : Contraction isométrique, Contraction musculaire, Genou.
- physiopathologie : Douleur, Muscles squelettiques, Myalgie.
- Adulte, Humains, Imagerie d'élasticité tissulaire, Mâle.
English descriptors
- KwdEn :
- Adult, Elasticity Imaging Techniques, Humans, Isometric Contraction (physiology), Knee (diagnostic imaging), Knee (physiology), Male, Muscle Contraction (physiology), Muscle, Skeletal (diagnostic imaging), Muscle, Skeletal (physiopathology), Myalgia (diagnostic imaging), Myalgia (physiopathology), Pain (diagnostic imaging), Pain (physiopathology).
- MESH :
- diagnostic imaging : Knee, Muscle, Skeletal, Myalgia, Pain.
- physiology : Isometric Contraction, Knee, Muscle Contraction.
- physiopathology : Muscle, Skeletal, Myalgia, Pain.
- Adult, Elasticity Imaging Techniques, Humans, Male.
Abstract
Altered muscle activation during pain is thought to redistribute stress within muscles and ultimately decrease the load on painful structures. However, change in muscle stress during pain has not been directly tested. The aim of the present study is to determine whether stress within muscle tissue is reduced during local acute experimental pain.
Ten participants attended 2 experimental sessions that each involved isometric knee extension tasks in 2 series of control trials and 1 series of test trials at ∼10%MVC. Shear elastic modulus was measured from vastus lateralis using a shear wave elastographic technique (Supersonic Shear Imaging). Prior to the test contractions, a bolus of hypertonic (Pain) or isotonic saline (No-pain) was injected into vastus lateralis. Pain intensity was 5.2±1.0 during the painful contractions. The intra-session repeatability of the shear elastic modulus determined between control trials was good (ICC: 0.95 and 0.99; SEM: 5.1 and 9.3 kPa for No-pain and Pain, respectively). Muscle shear elastic modulus did not change systematically during Pain or No-pain contractions (all main effects and interaction P>0.14). Examination of data for individual participants showed that stress either increased or decreased. If the absolute change in modulus is considered between the control and the test trials, the change during Pain (16.2±9.5 kPa) was double that observed with No pain (7.9±5.9 kPa; P = 0.046).
This is the first study to directly determine the change in stress within a muscle (change in shear elastic modulus) during pain. We conclude that experimental pain induced by hypertonic saline does not induce a systematic reduction in muscle stress during a single-joint isometric task. Therefore, the changes in muscle activity reported previously during similar tasks are unlikely to systematically reduce load in the painful region. Whether the individual-specific increase and decrease are physiologically relevant or purposeful requires further investigation.
Url:
DOI: 10.1371/journal.pone.0091899
PubMed: 24626150
PubMed Central: 3953640
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PMC:3953640Le document en format XML
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<term>Elasticity Imaging Techniques</term>
<term>Humans</term>
<term>Isometric Contraction (physiology)</term>
<term>Knee (diagnostic imaging)</term>
<term>Knee (physiology)</term>
<term>Male</term>
<term>Muscle Contraction (physiology)</term>
<term>Muscle, Skeletal (diagnostic imaging)</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Myalgia (diagnostic imaging)</term>
<term>Myalgia (physiopathology)</term>
<term>Pain (diagnostic imaging)</term>
<term>Pain (physiopathology)</term>
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<term>Contraction isométrique (physiologie)</term>
<term>Contraction musculaire (physiologie)</term>
<term>Douleur (imagerie diagnostique)</term>
<term>Douleur (physiopathologie)</term>
<term>Genou (imagerie diagnostique)</term>
<term>Genou (physiologie)</term>
<term>Humains</term>
<term>Imagerie d'élasticité tissulaire</term>
<term>Muscles squelettiques (imagerie diagnostique)</term>
<term>Muscles squelettiques (physiopathologie)</term>
<term>Myalgie (imagerie diagnostique)</term>
<term>Myalgie (physiopathologie)</term>
<term>Mâle</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Knee</term>
<term>Muscle, Skeletal</term>
<term>Myalgia</term>
<term>Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Douleur</term>
<term>Genou</term>
<term>Muscles squelettiques</term>
<term>Myalgie</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Contraction isométrique</term>
<term>Contraction musculaire</term>
<term>Genou</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Isometric Contraction</term>
<term>Knee</term>
<term>Muscle Contraction</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Douleur</term>
<term>Muscles squelettiques</term>
<term>Myalgie</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Altered muscle activation during pain is thought to redistribute stress within muscles and ultimately decrease the load on painful structures. However, change in muscle stress during pain has not been directly tested. The aim of the present study is to determine whether stress within muscle tissue is reduced during local acute experimental pain.</p>
</sec>
<sec><title>Methods and Results</title>
<p>Ten participants attended 2 experimental sessions that each involved isometric knee extension tasks in 2 series of control trials and 1 series of test trials at ∼10%MVC. Shear elastic modulus was measured from vastus lateralis using a shear wave elastographic technique (Supersonic Shear Imaging). Prior to the test contractions, a bolus of hypertonic (Pain) or isotonic saline (No-pain) was injected into vastus lateralis. Pain intensity was 5.2±1.0 during the painful contractions. The intra-session repeatability of the shear elastic modulus determined between control trials was good (ICC: 0.95 and 0.99; SEM: 5.1 and 9.3 kPa for No-pain and Pain, respectively). Muscle shear elastic modulus did not change systematically during Pain or No-pain contractions (all main effects and interaction P>0.14). Examination of data for individual participants showed that stress either increased or decreased. If the absolute change in modulus is considered between the control and the test trials, the change during Pain (16.2±9.5 kPa) was double that observed with No pain (7.9±5.9 kPa; P = 0.046).</p>
</sec>
<sec><title>Conclusion</title>
<p>This is the first study to directly determine the change in stress within a muscle (change in shear elastic modulus) during pain. We conclude that experimental pain induced by hypertonic saline does not induce a systematic reduction in muscle stress during a single-joint isometric task. Therefore, the changes in muscle activity reported previously during similar tasks are unlikely to systematically reduce load in the painful region. Whether the individual-specific increase and decrease are physiologically relevant or purposeful requires further investigation.</p>
</sec>
</div>
</front>
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