LymphedemaV1, PubMed, Checkpoint, bibRecord, 000748

Nonpainful wide-area compression inhibits experimental pain.

Identifieur interne : 000748 ( PubMed/Checkpoint ); précédent : 000747; suivant : 000749

Nonpainful wide-area compression inhibits experimental pain.

Auteurs : Liat Honigman [Israël] ; Ofrit Bar-Bachar ; David Yarnitsky ; Elliot Sprecher ; Yelena Granovsky

Source :

Pain [ 1872-6623 ] ; 2016.

RBID : pubmed:27152691

Descripteurs français

KwdFr :
- Adulte, Analyse de variance, Bandages de compression, Douleur (étiologie), Facteurs sexuels, Femelle, Gestion de la douleur (), Humains, Jeune adulte, Membre inférieur (physiologie), Mesure de la douleur, Mâle, Méthode en simple aveugle, Pression (effets indésirables), Psychophysique, Seuil nociceptif (physiologie), Température élevée (effets indésirables), Volontaires sains.
MESH :
- effets indésirables : Pression, Température élevée.
- physiologie : Membre inférieur, Seuil nociceptif.
- étiologie : Douleur.
- Adulte, Analyse de variance, Bandages de compression, Facteurs sexuels, Femelle, Gestion de la douleur, Humains, Jeune adulte, Mesure de la douleur, Mâle, Méthode en simple aveugle, Psychophysique, Volontaires sains.

English descriptors

KwdEn :
- Adult, Analysis of Variance, Compression Bandages, Female, Healthy Volunteers, Hot Temperature (adverse effects), Humans, Lower Extremity (physiology), Male, Pain (etiology), Pain Management (methods), Pain Measurement, Pain Threshold (physiology), Pressure (adverse effects), Psychophysics, Sex Factors, Single-Blind Method, Young Adult.
MESH :
- adverse effects : Hot Temperature, Pressure.
- etiology : Pain.
- methods : Pain Management.
- physiology : Lower Extremity, Pain Threshold.
- Adult, Analysis of Variance, Compression Bandages, Female, Healthy Volunteers, Humans, Male, Pain Measurement, Psychophysics, Sex Factors, Single-Blind Method, Young Adult.

Abstract

Compression therapy, a well-recognized treatment for lymphoedema and venous disorders, pressurizes limbs and generates massive non-noxious afferent sensory barrages. The aim of this study was to study whether such afferent activity has an analgesic effect when applied on the lower limbs, hypothesizing that larger compression areas will induce stronger analgesic effects, and whether this effect correlates with conditioned pain modulation (CPM). Thirty young healthy subjects received painful heat and pressure stimuli (47°C for 30 seconds, forearm; 300 kPa for 15 seconds, wrist) before and during 3 compression protocols of either SMALL (up to ankles), MEDIUM (up to knees), or LARGE (up to hips) compression areas. Conditioned pain modulation (heat pain conditioned by noxious cold water) was tested before and after each compression protocol. The LARGE protocol induced more analgesia for heat than the SMALL protocol (P < 0.001). The analgesic effect interacted with gender (P = 0.015). The LARGE protocol was more efficient for females, whereas the MEDIUM protocol was more efficient for males. Pressure pain was reduced by all protocols (P < 0.001) with no differences between protocols and no gender effect. Conditioned pain modulation was more efficient than the compression-induced analgesia. For the LARGE protocol, precompression CPM efficiency positively correlated with compression-induced analgesia. Large body area compression exerts an area-dependent analgesic effect on experimental pain stimuli. The observed correlation with pain inhibition in response to robust non-noxious sensory stimulation may suggest that compression therapy shares similar mechanisms with inhibitory pain modulation assessed through CPM.

DOI: 10.1097/j.pain.0000000000000604
PubMed: 27152691

Affiliations:

Israël

Links toward previous steps (curation, corpus...)

to stream PubMed, to step Corpus: 000843
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pubmed:27152691

Le document en format XML

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<front><div type="abstract" xml:lang="en">Compression therapy, a well-recognized treatment for lymphoedema and venous disorders, pressurizes limbs and generates massive non-noxious afferent sensory barrages. The aim of this study was to study whether such afferent activity has an analgesic effect when applied on the lower limbs, hypothesizing that larger compression areas will induce stronger analgesic effects, and whether this effect correlates with conditioned pain modulation (CPM). Thirty young healthy subjects received painful heat and pressure stimuli (47°C for 30 seconds, forearm; 300 kPa for 15 seconds, wrist) before and during 3 compression protocols of either SMALL (up to ankles), MEDIUM (up to knees), or LARGE (up to hips) compression areas. Conditioned pain modulation (heat pain conditioned by noxious cold water) was tested before and after each compression protocol. The LARGE protocol induced more analgesia for heat than the SMALL protocol (P < 0.001). The analgesic effect interacted with gender (P = 0.015). The LARGE protocol was more efficient for females, whereas the MEDIUM protocol was more efficient for males. Pressure pain was reduced by all protocols (P < 0.001) with no differences between protocols and no gender effect. Conditioned pain modulation was more efficient than the compression-induced analgesia. For the LARGE protocol, precompression CPM efficiency positively correlated with compression-induced analgesia. Large body area compression exerts an area-dependent analgesic effect on experimental pain stimuli. The observed correlation with pain inhibition in response to robust non-noxious sensory stimulation may suggest that compression therapy shares similar mechanisms with inhibitory pain modulation assessed through CPM.</div>
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<Abstract><AbstractText>Compression therapy, a well-recognized treatment for lymphoedema and venous disorders, pressurizes limbs and generates massive non-noxious afferent sensory barrages. The aim of this study was to study whether such afferent activity has an analgesic effect when applied on the lower limbs, hypothesizing that larger compression areas will induce stronger analgesic effects, and whether this effect correlates with conditioned pain modulation (CPM). Thirty young healthy subjects received painful heat and pressure stimuli (47°C for 30 seconds, forearm; 300 kPa for 15 seconds, wrist) before and during 3 compression protocols of either SMALL (up to ankles), MEDIUM (up to knees), or LARGE (up to hips) compression areas. Conditioned pain modulation (heat pain conditioned by noxious cold water) was tested before and after each compression protocol. The LARGE protocol induced more analgesia for heat than the SMALL protocol (P < 0.001). The analgesic effect interacted with gender (P = 0.015). The LARGE protocol was more efficient for females, whereas the MEDIUM protocol was more efficient for males. Pressure pain was reduced by all protocols (P < 0.001) with no differences between protocols and no gender effect. Conditioned pain modulation was more efficient than the compression-induced analgesia. For the LARGE protocol, precompression CPM efficiency positively correlated with compression-induced analgesia. Large body area compression exerts an area-dependent analgesic effect on experimental pain stimuli. The observed correlation with pain inhibition in response to robust non-noxious sensory stimulation may suggest that compression therapy shares similar mechanisms with inhibitory pain modulation assessed through CPM.</AbstractText>
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<PMID Version="1">14514537</PMID>
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</CommentsCorrections>
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Nonpainful wide-area compression inhibits experimental pain.

Nonpainful wide-area compression inhibits experimental pain.

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