Experimental muscle hyperalgesia modulates sensorimotor cortical excitability, which is partially altered by unaccustomed exercise

De Martino, Enrico, Zandalasini, Matteo, Schabrun, Siobhan, Petrini, Laura and Graven-Nielsen, Thomas (2018) Experimental muscle hyperalgesia modulates sensorimotor cortical excitability, which is partially altered by unaccustomed exercise. PAIN, 159 (12). pp. 2493-2502. ISSN 0304-3959

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Official URL: https://doi.org/10.1097/j.pain.0000000000001351

Abstract

Impaired corticomotor function is reported in patients with lateral epicondylalgia, but the causal link to pain or musculotendinous overloading is unclear. In this study, sensorimotor cortical changes were investigated using a model of persistent pain combined with an overloading condition. In 24 healthy subjects, the effect of nerve growth factor (NGF)-induced pain, combined with delayed-onset muscle soreness (DOMS), was examined on pain perception, pressure pain sensitivity, maximal force, and sensorimotor cortical excitability. Two groups (NGF alone and NGF + DOMS) received injections of NGF into the extensor carpi radialis brevis (ECRB) muscle at day 0, day 2, and day 4. At day 4, the NGF + DOMS group undertook wrist eccentric exercise to induce DOMS in the ECRB muscle. Muscle soreness scores, pressure pain thresholds over the ECRB muscle, maximal grip force, transcranial magnetic stimulation mapping of the cortical ECRB muscle representation, and somatosensory-evoked potentials from radial nerve stimulation were recorded at day 0, day 4, and day 6. Compared with day 0, day 4 showed in both groups: (1) increased muscle soreness (P < 0.01); (2) reduced pressure pain thresholds (P < 0.01); (3) increased motor map volume (P < 0.01); and (4) decreased frontal N30 somatosensory-evoked potential. At day 6, compared with day 4, only the DOMS + NGF group showed: (1) increased muscle soreness score (P < 0.01); (2) decreased grip force (P < 0.01); and (3) decreased motor map volume (P < 0.05). The NGF group did not show any difference on the remaining outcomes from day 4 to day 6. These data suggest that sustained muscle pain modulates sensorimotor cortical excitability and that exercise-induced DOMS alters pain-related corticomotor adaptation.

Item Type: Article
Uncontrolled Keywords: Adult, Analysis of Variance, Evoked Potentials, Motor/physiology, Evoked Potentials, Somatosensory/physiology, Exercise Therapy/methods, Female, Healthy Volunteers, Humans, Male, Myalgia/chemically induced, Nerve Growth Factor/adverse effects, Pain Measurement, Pain Perception/physiology, Pain Threshold/physiology, Pressure/adverse effects, Sensorimotor Cortex/physiopathology, Wrist/innervation, Young Adult
Subjects: B100 Anatomy, Physiology and Pathology
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Rachel Branson
Date Deposited: 17 Mar 2020 11:48
Last Modified: 17 Mar 2020 12:00
URI: http://nrl.northumbria.ac.uk/id/eprint/42507

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