Exercise and pain: the neurobiology, measurement, and laboratory study of pain in relation to exercise in humans.

Department of Excercise Science, University of Georgia, Athens, USA.
Exercise and Sport Sciences Reviews (Impact Factor: 4.82). 02/1999; 27:119-66.
Source: PubMed
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    ABSTRACT: The purpose of this study was to examine exercise-induced pain modulation in diabetic adults with painful diabetic neuropathy (PDN) compared to diabetic adults without PDN. Eighteen adults diagnosed with Type 2 diabetes with and without PDN (mean age of 49 yrs) completed two sessions. During the familiarization session, participants completed questionnaires, were familiarized with the pain testing protocols, and completed maximal isometric contractions. During the exercise session, experimental pain testing was completed before and following exercise consisting of three minutes of isometric exercise performed at 25% MVC. Ratings of perceived exertion (RPE) and muscle pain (MP) were assessed every 30 seconds during exercise. Results indicated RPE and MP during exercise were significantly higher (p < 0.05) for diabetic adults with PDN vs diabetic adults without PDN. Diabetic adults with PDN did not experience changes in thermal pain ratings following exercise while diabetic adults without PDN reported significantly lower pain ratings following exercise. It is concluded that diabetic adults with PDN experienced high levels of muscle pain during exercise and a lack of exercise-induced hypoalgesia following exercise in comparison to diabetic adults without PDN who experienced lower levels of muscle pain during exercise and a hypoalgesic response following exercise. Perspective: Very little research has been conducted examining the impact of exercise on pain modulation in diabetic adults with PDN. This study provides support that adults with PDN exhibit exercise-induced endogenous pain modulatory system dysfunction.
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    ABSTRACT: Morphine is widely used to treat chronic pain. However, its utility is hindered by the development of tolerance to its analgesic effects. Despite the renowned beneficial effects of physical exercise on cognitive functions and signs of morphine withdrawal in morphine-dependent rats, little is known about the roles of voluntary and forced exercises in tolerance to analgesic effect of morphine in rats.
    Iranian Journal of Basic Medical Sciences 01/2014; 17(4):271-7.
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    ABSTRACT: During prolonged dynamic and rhythmic exercise, muscular pain and discomfort arises as a result of an increased concentration of deleterious metabolites. Sensed by peripheral nociceptors and transmitted via afferent feedback to the brain, this provides important information regarding the physiological state of the muscle. These sensations ultimately contribute to what is termed "exercise-induced pain". Despite being well recognized by athletes and coaches, and suggested to be integral to exercise performance, this construct has largely escaped attention in experimental work. This perspective article highlights the current understanding of pacing in endurance performance, and the causes of exercise-induced pain. A new perspective is described, which proposes how exercise-induced pain may be a contributing factor in helping individuals to regulate their work rate during exercise and thus provides an important construct in pacing.
    Open Access Journal of Sports Medicine 01/2014; 5:209-14.