The Influence of Physical Activity on Pain Thresholds in Patients With Depression and Multiple Somatoform Symptoms

Hennings, Anika; Schwarz, Markus J.; Riemer, Sabine; Stapf, Theresa; Selberdinger, Verena; Rief, Winfried

doi:10.1097/ajp.0b013e318243e2d1

Cited by 16 publications

(6 citation statements)

References 76 publications

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“…Thirteen studies were excluded after reading the full‐text versions. Reasons for exclusion were: intention to measure delayed onset muscle soreness (exercise‐induced hyperalgesia) instead of EIH, 35,36 not including psychosocial factors in the analysis, 37 not using an exercise bout in the protocol, 38,39 exercise was combined with consuming caffeine, 40 pain intensity was not remeasured after an exercise bout, 41 pain was remeasured after weekly exercise activity, 42 changes in psychosocial factor after exercise were measured, 43,44 pain was measured during exercise, 45,46 and 1 study was a dissertation 47 . Two more studies were included after reading relevant articles and cross‐checking the reference lists 21,48 .…”

Section: Resultsmentioning

confidence: 99%

The Association of Psychosocial Factors and Exercise‐Induced Hypoalgesia in Healthy People and People With Musculoskeletal Pain: A Systematic Review

2020

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Background: Exercise, a cornerstone in current treatments for people with musculoskeletal pain, elicits a phenomenon called exercise-induced hypoalgesia (EIH), which may result in reduced pain intensity and/or increased pain thresholds. However, EIH can be impaired in patients with musculoskeletal pain, and psychosocial factors may play a mediating role in EIH. Objective: The aim of this study was to systematically review the scientific literature regarding the association between psychosocial factors and EIH in healthy people and people with musculoskeletal pain. Methods: An extensive search in databases including Medline Ovid, Embase, Web of Science, PsycINFO Ovid, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) EBSCOhost was carried out. Two reviewers independently carried out study selection, data extraction, and critical appraisal. Included studies analyzed the association or effect of psychosocial factors on EIH in adults with or without musculoskeletal pain. Results: Nine cross-sectional studies were included, 6 involving healthy people and 4 involving people with musculoskeletal pain; 1 study included both. Overall risk of bias was high. Different types of exercise bouts, psychosocial factors, and/or outcome measures were used across studies. In healthy people and people with musculoskeletal pain, most studies did not find an association between psychosocial factors and EIH. However, 1 study involving musculoskeletal pain and 2 studies with healthy people did find a significant association. Conclusion: Due to poor quality and heterogeneity between studies, no conclusions can be drawn regarding whether psychosocial factors are associated with EIH or not. This review includes recommendations and directions for further research to investigate the role of psychosocial factors on EIH. &

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Section: Resultsmentioning

confidence: 99%

The Association of Psychosocial Factors and Exercise‐Induced Hypoalgesia in Healthy People and People With Musculoskeletal Pain: A Systematic Review

2020

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“…This phenomenon may have been caused by long-term pain experienced by patients with CLBP; this condition indicated that the central nervous and peripheral sensory systems underwent adaptive changes [45,46]. Hennings A [47] studied the effect of physical activity on the pain areas of patients with multiple physical symptoms and found that short-term low-intensity exercise could increase PPT and reduce pain. Moreover, the level of physical activity is a related covariate.…”

Section: Discussionmentioning

confidence: 99%

Effect of Transversus abdominis muscle training on pressure-pain threshold in patients with chronic low Back pain

Wang

2021

BMC Sports Sci Med Rehabil

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Background Therapeutic training is the most commonly used treatment methods for chronic low back pain (CLBP), and the use of a pressure biofeedback unit for transversus abdominis muscle (TrA) training is one of the core muscle training methods. The study aim of this research is to explore the effects of different intensities (sham training, low-intensity and high-intensity) of TrA muscle training on people with CLBP in pressure-pain threshold (PPT). Methods A total of 45 patients with CLBP were recruited, of whom 44 were included in the analysis. Fifteen, 14, and 15 were included in the sham training group, the low-intensity group, and the high-intensity group, respectively. A pressure biofeedback unit was used in performing a one-time TrA training intervention involving 30 times of 180 mmHg TrA contraction training at high intensity for 10 min and 15 times of 100 mmHg TrA contraction training at low intensity for 5 min. The sham training group completed comfort exercises and did not undergo training. The evaluation indicators were as follows: PPT, short-form McGill pain questionnaire, and body surface pain radiation. Results High-intensity training could activate more waist core muscles than low-intensity training. Significant changes on PPT (units: kgf) were observed in the following four muscles immediately after high-intensity training: iliopsoas [0.69 (0.13–1.25) 95% CI, p = 0.020]; quadratus lumborum [0.84 (0.23–1.45) 95% CI, p = 0.012]; erector spinae [0.66 (0.18–1.15) 95% CI, p = 0.011]; transversus abdominis [0.70 (0.26–1.14) 95% CI, p = 0.004], and in three muscles after low-intensity training: quadratus lumborum [0.61 (0.17–1.05) 95% CI, p = 0.009]; transversus abdominis [0.14 (from − 0.15 to 0.43) 95% CI, p = 0.022]; piriformis [0.55 (0.13–0.98) 95% CI, p = 0.014]. The change in body surface pain radiation immediately after exercise was [− 10.87 (from − 17.51 to − 4.22) 95% CI, p = 0.003] for high-intensity training and [− 5.21 (from − 9.40 to − 1.03) 95% CI, p = 0.019] for low-intensity training. Conclusions TrA training could increase the PPT of the waist core muscles and reduce the radiation range of waist pain. The benefits of high-intensity training are higher than those of low-intensity training. Trial registration ChiCTR-TRC-13003701. Registered 18 October 2013. Code of ethical approval: 2018069.

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“…Exercise as therapy has been described for at least twenty types of diseases l i k e Tr p t i ( a n o r e x i a n e r v o s a ) , A p a k t i (indigestion), Gurugatrata (heaviness of the body) and other psychosomatic disorders. Shortlow graded exercise has been shown to decrease pain perception and persons with better fitness show higher pain threshold (29). Decreased pain threshold has been implicated in a number of psychosomatic disorders; hence regular exercise can be one of effective treatment strategies for dealing with somatic pain symptoms.…”

Section: Relavance Of Indian Traditional Medical Knowledge In Treatmementioning

confidence: 99%

Relevance of Traditional Indian Medical Concepts in Psychosomatic Medicine

Sood

Singh

Chadda

2020

ANAMS

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Traditional medicine comprises of health related knowledge, skill and practices indigenous to different cultures. India has a rich heritage of traditional system of medicine that emphasizes the close link between mind and body like the psychosomatic medicine. The government of India has set up a department of AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy). The importance of life style, dietary and environmental factors in the development of various psychosomatic disorders has been emphasized in all the Indian traditional systems of medicine. Although studies have shown acceptability and beneficial role of traditional medicinal practices, efforts should be made to tease out and conduct research on the practices, which can help physicians in improving well-being of the patients. More rigorous research is required in the direction to generate evidence base for these practices so that their full potential can be realized.

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The Influence of Physical Activity on Pain Thresholds in Patients With Depression and Multiple Somatoform Symptoms

Abstract: Short low-graded exercise can have reducing effects on perception of pressure pain. Physical activity level is a relevant covariate when using pressure pain assessment. Reduced general fitness can partially account for lower pain thresholds in depression.

Cited by 16 publications

References 76 publications

The Association of Psychosocial Factors and Exercise‐Induced Hypoalgesia in Healthy People and People With Musculoskeletal Pain: A Systematic Review

The Association of Psychosocial Factors and Exercise‐Induced Hypoalgesia in Healthy People and People With Musculoskeletal Pain: A Systematic Review

Effect of Transversus abdominis muscle training on pressure-pain threshold in patients with chronic low Back pain

Relevance of Traditional Indian Medical Concepts in Psychosomatic Medicine

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