Abstract
Purpose
Physical exercise causes alterations in pain sensitivity. Many studies verified so-called exercise-induced analgesia caused by submaximal aerobic intensity. This study aimed to determine the effect of an endurance exercise to exhaustion on pain sensitivity of healthy young men.
Method
Pressure pain thresholds (PPTs) [in Newton, (N)] of 50 healthy males (mean age 26 ± 4 years) were applied to knee, ankle and elbow joints as well as to the sternum and forehead. This was followed by a bout of cycling ergometer exercise to exhaustion. The whole process was repeated after 20 and 60 min respectively.
Results
Endurance exercise to exhaustion decreased PPTs at sternum and forehead significantly, while thresholds at the joints were not affected. Pain thresholds at forehead and sternum declined 20 min after exercise with the forehead’s threshold being more reduced. PPTs remain decreased until 60 min after exercise (forehead: from 43.6 ± 15.2 N to 36.6 ± 19.8 N to 37.2 ± 13.4 N; sternum: from 46.8 ± 21.0 N to 42.5 ± 17.1 N to 44.8 ± 18.2 N). Modulation of pain sensitivity showed large effect sizes over time for both landmarks (forehead w = 0.65; sternum w = 0.50).
Conclusion
Exhaustive endurance exercise is followed by a hyperalgetic condition at forehead and sternum. This may be due to either a reduction in pain inhibiting or an activation in pain stimulating pathways.
Similar content being viewed by others
Abbreviations
- EIH:
-
Exercise-induced hypoalgesia
- PA:
-
Physical activity
- PAG:
-
Periaqueductal gray
- PPT:
-
Pressure pain threshold
References
Bank P, Peper C, Marinus J, Beek P, van Hilten J (2013) Motor consequences of experimentally induced limb pain: a systematic review. EJP 17(2):145–157. doi:10.1002/j.1532-2149.2012.00186.x
Boecker H, Othman A, Mueckter S, Scheef L, Pensel M, Daamen M, Jankowski J, Schild H, Tölle T, Schreckenberger M (2010) Advocating neuroimaging studies of transmitter release in human physical exercise challenges studies. Open Access J Sports Med 1:167–175. doi:10.2147/OAJSM.S12054
Borg G (1990) Psychophysical scaling with applications in physical work and the perception of exertion. Scand J Work Environ Health 16:55–58. doi:10.5271/sjweh.1815
Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D (2006) Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain Lond Engl 10(4):287–333. doi:10.1016/j.ejpain.2005.06.009
Breivik H, Eisenberg E, O’Brien T (2013) The individual and societal burden of chronic pain in Europe: the case for strategic prioritisation and action to improve knowledge and availability of appropriate care. BMC Public Health 13:1229. doi:10.1186/1471-2458-13-1229
Fischer AA (1987) Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain 30(1):115–126
Geva N, Defrin R (2013) Enhanced pain modulation among triathletes: a possible explanation for their exceptional capabilities. Pain 154(11):2317–2323. doi:10.1016/j.pain.2013.06.031
Heneweer H, Staes F, Aufdemkampe G, van Rijn M, Vanhees L (2011) PA and low back pain: a systematic review of recent literature. Eur Spine J 20(6):826–845. doi:10.1007/s00586-010-1680-7
Hilberg T, Czepa D, Freialdenhoven D, Boettger MK (2011) Joint pain in people with hemophilia depends on joint status. Pain 152(9):2029–2035. doi:10.1016/j.pain.2011.04.030
Hoffman MD, Shepanski MA, Ruble SB, Valic Z, Buckwalter JB, Clifford PS (2004) Intensity and duration threshold for aerobic exercise-induced analgesia to pressure pain. Arch Phys Med Rehabil 85(7):1183–1187
Kemppainen P, Hämäläinen O, Könönen M (1998) Different effects of physical exercise on cold pain sensitivity in fighter pilots with and without the history of acute in-flight neck pain attacks. Med Sci Sports Exerc 30(4):577–582
Koltyn KF (2000) Analgesia following exercise: a review. Sports Med 29(2):85–98
Koltyn KF, Garvin AW, Gardiner RL, Nelson TF (1996) Perception of pain following aerobic exercise. Med Sci Sports Exerc 28(11):1418–1421
Meeus M, Roussel NA, Truijen S, Nijs J (2010) Reduced pressure pain thresholds in response to exercise in chronic fatigue syndrome but not in chronic low back pain: an experimental study. J Rehabil Med 42(9):884–890. doi:10.2340/16501977-0595
Naugle KM, Fillingim RB, Riley JL (2012) A meta-analytic review of the hypoalgesic effects of exercise. J Pain 13(12):1139–1150. doi:10.1016/j.jpain.2012.09.006
Naugle KM, Naugle KE, Fillingim RB, Riley JL (2014) Isometric exercise as a test of pain modulation: effects of experimental pain test, psychological variables, and sex. Pain Med 15(4):692–701. doi:10.1111/pme.12312
Nussbaum EL, Downes L (1998) Reliability of clinical pressure-pain algometric measurements obtained on consecutive days. Phys Ther 78(2):160–169
Petrini L, Tomczak Matthiesen S, Arendt-Nielsen L (2015) The effect of age and gender on pressure pain thresholds and suprathreshold stimuli. Perception 44(5):587–596. doi:10.1068/p7847
Rolke R, Campbell KA, Magerl W, Treede R (2005) Deep pain thresholds in the distal limbs of healthy human subjects. Eur J Pain 9(1):39–48. doi:10.1016/j.ejpain.2004.04.001
Rolke R, Baron R, Maier C, Tölle TR, Treede R, Beyer A, Binder A, Birbaumer N, Birklein F, Bötefür IC, Braune S, Flor H, Huge V, Klug R, Landwehrmeyer GB, Magerl W, Maihöfner C, Rolko C, Schaub C, Scherens A, Sprenger T, Valet M, Wasserka B (2006) Quantitative sensory testing in the German Research Network on neuropathic pain (DFNS): standardized protocol and reference values. Pain 123(3):231–243. doi:10.1016/j.pain.2006.01.041
Scheef L, Jankowski J, Daamen M, Weyer G, Klingenberg M, Renner J, Mueckter S, Schürmann B, Musshoff F, Wagner M, Schild HH, Zimmer A, Boecker H (2012) An fMRI study on the acute effects of exercise on pain processing in trained athletes. Pain 153(8):1702–1714. doi:10.1016/j.pain.2012.05.008
Sedaghati P, Alizadeh M, Shirzad E, Ardjmand A (2013) Review of sport-induced groin injuries. Trauma Mon 18(3):107–112. doi:10.5812/traumamon.12666
Sluka KA, O’Donnell JM, Danielson J, Rasmussen LA (2013) Regular PA prevents development of chronic pain and activation of central neurons. J Appl Physiol 114(6):725–733. doi:10.1152/japplphysiol.01317.2012
Suokas A, Walsh D, McWilliams D, Condon L, Moreton B, Wylde V, Arendt-Nielsen L, Zhang W (2012) Quantitative sensory testing in painful osteoarthritis: a systematic review and meta-analysis. Osteoarthr Cartil 20(10):1075–1085. doi:10.1016/j.joca.2012.06.009
Tesarz J, Schuster AK, Hartmann M, Gerhardt A, Eich W (2012) Pain perception in athletes compared to normally active controls: a systematic review with meta-analysis. Pain 153(6):1253–1262. doi:10.1016/j.pain.2012.03.005
Tesarz J, Gerhardt A, Schommer K, Treede RD, Eich W (2013a) Alterations in endogenous pain modulation in endurance athletes: an experimental study using quantitative sensory testing and the cold-pressor task. Pain 154(7):1022–1029
Tesarz J, Gerhardt A, Treede R, Eich W (2013b) Authors’ response. Pain 154(12):2888–2890. doi:10.1016/j.pain.2013.10.018
Tracey I, Mantyh PW (2007) The cerebral signature for pain perception and its modulation. Neuron 55(3):377–391. doi:10.1016/j.neuron.2007.07.012
Vellucci R (2012) Heterogeneity of chronic pain. Clin Drug Investig 32(Suppl 1):3–10. doi:10.2165/11630030-000000000-00000
Vierck CJ, Staud R, Price DD, Cannon RL, Mauderli AP, Martin AD (2001) The effect of maximal exercise on temporal summation of second pain (windup) in patients with fibromyalgia syndrome. J Pain 2(6):334–344. doi:10.1054/jpai.2001.25533
Yang J, Tibbetts AS, Covassin T, Cheng G, Nayar S, Heiden E (2012) Epidemiology of overuse and acute injuries among competitive collegiate athletes. J Athl Train 47(2):198–204
Acknowledgments
The authors thank PD Dr. U. F. Wehmeier for his scientific and E. Philips for her linguistic input on the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors state that they have no interests, which might be perceived as posing a conflict or bias.
Additional information
Communicated by Fausto Baldissera.
Rights and permissions
About this article
Cite this article
Krüger, S., Khayat, D., Hoffmeister, M. et al. Pain thresholds following maximal endurance exercise. Eur J Appl Physiol 116, 535–540 (2016). https://doi.org/10.1007/s00421-015-3307-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00421-015-3307-5