Susceptibility to movement-evoked pain following resistance exercise.

<h4>Objective</h4>To investigate the: (1) role of basic muscle pain sensitivity and psychological factors in the prediction of movement-evoked pain (MEP) following delayed onset muscle soreness (DOMS), and (2) association of MEP with changes in systemic muscle pain sensitivity following...

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Main Authors: Einat Kodesh, Anat Sirkis-Gork, Tsipora Mankovsky-Arnold, Simone Shamay-Tsoory, Irit Weissman-Fogel
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0271336
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author Einat Kodesh
Anat Sirkis-Gork
Tsipora Mankovsky-Arnold
Simone Shamay-Tsoory
Irit Weissman-Fogel
author_facet Einat Kodesh
Anat Sirkis-Gork
Tsipora Mankovsky-Arnold
Simone Shamay-Tsoory
Irit Weissman-Fogel
author_sort Einat Kodesh
collection DOAJ
description <h4>Objective</h4>To investigate the: (1) role of basic muscle pain sensitivity and psychological factors in the prediction of movement-evoked pain (MEP) following delayed onset muscle soreness (DOMS), and (2) association of MEP with changes in systemic muscle pain sensitivity following DOMS induction.<h4>Methods</h4>Fifty-one participants were assigned to either eccentric resistance exercise or control groups. They completed questionnaires evaluating psychological distress and underwent muscle pain sensitivity evaluation by the pressure pain threshold (PPT) test at the exercised and remote muscles, before and 24 hours following the intervention. MEP intensity was determined in response to lifting a 3kg canister using a visual analogue scale (VAS).<h4>Results</h4>The exercise group demonstrated MEP intensity of 5/10 on VAS and reduced PPTs at the main exercised muscle (p<0.001). A regression tree analyses revealed that the level of anxiety trait predicted a higher MEP intensity. A secondary analysis showed that 53% participants who were DOMS responders (MEP > mild intensity; ≥ 3/10 VAS) exhibited decreased PPTs in the exercised (p<0.001) and remote (p = 0.027) muscles following eccentric exercise. Characterization of DOMS responders revealed that, at baseline, they had lower PPTs in the exercised (p = 0.004) and remote (p = 0.001) muscles and reported higher psychological distress i.e., anxiety trait and depression symptoms (p<0.05), compared to non-responders. A regression analysis revealed that lower PPT or high levels of anxiety trait increased the probability to become a responder (p = 0.001).<h4>Conclusions</h4>Susceptibility to MEP following DOMS is determined by muscle pain hypersensitivity and high levels of anxiety trait. MEP at the early stage of DOMS is linked with an increase in systemic muscle pain sensitivity suggestive of central mechanisms. This knowledge is valuable in translating science into clinical musculoskeletal pain management.
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spelling doaj.art-027bb2a4b00941cc8f5938a320a4d7cd2022-12-22T03:40:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01177e027133610.1371/journal.pone.0271336Susceptibility to movement-evoked pain following resistance exercise.Einat KodeshAnat Sirkis-GorkTsipora Mankovsky-ArnoldSimone Shamay-TsooryIrit Weissman-Fogel<h4>Objective</h4>To investigate the: (1) role of basic muscle pain sensitivity and psychological factors in the prediction of movement-evoked pain (MEP) following delayed onset muscle soreness (DOMS), and (2) association of MEP with changes in systemic muscle pain sensitivity following DOMS induction.<h4>Methods</h4>Fifty-one participants were assigned to either eccentric resistance exercise or control groups. They completed questionnaires evaluating psychological distress and underwent muscle pain sensitivity evaluation by the pressure pain threshold (PPT) test at the exercised and remote muscles, before and 24 hours following the intervention. MEP intensity was determined in response to lifting a 3kg canister using a visual analogue scale (VAS).<h4>Results</h4>The exercise group demonstrated MEP intensity of 5/10 on VAS and reduced PPTs at the main exercised muscle (p<0.001). A regression tree analyses revealed that the level of anxiety trait predicted a higher MEP intensity. A secondary analysis showed that 53% participants who were DOMS responders (MEP > mild intensity; ≥ 3/10 VAS) exhibited decreased PPTs in the exercised (p<0.001) and remote (p = 0.027) muscles following eccentric exercise. Characterization of DOMS responders revealed that, at baseline, they had lower PPTs in the exercised (p = 0.004) and remote (p = 0.001) muscles and reported higher psychological distress i.e., anxiety trait and depression symptoms (p<0.05), compared to non-responders. A regression analysis revealed that lower PPT or high levels of anxiety trait increased the probability to become a responder (p = 0.001).<h4>Conclusions</h4>Susceptibility to MEP following DOMS is determined by muscle pain hypersensitivity and high levels of anxiety trait. MEP at the early stage of DOMS is linked with an increase in systemic muscle pain sensitivity suggestive of central mechanisms. This knowledge is valuable in translating science into clinical musculoskeletal pain management.https://doi.org/10.1371/journal.pone.0271336
spellingShingle Einat Kodesh
Anat Sirkis-Gork
Tsipora Mankovsky-Arnold
Simone Shamay-Tsoory
Irit Weissman-Fogel
Susceptibility to movement-evoked pain following resistance exercise.
PLoS ONE
title Susceptibility to movement-evoked pain following resistance exercise.
title_full Susceptibility to movement-evoked pain following resistance exercise.
title_fullStr Susceptibility to movement-evoked pain following resistance exercise.
title_full_unstemmed Susceptibility to movement-evoked pain following resistance exercise.
title_short Susceptibility to movement-evoked pain following resistance exercise.
title_sort susceptibility to movement evoked pain following resistance exercise
url https://doi.org/10.1371/journal.pone.0271336
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