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Naturally occurring muscle pain during exercise: assessment and experimental evidence

物理疗法 痛阈 医学 组内相关 强度(物理) 物理医学与康复 通气阈值 运动强度 麻醉 最大VO2 血压 内科学 心理测量学 心率 临床心理学 量子力学 物理
作者
Dane B. Cook,Patrick J. O’Connor,STEVEN A. EUBANKS,Jerome Smith,Ming Lee
出处
期刊:Medicine and Science in Sports and Exercise [Ovid Technologies (Wolters Kluwer)]
卷期号:29 (8): 999-1012 被引量:291
标识
DOI:10.1097/00005768-199708000-00004
摘要

The objectives were: (i) to present a method for assessing muscle pain during exercise, (ii) to provide reliability and validity data in support of the measurement tool, (iii) to test whether leg muscle pain threshold during exercise was related to a commonly used measure of pain threshold obtained during rest, (iv) to examine the relationship between pain and exertion ratings, (v) to test whether leg muscle pain is related to performance, and(vi) to test whether a large dose of aspirin would delay leg muscle pain threshold and/or reduce pain ratings during exercise. In study 1, seven females and seven males completed three 1-min cycling bouts at three different randomly ordered power outputs. Pain was assessed using a 10-point pain scale. High intraclass correlations (R from 0.88 to 0.98) indicated that pain intensity could be rated reliably using the scale. In study 2, 11 college-aged males (age 21.3 ± 1.3 yr) performed a ramped (24 W·min-1) maximal cycle ergometry test. A button was depressed when leg muscle pain threshold was reached. Pain threshold occurred near 50% of maximal capacity: 50.3 (± 12.9% Wmax), 48.6 (± 14.8% ˙VO2max), and 55.8 (± 12.9% RPEmax). Pain intensity ratings obtained following pain threshold were a positively accelerating function of the relative exercise intensity. Volitional exhaustion was associated with pain ratings of 8.2 (± 2.5), a value most closely associated with the verbal anchor “very strong pain.” In study 3, participants completed the same maximal exercise test as in study 2 as well as leg cycling at 60 rpm for 8 s at four randomly ordered power outputs (100, 150, 200, and 250 W) on a separate day. Pain and RPE ratings were significantly lower during the 8-s bouts compared to those obtained at the same power outputs during the maximal cycle test. The results suggest that naxious metabolites of muscle contraction play a role in leg muscle pain during exercise. In study 4, moderately active male subjects (N = 19) completed two ramped maximal cycle ergometry tests. Subjects drank a water and Kool-Aid mixture that either was or was not(placebo) combined with a 20 mg·kg-1 dose of powdered aspirin 60 min before exercise. Paired t-tests revealed no differences between conditions for the measures of exercise intensity at pain threshold [aspirin vs placebo mean (± SD)]: power output: 150 (± 60.3 W) versus 153.5 (± 64.8 W); ˙VO2: 21.3 (± 8.6 mL·kg-1·min-1) versus 22.1 (± 10.0 mL·kg-1·min-1); and RPE: 10.9 (± 3.1) versus 11.4 (±2.9). Repeated measures ANOVA revealed no significant condition main effect or condition by trial interaction for pain responses during recovery or during exercise at 60, 70, 80, 90, and 100% of each condition's peak power output. It is concluded that the preception of leg muscle pain intensity during cycle ergometry: (i) is reliably and validly measured using the developed 10-point pain scale, (ii) covaries as a function of objective exercise stimuli such as power output, (iii) is distinct from RPE, (iv) is unrelated to performance of the type employed here, and (v) is not altered by the ingestion of 20 mg·kg-1 acetylsalicylic acid 1 h prior to the exercise bout.

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