Abstract
Mechanisms of pain relief induced by vibration and movement were investigated. A CO2 laser beam, which is useful for pure nociceptive stimulation, was used for recording pain-related somatosensory evoked potentials (pain SEPs) and for measuring pain threshold and reaction time (RT). Concurrently applied vibratory stimuli to and active movements of the fingers significantly reduced and prolonged pain SEPs, increased pain threshold, and prolonged RT, indicating that an increase in the inhibitory mechanisms of painful feeling was induced by the concurrently adopted sensory inputs mediated by large myelinated fibres. In contrast, continuous cooling enhanced pain SEPs and decreased pain threshold, probably due to the spatial summation of two kinds of nociceptive impulses mediated by the same pathways. The results of this investigation throw light on the mechanisms of the alleviation of pain by vibration and movement.
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- Abbruzzese G., Abbruzzese M., Favale E., Ivaldi M., Leandri M., Ratto S. The effect of hand muscle vibration on the somatosensory evoked potential in man: an interaction between lemniscal and spinocerebellar inputs? J Neurol Neurosurg Psychiatry. 1980 May;43(5):433–437. doi: 10.1136/jnnp.43.5.433. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Arendt-Nielsen L. First pain event related potentials to argon laser stimuli: recording and quantification. J Neurol Neurosurg Psychiatry. 1990 May;53(5):398–404. doi: 10.1136/jnnp.53.5.398. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carmon A., Friedman Y., Coger R., Kenton B. Single trial analysis of evoked potentials to noxious thermal stimulation in man. Pain. 1980 Feb;8(1):21–32. doi: 10.1016/0304-3959(80)90087-1. [DOI] [PubMed] [Google Scholar]
- Cheron G., Borenstein S. Specific gating of the early somatosensory evoked potentials during active movement. Electroencephalogr Clin Neurophysiol. 1987 Dec;67(6):537–548. doi: 10.1016/0013-4694(87)90056-3. [DOI] [PubMed] [Google Scholar]
- Cohen L. G., Starr A. Localization, timing and specificity of gating of somatosensory evoked potentials during active movement in man. Brain. 1987 Apr;110(Pt 2):451–467. doi: 10.1093/brain/110.2.451. [DOI] [PubMed] [Google Scholar]
- Eriksson M. B., Rosén I., Sjölund B. Thermal sensitivity in healthy subjects is decreased by a central mechanism after TNS. Pain. 1985 Jul;22(3):235–242. doi: 10.1016/0304-3959(85)90023-5. [DOI] [PubMed] [Google Scholar]
- Golding J. F., Ashton H., Marsh R., Thompson J. W. Transcutaneous electrical nerve stimulation produces variable changes in somatosensory evoked potentials, sensory perception and pain threshold: clinical implications for pain relief. J Neurol Neurosurg Psychiatry. 1986 Dec;49(12):1397–1406. doi: 10.1136/jnnp.49.12.1397. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gott P. S., Hughes E. C. Effect of noise masking on the brain-stem and middle-latency auditory evoked potentials: central and peripheral components. Electroencephalogr Clin Neurophysiol. 1989 Mar-Apr;74(2):131–138. doi: 10.1016/0168-5597(89)90018-x. [DOI] [PubMed] [Google Scholar]
- Hari R., Kaukoranta E., Reinikainen K., Huopaniemie T., Mauno J. Neuromagnetic localization of cortical activity evoked by painful dental stimulation in man. Neurosci Lett. 1983 Nov 21;42(1):77–82. doi: 10.1016/0304-3940(83)90425-1. [DOI] [PubMed] [Google Scholar]
- Huttunen J., Kobal G., Kaukoranta E., Hari R. Cortical responses to painful CO2 stimulation of nasal mucosa; a magnetoencephalographic study in man. Electroencephalogr Clin Neurophysiol. 1986 Oct;64(4):347–349. doi: 10.1016/0013-4694(86)90159-8. [DOI] [PubMed] [Google Scholar]
- Ibañez V., Deiber M. P., Mauguière F. Interference of vibrations with input transmission in dorsal horn and cuneate nucleus in man: a study of somatosensory evoked potentials (SEPs) to electrical stimulation of median nerve and fingers. Exp Brain Res. 1989;75(3):599–610. doi: 10.1007/BF00249911. [DOI] [PubMed] [Google Scholar]
- Jones S. J. An 'interference" approach to the study of somatosensory evoked potentials in man. Electroencephalogr Clin Neurophysiol. 1981 Dec;52(6):517–530. doi: 10.1016/0013-4694(81)91427-9. [DOI] [PubMed] [Google Scholar]
- Jones S. J., Halonen J. P., Shawkat F. Centrifugal and centripetal mechanisms involved in the 'gating' of cortical SEPs during movement. Electroencephalogr Clin Neurophysiol. 1989 Jan-Feb;74(1):36–45. doi: 10.1016/0168-5597(89)90049-x. [DOI] [PubMed] [Google Scholar]
- Kakigi R. Ipsilateral and contralateral SEP components following median nerve stimulation: effects of interfering stimuli applied to the contralateral hand. Electroencephalogr Clin Neurophysiol. 1986 Sep;64(3):246–259. doi: 10.1016/0013-4694(86)90172-0. [DOI] [PubMed] [Google Scholar]
- Kakigi R., Jones S. J. Effects on median nerve SEPs of tactile stimulation applied to adjacent and remote areas of the body surface. Electroencephalogr Clin Neurophysiol. 1985 Jul;62(4):252–265. doi: 10.1016/0168-5597(85)90003-6. [DOI] [PubMed] [Google Scholar]
- Kakigi R., Jones S. J. Influence of concurrent tactile stimulation on somatosensory evoked potentials following posterior tibial nerve stimulation in man. Electroencephalogr Clin Neurophysiol. 1986 Mar;65(2):118–129. doi: 10.1016/0168-5597(86)90044-4. [DOI] [PubMed] [Google Scholar]
- Kakigi R., Shibasaki H. Estimation of conduction velocity of the spino-thalamic tract in man. Electroencephalogr Clin Neurophysiol. 1991 Jan-Feb;80(1):39–45. doi: 10.1016/0168-5597(91)90041-u. [DOI] [PubMed] [Google Scholar]
- Kakigi R., Shibasaki H. Scalp topography of mechanically and electrically evoked somatosensory potentials in man. Electroencephalogr Clin Neurophysiol. 1984 Feb;59(1):44–56. doi: 10.1016/0168-5597(84)90019-4. [DOI] [PubMed] [Google Scholar]
- Kakigi R., Shibasaki H., Tanaka K., Ikeda T., Oda K., Endo C., Ikeda A., Neshige R., Kuroda Y., Miyata K. CO2 laser-induced pain-related somatosensory evoked potentials in peripheral neuropathies: correlation between electrophysiological and histopathological findings. Muscle Nerve. 1991 May;14(5):441–450. doi: 10.1002/mus.880140510. [DOI] [PubMed] [Google Scholar]
- Melzack R., Wall P. D. Pain mechanisms: a new theory. Science. 1965 Nov 19;150(3699):971–979. doi: 10.1126/science.150.3699.971. [DOI] [PubMed] [Google Scholar]
- Nardone A., Schieppati M. Influences of transcutaneous electrical stimulation of cutaneous and mixed nerves on subcortical and cortical somatosensory evoked potentials. Electroencephalogr Clin Neurophysiol. 1989 Jan-Feb;74(1):24–35. doi: 10.1016/0168-5597(89)90048-8. [DOI] [PubMed] [Google Scholar]
- Reisin R. C., Goodin D. S., Aminoff M. J., Mantle M. M. Effects of different sensory inputs on the median-derived somatosensory evoked potential. Muscle Nerve. 1989 Jul;12(7):598–603. doi: 10.1002/mus.880120712. [DOI] [PubMed] [Google Scholar]
- Rushton D. N., Rothwell J. C., Craggs M. D. Gating of somatosensory evoked potentials during different kinds of movement in man. Brain. 1981 Sep;104(3):465–491. doi: 10.1093/brain/104.3.465. [DOI] [PubMed] [Google Scholar]
- Talbot J. D., Marrett S., Evans A. C., Meyer E., Bushnell M. C., Duncan G. H. Multiple representations of pain in human cerebral cortex. Science. 1991 Mar 15;251(4999):1355–1358. doi: 10.1126/science.2003220. [DOI] [PubMed] [Google Scholar]
- Treede R. D., Kief S., Hölzer T., Bromm B. Late somatosensory evoked cerebral potentials in response to cutaneous heat stimuli. Electroencephalogr Clin Neurophysiol. 1988 Nov;70(5):429–441. doi: 10.1016/0013-4694(88)90020-x. [DOI] [PubMed] [Google Scholar]
- Wall P. D. The gate control theory of pain mechanisms. A re-examination and re-statement. Brain. 1978 Mar;101(1):1–18. doi: 10.1093/brain/101.1.1. [DOI] [PubMed] [Google Scholar]