SELF-REGULATION OF ACUTE EXPERIMENTAL PAIN WITH AND WITHOUT BIOFEEDBACK USING SPINAL NOCICEPTIVE RESPONSES

被引:8
作者
Arsenault, M. [1 ,4 ,5 ]
Piche, M. [2 ,4 ,5 ]
Duncan, G. H. [3 ,6 ]
Rainville, P. [3 ,4 ,5 ,6 ]
机构
[1] Univ Montreal, Dept Psychol, Montreal, PQ H3T 1J4, Canada
[2] Univ Quebec Trois Rivieres, Dept Chiroprat, Trois Rivieres, PQ G9A 5H7, Canada
[3] Univ Montreal, Dept Stomatol, Montreal, PQ H3T 1J4, Canada
[4] Univ Montreal, Ctr Rech Neuropsychol & Cognit CERNEC, Montreal, PQ H3T 1J4, Canada
[5] Univ Montreal, Inst Univ Geriatrie Montreal CRIUGM, Ctr Rech, Montreal, PQ H3T 1J4, Canada
[6] Univ Montreal, Grp Rech Syst Nerveux Cent, Montreal, PQ H3T 1J4, Canada
基金
加拿大健康研究院;
关键词
pain; biofeedback; RIII reflex; pain modulation; descending modulation; FLEXION REFLEX; MODULATION; PERCEPTION; ANALGESIA; FIBROMYALGIA; STRATEGIES;
D O I
10.1016/j.neuroscience.2012.11.011
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Biofeedback training is an efficient means to gain control over a physiological function typically considered involuntary. Accordingly, learning to self-regulate nociceptive physiological activity may improve pain control by activating endogenous modulatory processes. The aim of the present study was to assess whether trial-by-trial visual feedback of nociceptive flexion reflex (RIII-reflex) responses (an index of spinal nociception) evoked by brief painful shocks applied to the sural nerve could be beneficial to guide participants in adopting strategies aiming at modulating pain perception. In order to determine specific changes induced by biofeedback, the modulation of RIII-reflex amplitude and pain ratings was compared following instructions to increase or decrease RIII-reflex amplitude in three groups, including a biofeedback group receiving a visual signal corresponding to the RIII-reflex amplitude (valid feedback), a sham biofeedback group (similar but invalid feedback), and a control group receiving no feedback. Results indicate that participants in all three groups could gain control over RIII-reflex (p < 0.001), resulting in the modulation of pain intensity (p < 0.001) and pain unpleasantness (p < 0.001). The biofeedback group was not significantly superior to the sham and the control groups in the modulation of RIII-reflex amplitude, pain intensity or unpleasantness. These results are consistent with the notion that Rill-reflex amplitude and pain perception can be modulated voluntarily by various cognitive strategies. However, immediate retrospective visual feedback of acute nociceptive responses presented iteratively in successive trials may not improve the efficacy of these self-regulation processes. (c) 2012 IBRO. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:102 / 110
页数:9
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