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Athlete's high pain threshold may help pain management research by efwegbe erergeer





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Athlete's high pain threshold may help pain management research by
Article Posted: 06/28/2013
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Athlete's high pain threshold may help pain management research


 
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Athletes are often seen to put on a 'brave face and carry on' whenthey sustain an injury, which supports the theory that they have ahigher pain threshold than non-athletes, regardless of inconsistentand sometimes even contradictory evidence from previous studies onpain perception in athletes. The June issue of PAIN reports that researchers from Heidelberg University havediscovered in a meta-analysis of previous research that athletescan in fact tolerate higher levels of pain than non-athletes, butthere was no difference between athletes and non-athletes in termsof pain threshold, i.e. the lowest intensity of stimulation atwhich pain is experienced. Leading researchers Jonas Tesarz, MD declares: "Our analysis reveals that pain perception differs in athletescompared to normally active controls. Studies in athletes offer theopportunity for an evaluation of the physical and psychologicaleffects of regular activity on pain perception, which might fosterthe development of effective types of exercise for relief in painpatients." They reviewed fifteen international studies, involving a total of568 athletes and 331 normally active controls of both genders toassess artificially induced pain thresholds in athletes andnormally active individuals in disciplines like endurance sports,game sports and strength sports.



Twelve studies assessed paintolerance, i.e. the highest intensity of painful stimulation that atested subject is able to tolerate, whilst nine studies evaluatedpain threshold. They observed that athletes consistently had a higher paintolerance than normally active adults, although the magnitude ofpain that athletes were able to withstand varied depending upon thediscipline of the sport they participated in. For instance,endurance athletes had a moderate tolerance for pain withrelatively equal scores, whilst those participating in game sportshad a higher pain tolerance compared with other athletes. However,there were large variations in the results, which suggests thephysical and psychological profiles of endurance athletes are moresimilar, whilst those of athletes involved in game sports are morediverse.



Dr. Tesarz states that the results clearly demonstrate that regularexercise is linked to a higher pain tolerance, whilst theassociation with pain thresholds are rather more ambiguous andtends to have clinical implications. He declares: "Numerous studies of the effect of physical exercise in painpatients demonstrate a consistent impact on quality of life andfunctioning without an improvement in pain scores. It may beadvisable in exercise treatment for pain patients to focus on thedevelopment of their pain-coping skills that would affecttolerance, rather than the direct alleviation of pain threshold." He concludes, saying: "Further research is needed to clarify the exact relationshipbetween physical activity and modifications in pain perception, andto identify the involved psychological factors and neurobiologicalprocesses.



However, the observation that pain perception ismodifiable by physical activity provides promise for the use ofnon-invasive methods with few side effects for patients withchronic pain conditions." Written By Petra Rattue Copyright: Medical News Today Not to be reproduced without permission of Medical News Today Additional References Citations.

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