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Modulation of the human nociceptive flexion reflex across the cardiac cycle

Published online by Cambridge University Press:  06 July 2001

LOUISA EDWARDS
Affiliation:
School of Sport and Exercise Sciences, University of Birmingham, United Kingdom
CHRISTOPHER RING
Affiliation:
School of Sport and Exercise Sciences, University of Birmingham, United Kingdom
DAVID McINTYRE
Affiliation:
School of Sport and Exercise Sciences, University of Birmingham, United Kingdom
DOUGLAS CARROLL
Affiliation:
School of Sport and Exercise Sciences, University of Birmingham, United Kingdom
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Abstract

Carotid baroreceptor stimulation has been shown to dampen pain. This study tested, in 40 normotensive adults, the hypothesis that pain is lower during systole when arterial baroreceptor stimulation is maximal than diastole when stimulation is minimal. The sural nerve was stimulated electrocutaneously to obtain a nociceptive flexion reflex (NFR) threshold, and then stimulation was delivered for 28 trials at 100% NFR threshold at seven intervals after the R-wave. Nociceptive responding was indexed by electromyographic (EMG) activity elicited in the biceps femoris. Significant variations in EMG activity occurred across the cardiac cycle, with less activity midcycle, indicating that the NFR response was attenuated during systole compared to diastole. Stimulation of baroreceptors by natural changes in blood pressure during the cardiac cycle dampened nociception, and accordingly, the data support the arterial baroreflex mechanism of hypertensive hypoalgesia.

Type
Research Article
Copyright
2001 Society for Psychophysiological Research

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