The effect of simultaneously performed cognitive task and physical exercise on pressure pain threshold and tolerance in athletes

The effect of simultaneously performed cognitive task and physical exercise on pressure pain threshold and tolerance in athletes

The aim of the study was to investigate the alterations of the pain threshold and tolerance after single, or dual task in athletes. Twenty male athletes and twenty non-athletic, recreationally active college students were participated in the study. Subjects were asked to perform Harvard step test (single task), and cognitive task was concurrent performance of an arithmetic task while performing Harvard step test. Pressure pain threshold (PPT) and pressure pain tolerance (PPTO) were assessed from muscle, tendon, bone and myofascial region from the dominant thigh by using a digital algometer. All measurements were repeated at rest, or following single and dual task. Results are presented as mean + standart deviation. Data were analyzed by using repeated measures of ANOVA test.  A level of p<0.05 was accepted statistical significant. Athletes had higher PPT and PPTO measurements from muscle and myofascial region of thigh at rest. PPT and PPTO values were increased after single, or dual task in sedentary subjects, while athletic subjects had increased muscle and myofascial PPT and PPTO values after dual task. In conclusion, our results supports the notion that cognitive functions may interact the pain processing at rest, or following exercise in athletes. 

___

  • Abernethy B (1993). Attention. In: R. N. Singer, M. Murphey, & L. K. Tennant (Eds.), Handbook of research on sport psychology(pp. 125–170). New York: Macmillan.
  • Bajo VM, Moore DR (2005). Descending projections from the auditory cortex to the inferior colliculus in the gerbil, Meriones unguiculatus. Journal of Comparative Neurology, 486:101–16.
  • Bantick SJ, Wise RG, Ploghaus A, Clare S, Smith SM, Tracey I (2002). Imaging how attention modulates pain in humans using functional MRI. Brain, 125:310–9.
  • Barnes DE, Yaffe K, Satariano WA, Tager IB (2003).A longitudinal study of cardiorespiratory fitness and cognitive function in healthy older adults.Journal of the American Geriatrics Society, 51(4):459-65.
  • Cetin E, Top EC, Sahin G, Ozkaya YG, Aydin-Gungor H, Toraman NF (2010). Effect of vitamin e supplementation with exercise on cognitive functions and total antioxidant capacity in older people. Journal of Nutrition Health & Aging, 14(9): 763-769.
  • DeWall CN & Baumeister RF (2006). Alone but feeling no pain: Effects of social exclusion on physical pain tolerance and pain threshold, affective forecasting, and interpersonal empathy. Journal of Personality and Social Psychology, 91: 1-15.
  • Droste C, Greenlee M, Schrek M, Roskamm H. 1991. Experimental pain thresholds and plasma beta-endorphin levels during exercise.Medicine and Science in Sports and Exercise, 23: 334-342.
  • Fields HL, Basbaum A (1999). Central nervous system mechanisms of pain modulation. In: Wall PD, Melzack R, editors. Textbook of Pain. Edinburgh: Churchill Livingstone, pp: 309-29.
  • Hodes RL, Howland EW, Lightfoot N, Cleeland CS (1990). The effects of distraction on responses to cold pressor pain. Pain, 41:109–14.
  • Huang HJ & Mercer VS (2001). Dual-task methodology: applications in studies of cognitive and motor performance in adults and children. Pediatric Physical Therapy, 13, 133–140.
  • Koltyn K (2000). Analgesia following exercise. Sports Medicine, 29: 85-98.
  • Kosek E, Lundberg L. 2003. Segmental and plurisegmental modulation of pressure pain thresholds during static muscle contractions in healthy individuals. European Journal of Pain, 7: 251-258.
  • Nonaka S, Takahashi R, Enomoto K, Katada A, Unno T (1997). Lombard reflex during PAG-induced vocalization in decerebrate cats. Neuroscience Research, 29:283–9.
  • Orbach I, Mikulincer M, King R, Cohen D& Stein D (1997).Thresholds and tolerance of physical pain in suicidal and nonsuicidal patients.Journal of Consulting and Clinical Psychology, 65: 646-652.
  • Ozdemir O, Ozdem S, Ozkaya YG (2013). Melatonin administration does not alter muscle glycogen concentration during recovery from exhaustive exercise in rats. European Journal of Sport Science, 13: 174-182.
  • Ozkaya MS, Aksoy-Gundogdu A, Seyran M, Hindistan IE, Pamuk O, Ozkaya YG (2014). Effect of exogenous melatonin administration on pain threshold in exercise trained rats under light-induced functional pinealectomy. Biological Rhythm Research DOI:10.1080/09291016.2014.923619.
  • Ozkaya YG, Aydın H, Toraman NF, Kızılay F, Ozdemir O, Cetinkaya V (2005). Effect of strength and endurance training on cognition in older people. Journal of Sports Science and Medicine, 4, 300 – 313.
  • Petrovic P, Petersson KM, Ghatan PH, Stone-Elander S, Ingvar M (2000). Pain related cerebral activation is altered by a distracting cognitive task. Pain, 85:19–30.
  • Scott V, Gijsbers K (1981). Pain perception in competitive swimmers. British Medical Journal, 283:91–3.
  • Seminowicz DA, Mikulis DJ, Davis KD (2004).Cognitive modulation of pain-related brain responses depends on behavioral strategy. Pain, 112 (2004):48–58.
  • Spector TD, Harris PA, Hart DJ, Cicuttini FM, Nandra D, Etherington J, Wolman RL, Doyle DV (1996). Risk of osteoarthritis associated with long-term weight-bearing sports. Arthritis & Rheumatism, 39:988–95.
  • Terkelsen AJ, Andersen OK, Molgaard H, Hansen J, Jensen TS (2004). Mental stress inhibits pain perception and heart rate variability but not a nociceptive withdrawal reflex. Acta Physiologica Scandinavica, 180: 405–14.
  • Tesarz J, Schuster AK, Hartmann M, Gerhardt A, Eich W (2012). Pain perception in athletes compared to normally active controls: a systematic review with meta-analysis.Pain, 153(6):1253-62.
  • Tracey I, Dunckley P (2004). Importance of anti- and pro-nociceptive mechanisms in human disease. Gut, 53: 1553–1555.
  • Valet M, Sprenger T, Boecker H, Willoch F, Rummeny E, Conrad B, Erhard P, Tolle TR (2004). Distraction modulates connectivity of the cingulo-frontal cortex and the midbrain during pain—an fMRI analysis. Pain, 109(3):399-408.
  • Villemure C, Bushnell MC (2002). Cognitive modulation of pain: how do attention and emotion influence pain processing? Pain, 95:195–9.
  • Yamasaki H, Kakigi R, Watanabe S, Hoshiyama M (2000). Effects of distraction on pain-related somatosensory evoked magnetic fields and potentials following painful electrical stimulation.Brain Research. Cognitive Brain Research, 9:165–75.