短時間の低強度有酸素運動が疼痛感受性と心理状態に与える即時効果
【目的】低強度有酸素運動による疼痛感受性と心理状態の変化について検討すること。【方法】健常成人男性11名を対象とした。リカンベントエルゴメーターを用い,低強度有酸素運動(目標心拍数をKarvonen法にて40%の運動負荷)を実施した。前後に圧痛計を用いて疼痛感受性,日本語版Profile of Mood States(POMS)を用いて心理状態の変化を検討した。【結果】圧痛閾値の変化に有意差は見られなかったが,POMSの「緊張-不安」,「混乱-当惑」の下位項目において有意な改善を認めた。【結論】単回の低強度有酸素運動において健常成人では疼痛感受性に影響を与えないが,心理活性効果が得られた。...
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| Published in | 理学療法の科学と研究 Vol. 15; no. 1; pp. 15_27 - 15_31 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 千葉県理学療法士会
20.03.2024
千葉県理学療法士会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1884-9032 2758-3864 |
| DOI | 10.57476/srpt.15.1_15_27 |
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| Abstract | 【目的】低強度有酸素運動による疼痛感受性と心理状態の変化について検討すること。【方法】健常成人男性11名を対象とした。リカンベントエルゴメーターを用い,低強度有酸素運動(目標心拍数をKarvonen法にて40%の運動負荷)を実施した。前後に圧痛計を用いて疼痛感受性,日本語版Profile of Mood States(POMS)を用いて心理状態の変化を検討した。【結果】圧痛閾値の変化に有意差は見られなかったが,POMSの「緊張-不安」,「混乱-当惑」の下位項目において有意な改善を認めた。【結論】単回の低強度有酸素運動において健常成人では疼痛感受性に影響を与えないが,心理活性効果が得られた。 |
|---|---|
| AbstractList | 「要旨」【目的】低強度有酸素運動による疼痛感受性と心理状態の変化について検討すること. 【方法】健常成人男性11名を対象とした. リカンベントエルゴメーターを用い, 低強度有酸素運動(目標心拍数をKarvonen法にて40%の運動負荷)を実施した. 前後に圧痛計を用いて疼痛感受性, 日本語版Profile of Mood States(POMS)を用いて心理状態の変化を検討した. 【結果】圧痛閾値の変化に有意差は見られなかったが, POMSの「緊張-不安」, 「混乱-当惑」の下位項目において有意な改善を認めた. 【結論】単回の低強度有酸素運動において健常成人では疼痛感受性に影響を与えないが, 心理活性効果が得られた. 【目的】低強度有酸素運動による疼痛感受性と心理状態の変化について検討すること。【方法】健常成人男性11名を対象とした。リカンベントエルゴメーターを用い,低強度有酸素運動(目標心拍数をKarvonen法にて40%の運動負荷)を実施した。前後に圧痛計を用いて疼痛感受性,日本語版Profile of Mood States(POMS)を用いて心理状態の変化を検討した。【結果】圧痛閾値の変化に有意差は見られなかったが,POMSの「緊張-不安」,「混乱-当惑」の下位項目において有意な改善を認めた。【結論】単回の低強度有酸素運動において健常成人では疼痛感受性に影響を与えないが,心理活性効果が得られた。 |
| Author | 古山, 大翔 森井, 和枝 竹内, 真太 鵜澤, 寛伸 西田, 裕介 |
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| References | 40) Schweinhardt P, Bushnell MC: Pain imaging in health and disease--how far have we come? J Clin Invest, 2010; 120: 3788-3797. 3) Stewart WF, Ricci JA, rt al.: Lost productive time and cost due to common pain conditions in the US workforce. JAMA, 2003; 290: 2443-2454. 33) 青木邦男: 運動の不安軽減効果及びうつ軽減効果に関する文献研究. 山口県立大学大学院論集, 山口県立大学, 2002; 3: 37-45. 22) Wassinger CA, Lumpkins L, et al.: LOWER EXTREMITY AEROBIC EXERCISE AS A TREATMENT FOR SHOULDER PAIN. Int J Sports Phys Ther, 2020; 15: 74-80. 28) Cote JN, Hoeger Bement MK: Update on the relation between pain and movement: consequences for clinical practice. Clin J Pain, 2010; 26: 754-762. 20) Chesterton LS, Barlas P, et al.: Gender differences in pressure pain threshold in healthy humans. Pain, 2003; 101: 259-266. 15) Brosse AL, Sheets ES, et al.: Exercise and the Treatment of Clinical Depression in Adults. Sports Med, 2002; 32: 741-760. 39) Apkarian AV, Bushnell MC, et al.: Human brain mechanisms of pain perception and regulation in health and disease. Eur J Pain, 2005; 9: 463-484. 25) Juvia P. Heuchert, PH, D & Douglas M. 著: Profile of mood states second edition POMS2 日本語版マニュアル 第6版, 金子書房, 東京, 2015. 10) Ong W-Y, Stohler CS, et al.: Role of the Prefrontal Cortex in Pain Processing. Mol Neurobiol, 2019; 56: 1137-1166. 37) Micalos PS, Arendt-Nielsen L: Differential pain response at local and remote muscle sites following aerobic cycling exercise at mild and moderate intensity. Springerplus, 2016; 5: 91. 1) Geneen LJ, Moore RA, et al.: Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev, 2017; 4: CD011279. 6) World health.org [Internet]. ICD-11 International Classification of Diseases 11th Revision The 196 global standard for diagnostic health information. [cited 2023 Mar 29]. Avilable from: https://icd.who.int/en 11) Apkarian AV, Sosa Y, et al.: Chronic back pain is associated with decreased prefrontal and thalamic gray matter density. J Neurosci, 2004; 24: 10410-10415. 21) Park G, Kim CW, et al.: Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. Ann Rehabil Med, 2011; 35: 412-417. 41) Bushnell MC, Ceko M, et al.: Cognitive and emotional control of pain and its disruption in chronic pain. Nat Rev Neurosci, 2013; 14: 502-511. 5) Inoue S, Kobayashi F, et al.: Chronic Pain in the Japanese Community--Prevalence, Characteristics and Impact on Quality of Life. PLoS One, 2015; 10: e0129262. 29) Raichlen DA, Foster AD, et al.: Exercise-induced endocannabinoid signaling is modulated by intensity. Eur J Appl Physiol, 2013; 113: 869-875. 30) Yao T, Andersson S, et al.: Long-lasting cardiovascular depressor response following sciatic stimulation in spontaneously hypertensive rats. Evidence for the involvement of central endorphin and serotonin systems. Brain Res, 1982; 244: 295-303. 13) Bair MJ, Robinson RL, et al.: Depression and pain comorbidity: a literature review. Arch Intern Med, 2003; 163: 2433-2445. 24) Leunes A, Burger J: Profile of Mood States Research in Sport and Exercise Psychology: Past, Present, and Future. J Appl Sport Psychol, 2000; 12: 5-15. 35) Hoffman MD, Hoffman DR: Does aerobic exercise improve pain perception and mood? A review of the evidence related to healthy and chronic pain subjects. Curr Pain Headache Rep, 2007; 11: 93-97. 7) International Association for the Study of Pain. [Internet]. IASP terminology. [cited 2021 November 14] Available from: https://www.iasp-200pain.org/resources/terminology/?navItemNumber=576 23) Jones MD, Booth J, et al.: Aerobic training increases pain tolerance in healthy individuals. Med Sci Sports Exerc, 2014; 46: 1640-1647. 34) Cox RH, Thomas TR, et al.: Effects of acute 60 and 80% VO2 max bouts of aerobic exercise on state anxiety of women of different age groups across time. Res Q Exerc Sport, 2004; 75: 165-175. 16) 奥村裕, 江口輝行, 他: 運動後の自律神経活動と心理的効果. 保健医療学雑誌. 2017; 8: 44-49. 17) 厚生労働行政推進調査事業費補助金 慢性の痛み政策研究事業「慢性の痛み診療教育の基盤となるシステム構築に関する研究」研究班(監修): 慢性疼痛治療ガイドライン. 慢性疼痛治療ガイドライン作成ワーキンググループ(編), 真興交易医書出版部, 東京, 2018, pp. 128 18) Naugle KM, Fillingim RB, et al.: A meta-analytic review of the hypoalgesic effects of exercise. J Pain, 2012; 13: 1139-1150. 26) Naugle KM, Ohlman T, et al.: Physical activity behavior predicts endogenous pain modulation in older adults. Pain, 2017; 158: 383-390. 31) Hoffmann P, Skarphedinsson JO, et al.: Electrical stimulation of the gastrocnemius muscle in the spontaneously hypertensive rat increases the pain threshold: role of different serotonergic receptors. Acta Physiol Scand, 1990; 138: 125-131. 9) 沖田実, 松原貴子: ペインリハビリテーション入門. 三輪書店, 東京, 2020, pp7. 36) Shiro Y, Matsubara T: Influence of exercise on the pain modulation system. Pain res, 2017; 32: 246-251. 14) Sheng J, Liu S, et al: The Link between Depression and Chronic Pain: Neural Mechanisms in the Brain. Neural Plast, 2017; 2017: 9724371. 19) Naugle KM, Naugle KE, et al.: Intensity thresholds for aerobic exercise-induced hypoalgesia. Med Sci Sports Exerc, 2014; 46: 817-825. 4) Pizzi LT, Carter CT, et al.: Work Loss, Healthcare Utilization, and Costs among US Employees with Chronic Pain. Disease Management & Health Outcomes, 2005; 13: 201-208. 8) 西上智彦: 中枢性感作の評価. 神経治療学, 2019; 36: 505-507. 32) Lima LV, Abner TSS, et al.: Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena. J Physiol, 2017; 595: 4141-4150. 2) 矢吹省司, 牛田享宏, 他: 日本における慢性疼痛保有者の実態調査: Pain in Japan 2010より. 臨床整形外科, 医学書院, 2012; 47: 127-134. 12) Apkarian VA, Hashmi JA, et al.: Pain and the brain: specificity and plasticity of the brain in clinical chronic pain. Pain, 2011; 152: S49-S64. 27) Galdino G, Romero T, et al.: Opioid receptors are not involved in the increase of the nociceptive threshold induced by aerobic exercise. Neurosciences, 2014; 19: 33-37. 38) Niwa Y, Shimo K, et al.: Effects of Exercise-Induced Hypoalgesia at Different Aerobic Exercise Intensities in Healthy Young Adults. J Pain Res, 2022; 15: 3615-3624. |
| References_xml | – reference: 9) 沖田実, 松原貴子: ペインリハビリテーション入門. 三輪書店, 東京, 2020, pp7. – reference: 16) 奥村裕, 江口輝行, 他: 運動後の自律神経活動と心理的効果. 保健医療学雑誌. 2017; 8: 44-49. – reference: 29) Raichlen DA, Foster AD, et al.: Exercise-induced endocannabinoid signaling is modulated by intensity. Eur J Appl Physiol, 2013; 113: 869-875. – reference: 12) Apkarian VA, Hashmi JA, et al.: Pain and the brain: specificity and plasticity of the brain in clinical chronic pain. Pain, 2011; 152: S49-S64. – reference: 5) Inoue S, Kobayashi F, et al.: Chronic Pain in the Japanese Community--Prevalence, Characteristics and Impact on Quality of Life. PLoS One, 2015; 10: e0129262. – reference: 6) World health.org [Internet]. ICD-11 International Classification of Diseases 11th Revision The 196 global standard for diagnostic health information. [cited 2023 Mar 29]. Avilable from: https://icd.who.int/en – reference: 33) 青木邦男: 運動の不安軽減効果及びうつ軽減効果に関する文献研究. 山口県立大学大学院論集, 山口県立大学, 2002; 3: 37-45. – reference: 17) 厚生労働行政推進調査事業費補助金 慢性の痛み政策研究事業「慢性の痛み診療教育の基盤となるシステム構築に関する研究」研究班(監修): 慢性疼痛治療ガイドライン. 慢性疼痛治療ガイドライン作成ワーキンググループ(編), 真興交易医書出版部, 東京, 2018, pp. 128 – reference: 8) 西上智彦: 中枢性感作の評価. 神経治療学, 2019; 36: 505-507. – reference: 39) Apkarian AV, Bushnell MC, et al.: Human brain mechanisms of pain perception and regulation in health and disease. Eur J Pain, 2005; 9: 463-484. – reference: 11) Apkarian AV, Sosa Y, et al.: Chronic back pain is associated with decreased prefrontal and thalamic gray matter density. J Neurosci, 2004; 24: 10410-10415. – reference: 21) Park G, Kim CW, et al.: Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. Ann Rehabil Med, 2011; 35: 412-417. – reference: 20) Chesterton LS, Barlas P, et al.: Gender differences in pressure pain threshold in healthy humans. Pain, 2003; 101: 259-266. – reference: 38) Niwa Y, Shimo K, et al.: Effects of Exercise-Induced Hypoalgesia at Different Aerobic Exercise Intensities in Healthy Young Adults. J Pain Res, 2022; 15: 3615-3624. – reference: 22) Wassinger CA, Lumpkins L, et al.: LOWER EXTREMITY AEROBIC EXERCISE AS A TREATMENT FOR SHOULDER PAIN. Int J Sports Phys Ther, 2020; 15: 74-80. – reference: 24) Leunes A, Burger J: Profile of Mood States Research in Sport and Exercise Psychology: Past, Present, and Future. J Appl Sport Psychol, 2000; 12: 5-15. – reference: 7) International Association for the Study of Pain. [Internet]. IASP terminology. [cited 2021 November 14] Available from: https://www.iasp-200pain.org/resources/terminology/?navItemNumber=576 – reference: 23) Jones MD, Booth J, et al.: Aerobic training increases pain tolerance in healthy individuals. Med Sci Sports Exerc, 2014; 46: 1640-1647. – reference: 37) Micalos PS, Arendt-Nielsen L: Differential pain response at local and remote muscle sites following aerobic cycling exercise at mild and moderate intensity. Springerplus, 2016; 5: 91. – reference: 27) Galdino G, Romero T, et al.: Opioid receptors are not involved in the increase of the nociceptive threshold induced by aerobic exercise. Neurosciences, 2014; 19: 33-37. – reference: 25) Juvia P. Heuchert, PH, D & Douglas M. 著: Profile of mood states second edition POMS2 日本語版マニュアル 第6版, 金子書房, 東京, 2015. – reference: 13) Bair MJ, Robinson RL, et al.: Depression and pain comorbidity: a literature review. Arch Intern Med, 2003; 163: 2433-2445. – reference: 15) Brosse AL, Sheets ES, et al.: Exercise and the Treatment of Clinical Depression in Adults. Sports Med, 2002; 32: 741-760. – reference: 36) Shiro Y, Matsubara T: Influence of exercise on the pain modulation system. Pain res, 2017; 32: 246-251. – reference: 19) Naugle KM, Naugle KE, et al.: Intensity thresholds for aerobic exercise-induced hypoalgesia. Med Sci Sports Exerc, 2014; 46: 817-825. – reference: 18) Naugle KM, Fillingim RB, et al.: A meta-analytic review of the hypoalgesic effects of exercise. J Pain, 2012; 13: 1139-1150. – reference: 32) Lima LV, Abner TSS, et al.: Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena. J Physiol, 2017; 595: 4141-4150. – reference: 3) Stewart WF, Ricci JA, rt al.: Lost productive time and cost due to common pain conditions in the US workforce. JAMA, 2003; 290: 2443-2454. – reference: 14) Sheng J, Liu S, et al: The Link between Depression and Chronic Pain: Neural Mechanisms in the Brain. Neural Plast, 2017; 2017: 9724371. – reference: 28) Cote JN, Hoeger Bement MK: Update on the relation between pain and movement: consequences for clinical practice. Clin J Pain, 2010; 26: 754-762. – reference: 30) Yao T, Andersson S, et al.: Long-lasting cardiovascular depressor response following sciatic stimulation in spontaneously hypertensive rats. Evidence for the involvement of central endorphin and serotonin systems. Brain Res, 1982; 244: 295-303. – reference: 1) Geneen LJ, Moore RA, et al.: Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev, 2017; 4: CD011279. – reference: 35) Hoffman MD, Hoffman DR: Does aerobic exercise improve pain perception and mood? A review of the evidence related to healthy and chronic pain subjects. Curr Pain Headache Rep, 2007; 11: 93-97. – reference: 26) Naugle KM, Ohlman T, et al.: Physical activity behavior predicts endogenous pain modulation in older adults. Pain, 2017; 158: 383-390. – reference: 2) 矢吹省司, 牛田享宏, 他: 日本における慢性疼痛保有者の実態調査: Pain in Japan 2010より. 臨床整形外科, 医学書院, 2012; 47: 127-134. – reference: 40) Schweinhardt P, Bushnell MC: Pain imaging in health and disease--how far have we come? J Clin Invest, 2010; 120: 3788-3797. – reference: 34) Cox RH, Thomas TR, et al.: Effects of acute 60 and 80% VO2 max bouts of aerobic exercise on state anxiety of women of different age groups across time. Res Q Exerc Sport, 2004; 75: 165-175. – reference: 4) Pizzi LT, Carter CT, et al.: Work Loss, Healthcare Utilization, and Costs among US Employees with Chronic Pain. Disease Management & Health Outcomes, 2005; 13: 201-208. – reference: 10) Ong W-Y, Stohler CS, et al.: Role of the Prefrontal Cortex in Pain Processing. Mol Neurobiol, 2019; 56: 1137-1166. – reference: 31) Hoffmann P, Skarphedinsson JO, et al.: Electrical stimulation of the gastrocnemius muscle in the spontaneously hypertensive rat increases the pain threshold: role of different serotonergic receptors. Acta Physiol Scand, 1990; 138: 125-131. – reference: 41) Bushnell MC, Ceko M, et al.: Cognitive and emotional control of pain and its disruption in chronic pain. Nat Rev Neurosci, 2013; 14: 502-511. |
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| ispartofPNX | 理学療法の科学と研究, 2024/03/20, Vol.15(1), pp.15_27-15_31 |
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