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Pain quality patterns in delayed onset muscle soreness of the lower back suggest sensitization of fascia rather than muscle afferents : a secondary analysis study

Title data

Brandl, Andreas ; Wilke, Jan ; Egner, Christoph ; Schmidt, Tobias ; Schilder, Andreas ; Schleip, Robert:
Pain quality patterns in delayed onset muscle soreness of the lower back suggest sensitization of fascia rather than muscle afferents : a secondary analysis study.
In: Pflügers Archiv : European Journal of Physiology. Vol. 476 (2024) . - pp. 395-405.
ISSN 1432-2013
DOI: https://doi.org/10.1007/s00424-023-02896-8

Abstract in another language

Delayed onset muscle soreness (DOMS) of the lower back is considered a surrogate for acute low back pain (aLBP) in experimental studies. Of note, it is often unquestioningly assumed to be muscle pain. To date, there has not been a study analyzing lumbar DOMS in terms of its pain origin, which was the aim of this study. Sixteen healthy individuals (L-DOMS) were enrolled for the present study and matched to participants from a previous study (n = 16, L-PAIN) who had undergone selective electrical stimulation of the thoracolumbar fascia and the multifidus muscle. DOMS was induced in the lower back of the L-DOMS group using eccentric trunk extensions performed until exhaustion. On subsequent days, pain on palpation (100-mm analogue scale), pressure pain threshold (PPT), and the Pain Sensation Scale (SES) were used to examine the sensory characteristics of DOMS. Pain on palpation showed a significant increase 24 and 48 h after eccentric training, whereas PPT was not affected (p > 0.05). Factor analysis of L-DOMS and L-PAIN sensory descriptors (SES) yielded a stable three-factor solution distinguishing superficial thermal ("heat pain ") from superficial mechanical pain ("sharp pain") and "deep pain." "Heat pain " and "deep pain" in L-DOMS were almost identical to sensory descriptors from electrical stimulation of fascial tissue (L-PAIN, all p > 0.679) but significantly different from muscle pain (all p < 0.029). The differences in sensory description patterns as well as in PPT and self-reported DOMS for palpation pain scores suggest that DOMS has a fascial rather than a muscular origin.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: Delayed onset muscle soreness; Eccentric exercise; Fascia pain; Lumbar multifidus muscle; Muscle pain; Pain perception; Pain quality; Thoracolumbar fascia
Institutions of the University: Faculties > Faculty of Cultural Studies
Faculties
Faculties > Faculty of Cultural Studies > Department of Sport Science > Chair Sport Science I - Neuromotorik und Bewegung > Chair Sport Science I - Neuromotorik und Bewegung - Univ.-Prof. Dr. Dr. Jan Wilke
Result of work at the UBT: No
DDC Subjects: 600 Technology, medicine, applied sciences > 610 Medicine and health
Date Deposited: 16 Apr 2024 06:39
Last Modified: 02 May 2024 06:40
URI: https://eref.uni-bayreuth.de/id/eprint/89220