内感受准确性和痛觉之间的联系:来自训练有素的音乐家和运动员的见解

IF 3.5 2区 医学 Q1 ANESTHESIOLOGY
Boris Kleber, Carol Sitges, Elvira Brattico, Peter Vuust, Anna M. Zamorano
{"title":"内感受准确性和痛觉之间的联系:来自训练有素的音乐家和运动员的见解","authors":"Boris Kleber,&nbsp;Carol Sitges,&nbsp;Elvira Brattico,&nbsp;Peter Vuust,&nbsp;Anna M. Zamorano","doi":"10.1002/ejp.70012","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>The integration of concurrent endogenous and exogenous multisensory information throughout years of dedicated sensorimotor training is associated with enhanced interoceptive accuracy and altered pain perception in healthy individuals. However, this relationship remains inconclusive, with outcomes varying by training modality and pain stimulus. This study examines associations between distinct forms of sensorimotor training, interoception and pain perception.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Two groups of individuals performing extensive sensorimotor training, 17 musicians and 15 athletes, and 14 non-musicians/athletes were recruited. Participants completed a cardiac interoceptive accuracy (IAcc) task and quantitative sensory tests, including mechanical and electrical detection thresholds (MDTs and EDTs), pressure and heat pain thresholds (PPTs and HPTs), as well as music-related perceptual discrimination and self-reported physical activity assessments.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Results revealed superior IAcc and PPTs in athletes compared to controls. Musicians exhibited increased heat pain sensitivity. While IAcc in musicians did not reach significance, training duration significantly predicted IAcc across both groups. PPTs correlated positively with both IAcc and accumulated training, but mediation analyses revealed that training effects on PPTs occurred independently of IAcc, suggesting distinct pathways for interoception and pain modulation. Additionally, physical activity levels correlated positively with both IAcc and PPTs across participants.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>These findings support the emerging view that individuals engaging in sensorimotor training routines, which require embodied multisensory integration for optimal performance, enhance interoceptive accuracy. They also confirm that pain processing varies by training modality. Furthermore, they suggest that the type of acute pain stimulus may explain inconsistencies in the interoception–pain relationship in healthy populations.</p>\n </section>\n \n <section>\n \n <h3> Significance Statement</h3>\n \n <p>This study advances our understanding of the interoception–pain-training nexus by revealing two distinct pathways: one linking sensorimotor training, interoceptive accuracy and pressure pain perception and another showing that accumulated sensorimotor training independently elevates pain thresholds. By differentiating between pain modalities, the findings contribute to resolving previous contradictory results, refine our insights into interoception in healthy populations and inform about potential clinical interventions.</p>\n </section>\n </div>","PeriodicalId":12021,"journal":{"name":"European Journal of Pain","volume":"29 5","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ejp.70012","citationCount":"0","resultStr":"{\"title\":\"Association Between Interoceptive Accuracy and Pain Perception: Insights From Trained Musicians and Athletes\",\"authors\":\"Boris Kleber,&nbsp;Carol Sitges,&nbsp;Elvira Brattico,&nbsp;Peter Vuust,&nbsp;Anna M. Zamorano\",\"doi\":\"10.1002/ejp.70012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>The integration of concurrent endogenous and exogenous multisensory information throughout years of dedicated sensorimotor training is associated with enhanced interoceptive accuracy and altered pain perception in healthy individuals. However, this relationship remains inconclusive, with outcomes varying by training modality and pain stimulus. This study examines associations between distinct forms of sensorimotor training, interoception and pain perception.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Two groups of individuals performing extensive sensorimotor training, 17 musicians and 15 athletes, and 14 non-musicians/athletes were recruited. Participants completed a cardiac interoceptive accuracy (IAcc) task and quantitative sensory tests, including mechanical and electrical detection thresholds (MDTs and EDTs), pressure and heat pain thresholds (PPTs and HPTs), as well as music-related perceptual discrimination and self-reported physical activity assessments.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Results revealed superior IAcc and PPTs in athletes compared to controls. Musicians exhibited increased heat pain sensitivity. While IAcc in musicians did not reach significance, training duration significantly predicted IAcc across both groups. PPTs correlated positively with both IAcc and accumulated training, but mediation analyses revealed that training effects on PPTs occurred independently of IAcc, suggesting distinct pathways for interoception and pain modulation. Additionally, physical activity levels correlated positively with both IAcc and PPTs across participants.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>These findings support the emerging view that individuals engaging in sensorimotor training routines, which require embodied multisensory integration for optimal performance, enhance interoceptive accuracy. They also confirm that pain processing varies by training modality. Furthermore, they suggest that the type of acute pain stimulus may explain inconsistencies in the interoception–pain relationship in healthy populations.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Significance Statement</h3>\\n \\n <p>This study advances our understanding of the interoception–pain-training nexus by revealing two distinct pathways: one linking sensorimotor training, interoceptive accuracy and pressure pain perception and another showing that accumulated sensorimotor training independently elevates pain thresholds. By differentiating between pain modalities, the findings contribute to resolving previous contradictory results, refine our insights into interoception in healthy populations and inform about potential clinical interventions.</p>\\n </section>\\n </div>\",\"PeriodicalId\":12021,\"journal\":{\"name\":\"European Journal of Pain\",\"volume\":\"29 5\",\"pages\":\"\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ejp.70012\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Pain\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/ejp.70012\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Pain","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ejp.70012","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

背景:在多年的感觉运动训练中,同时整合内源性和外源性多感觉信息与健康个体内感受准确性的提高和疼痛感知的改变有关。然而,这种关系仍然是不确定的,结果因训练方式和疼痛刺激而异。本研究探讨了不同形式的感觉运动训练、内感受和痛觉之间的联系。方法招募两组进行广泛感觉运动训练的个体,音乐家组17人,运动员组15人,非音乐家/运动员组14人。参与者完成了心脏内感受准确性(IAcc)任务和定量感觉测试,包括机械和电检测阈值(MDTs和EDTs),压力和热痛阈值(PPTs和HPTs),以及与音乐相关的感知辨别和自我报告的身体活动评估。结果结果显示,与对照组相比,运动员的IAcc和PPTs水平更高。音乐家表现出更高的热痛敏感性。虽然音乐家的IAcc没有达到显著性,但训练时间显著预测了两组的IAcc。PPTs与IAcc和累积训练均呈正相关,但中介分析显示,训练对PPTs的影响独立于IAcc发生,表明内感受和疼痛调节的途径不同。此外,身体活动水平与参与者的IAcc和PPTs呈正相关。结论:这些发现支持了一个新兴的观点,即个体参与感觉运动训练,需要体现的多感觉整合以获得最佳表现,提高内感受的准确性。他们还证实,疼痛处理因训练方式而异。此外,他们认为急性疼痛刺激的类型可能解释了健康人群中内感受-疼痛关系的不一致性。本研究通过揭示两种不同的通路促进了我们对内感受-疼痛-训练联系的理解:一种连接感觉运动训练、内感受准确性和压力疼痛感知,另一种表明累积的感觉运动训练独立地提高了疼痛阈值。通过区分疼痛模式,这些发现有助于解决之前相互矛盾的结果,完善我们对健康人群内感受的见解,并为潜在的临床干预提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Association Between Interoceptive Accuracy and Pain Perception: Insights From Trained Musicians and Athletes

Association Between Interoceptive Accuracy and Pain Perception: Insights From Trained Musicians and Athletes

Background

The integration of concurrent endogenous and exogenous multisensory information throughout years of dedicated sensorimotor training is associated with enhanced interoceptive accuracy and altered pain perception in healthy individuals. However, this relationship remains inconclusive, with outcomes varying by training modality and pain stimulus. This study examines associations between distinct forms of sensorimotor training, interoception and pain perception.

Methods

Two groups of individuals performing extensive sensorimotor training, 17 musicians and 15 athletes, and 14 non-musicians/athletes were recruited. Participants completed a cardiac interoceptive accuracy (IAcc) task and quantitative sensory tests, including mechanical and electrical detection thresholds (MDTs and EDTs), pressure and heat pain thresholds (PPTs and HPTs), as well as music-related perceptual discrimination and self-reported physical activity assessments.

Results

Results revealed superior IAcc and PPTs in athletes compared to controls. Musicians exhibited increased heat pain sensitivity. While IAcc in musicians did not reach significance, training duration significantly predicted IAcc across both groups. PPTs correlated positively with both IAcc and accumulated training, but mediation analyses revealed that training effects on PPTs occurred independently of IAcc, suggesting distinct pathways for interoception and pain modulation. Additionally, physical activity levels correlated positively with both IAcc and PPTs across participants.

Conclusions

These findings support the emerging view that individuals engaging in sensorimotor training routines, which require embodied multisensory integration for optimal performance, enhance interoceptive accuracy. They also confirm that pain processing varies by training modality. Furthermore, they suggest that the type of acute pain stimulus may explain inconsistencies in the interoception–pain relationship in healthy populations.

Significance Statement

This study advances our understanding of the interoception–pain-training nexus by revealing two distinct pathways: one linking sensorimotor training, interoceptive accuracy and pressure pain perception and another showing that accumulated sensorimotor training independently elevates pain thresholds. By differentiating between pain modalities, the findings contribute to resolving previous contradictory results, refine our insights into interoception in healthy populations and inform about potential clinical interventions.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
European Journal of Pain
European Journal of Pain 医学-临床神经学
CiteScore
7.50
自引率
5.60%
发文量
163
审稿时长
4-8 weeks
期刊介绍: European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信