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European Journal of Pain
Article
License: publisher-specific, author manuscript
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European Journal of Pain
Article . 2016 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
ACU Research Bank
Article . 2016
Data sources: ACU Research Bank
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Location, location, location: Variation in sensitivity to pain across the body

Authors: Tracy, Lincoln M.; Georgiou-Karistianis, Nellie; Gibson, Stephen J.; Giummarra, Melita J.;

Location, location, location: Variation in sensitivity to pain across the body

Abstract

AbstractBackgroundThere is evidence that sensitivity to noxious stimuli differs between the sexes and across the body, but few studies have investigated differences in the perception and experience of acute pain stimuli across the body in healthy individuals.MethodsWe recruited 52 healthy participants, aged 18–36 (50% men) and administered 39, 42 and 45 °C stimuli at four body sites bilaterally to examine differences in the experience of pain intensity and unpleasantness between body sites via an 11‐point numerical rating scale.ResultsNoxious and innocuous thermal heat stimuli were perceived as significantly more intense when delivered to the wrist (M = 3.98, SD = 1.93) and back (M = 4.07, SD = 1.98) compared to the shoulder (M = 3.45, SD = 1.91) and leg (M = 3.46, SD = 1.87). Pain unpleasantness ratings yielded similar findings; stimuli were perceived as more unpleasant when administered to the wrist (M = 2.83, SD = 1.93) and lower back (M = 3.04, SD = 2.11) compared to the shoulder (M = 2.63, SD = 1.85) and leg (M = 2.26, SD = 1.82).ConclusionsThese findings suggest that painful thermal stimuli delivered to the wrist and back are perceived as more intense and unpleasant compared with other body sites in healthy persons. These differences may be due to variations in receptor density, or the relative importance of these sites for daily living and survival.SignificanceMoreover, these insights are helpful for the design of studies investigating pain experience in healthy persons in experimental or clinical settings.What does this study add? We tested sensitivity to acute suprathreshold thermal stimulations across a range of body sites to investigate for potential variability. We found significant differences in the perceived intensity and unpleasantness of noxious and innocuous thermal stimuli at the wrist and lower back, compared with the shoulder and leg. These results suggest that pain experience is driven by receptor density or the relative functional importance of these sites.

Country
Australia
Keywords

Adult, Male, Pain Threshold, Back, Leg, Shoulder, Hot Temperature, 150, 610, Pain, Pain Perception, Wrist, Young Adult, Humans, Female, Pain Measurement

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
9
Top 10%
Average
Top 10%
hybrid