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The influence of sex and pain catastrophizing on conditioned pain modulation in athletes


The influence of sex and pain catastrophizing on conditioned pain modulation in athletes

Patlan, Ilana (2023) The influence of sex and pain catastrophizing on conditioned pain modulation in athletes. Masters thesis, Concordia University.

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Context: Recent findings suggests that athletes have enhance pain modulatory systems compared to non-athletes, despite being constantly subjected to painful stimuli through training and competition. Measurements such as conditioned pain modulation (CPM) is one test that we can use to compare modulatory pain processes. CPM has been shown to be different in non-athlete males and females, but to our knowledge, no study has examined the sex differences in CPM in athletes. In addition, psychological factors, including pain catastrophizing, may explain why athletes perceive and express pain differently. Objective: To compare the sex differences in pain ratings, pressure pain threshold (PPT), and cardiovascular variables in athletes during a CPM protocol; and to determine influence of pain catastrophizing and other psychological factors with pain and cardiovascular variables recorded during a CPM protocol. Design: Cross-sectional design. Setting: Laboratory. Participants: 120 athletes (60 females) from various sports participated in this study. Main Outcome Measures: We measured catastrophizing using the Pain Catastrophizing Scale and pain using an 11-point numeric pain rating scale. CPM was measured using pressure pain threshold (PPT), which was measured on the thenar eminence and tibialis anterior before and after a cold pressor test (CPT). Results: During the CPT, participants experienced increases in subjective pain ratings, but pain intensity did not differ between males and females. We observed increases in PPT measures following the CPT in males and females, but males displayed higher PPT measures than females at pre- and post-CPT. In addition, we did not identify a relationship between any psychological factors and subjective pain ratings during the CPT. Conclusions: Our results suggest that psychological factors do not influence pain perception during a CPT and that male athletes present greater PPT measures than female athletes.

Divisions:Concordia University > Faculty of Arts and Science > Health, Kinesiology and Applied Physiology
Item Type:Thesis (Masters)
Authors:Patlan, Ilana
Institution:Concordia University
Degree Name:M. Sc.
Program:Health and Exercise Science
Date:29 March 2023
Thesis Supervisor(s):Dover, Geoffrey
Keywords:Conditioned pain modulation, athletes, pain catastrophizing, pressure pain threshold, cold pressor test, cardiovascular measures
ID Code:992036
Deposited By: Ilana Patlan
Deposited On:21 Jun 2023 14:53
Last Modified:21 Jun 2023 14:53


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