Immediate effects of isometric versus isotonic exercise on pain sensitivity and motor performance of ankle plantiflexor muscles
- Martín Pérez, Sebastian Eustaquio
- Martín Pérez, Isidro Miguel
- León Ramírez, Patricia
- Rodríguez-Pastrana Trujillo, Antonio José
- Cabrera Cabrera, Enrique
- Sánchez Romero, Eleuterio Atanasio
- Sosa Reina, María Dolores
- Alonso Pérez, José Luis
- Villafañe, Jorge Hugo
- Fernández Carnero, Josué
-
1
Universidad Europea de Madrid
info
-
2
Universidad Europea de Canarias
info
-
3
Universidad de La Laguna
info
- 4 IRCCS (Scientific Hospitaller and Care Institute) Fondazione Don Carlo Gnocchi
-
5
Universidad Rey Juan Carlos
info
ISSN: 2794-0586
Année de publication: 2022
Volumen: 2
Número: 1
Pages: 105-118
Type: Article
D'autres publications dans: Scientific Journal of Sport and Performance
Résumé
This study aimed to quantify the differences on pain sensitivity and motor performance ankle plantiflexor muscles after performing an isometric versus an isotonic exercise task. A parallel experimental trial was carried out at the European University of the Canary Islands. A total of 47 healthy volunteers were recruited and randomly assigned to a group receiving an isometric exercise (n = 23) and a group receiving an isotonic exercise (n = 24). Pain threshold to pressure was measured at four specific points of the triceps surae neurosensory territory in medial gastrocnemius, lateral gastrocnemius, Tendo Achilles osteotendinous unit and aponeurosis plantar insertion. Furthermore, the two-point discriminatory threshold of the osteotendinous junction of the Achilles tendon and maximum voluntary contraction for plantar flexion were assessed before and after the intervention. There were no statistically significant intergroup differences for any of the variables PPT-MG (U Mann Whitney = 25; [1.265-0.650], p = .527), PPT-LG (U Mann Whitney = 25; [1.325-0.945]; p = .527) y PPT-TA (U Mann Whitney = 25; [-1.465-0.405] p = .527), D2P (U Mann Whitney = 30.5, IC95% [-0.800-1.300], p = .630) and MVC-PF (U Mann Whitney = 26.5, IC95% [-8.400, 2.900], p = .386). Isometric exercise was the only one able to modify the PPT-AP before and after treatment in a statistically significant way. In contrast, isotonic exercise was the training that demonstrated clinically significant changes in 2PD and MVC-PF before and after treatment. No statistically significant changes were identified between both groups in any of the variables studied.
Information sur le financement
No funding agencies were reported by the authorsRéférences bibliographiques
- Almeida, C., Demaman, A., Kusuda, R., Cadetti, F., Ravanelli, M. I., Queiroz, A. L., Sousa, T. A., Zanon, S., Silveira, L. R., & Lucas, G. (2015). Exercise therapy normalizes BDNF upregulation and glial hyperactivity in a mouse model of neuropathic pain. Pain, 156(3). https://doi.org/10.1097/01.j.pain.0000460339.23976.12
- Antonaci F, Sand T, Lucas GA. Pressure algometry in healthy subjects: inter-examiner variability. Scand J Rehabil Med. 1998 Mar;30(1):3-8. https://doi.org/10.1080/003655098444255
- Breda, S. J., Oei, E. H. G., Zwerver, J., Visser, E., Waarsing, E., Krestin, G. P., & de Vos, R. J. (2021). Effectiveness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: A randomised clinical trial. British Journal of Sports Medicine, 55(9). https://doi.org/10.1136/bjsports-2020-103403
- Carraça, E. v., Encantado, J., Battista, F., Beaulieu, K., Blundell, J. E., Busetto, L., van Baak, M., Dicker, D., Ermolao, A., Farpour-Lambert, N., Pramono, A., Woodward, E., Bellicha, A., & Oppert, J. M. (2021). Effect of exercise training on psychological outcomes in adults with overweight or obesity: A systematic review and meta-analysis. Obesity Reviews, 22(S4). https://doi.org/10.1111/obr.13261
- Crombie, K. M., Brellenthin, A. G., Hillard, C. J., & Koltyn, K. F. (2018). Endocannabinoid and opioid system interactions in exercise-induced hypoalgesia. Pain Medicine (United States), 19(1). https://doi.org/10.1093/pm/pnx058
- Dellon, A. L., Mackinnon, S. E., & Crosby, P. M. D. (1987). Reliability of two-point discrimination measurements. Journal of Hand Surgery, 12(5). https://doi.org/10.1016/S0363-5023(87)80049-7
- Gatz, M., Betsch, M., Dirrichs, T., Schrading, S., Tingart, M., Michalik, R., & Quack, V. (2020). Eccentric and Isometric Exercises in Achilles Tendinopathy Evaluated by the VISA-A Score and Shear Wave Elastography. Sports Health, 12(4). https://doi.org/10.1177/1941738119893996
- Ishikawa, K., Kajiwara, Y., Sakamoto, J., Sasaki, R., Goto, K., Honda, Y., Kataoka, H., & Okita, M. (2019). Low-intensity muscle contraction exercise following the onset of arthritis improves hyperalgesia via reduction of joint inflammation and central sensitization in the spinal cord in a rat model. Neuroscience Letters, 706. https://doi.org/10.1016/j.neulet.2019.04.031
- Kanniappan, V., & Sathosh, A. M. (2020). To Compare the Effect of Eccentric Exercises and Isometric Exercises for Achilles Tendinitis in Skaters. Journal of Lifestyle Medicine, 10(1). https://doi.org/10.15280/jlm.2020.10.1.49
- Kelln, B. M., McKeon, P. O., Gontkof, L. M., & Hertel, J. (2008). Hand-held dynamometry: Reliability of lower extremity muscle testing in healthy, physically active, young adults. Journal of Sport Rehabilitation, 17(2). https://doi.org/10.1123/jsr.17.2.160
- Koltyn, K. F. (2002). Exercise-induced hypoalgesia and intensity of exercise. In Sports Medicine (Vol. 32, Issue 8). https://doi.org/10.2165/00007256-200232080-00001
- Lesnak, J. B., & Sluka, K. A. (2020). Mechanism of exercise-induced analgesia: what we can learn from physically active animals. In Pain Reports (Vol. 5, Issue 5). https://doi.org/10.1097/PR9.0000000000000850
- Levin, S., Pearsall, G., & Ruderman, R. J. (1978). Von Frey’s method of measuring pressure sensibility in the hand: An engineering analysis of the Weinstein-Semmes pressure aesthesiometer. Journal of Hand Surgery, 3(3). https://doi.org/10.1016/S0363-5023(78)80084-7
- Lim, H. Y., & Wong, S. H. (2018). Effects of isometric, eccentric, or heavy slow resistance exercises on pain and function in individuals with patellar tendinopathy: A systematic review. In Physiotherapy Research International (Vol. 23, Issue 4). https://doi.org/10.1002/pri.1721
- Lima, L. v., Abner, T. S. S., & Sluka, K. A. (2017). Does exercise increase or decrease pain? Central mechanisms underlying these two phenomena. Journal of Physiology, 595(13). https://doi.org/10.1113/jp273355
- Naugle, K. M., Fillingim, R. B., & Riley, J. L. (2012). A meta-analytic review of the hypoalgesic effects of exercise. In Journal of Pain (Vol. 13, Issue 12). https://doi.org/10.1016/j.jpain.2012.09.006
- Posadzki, P., Pieper, D., Bajpai, R., Makaruk, H., Könsgen, N., Neuhaus, A. L., & Semwal, M. (2020). Exercise/physical activity and health outcomes: an overview of Cochrane systematic reviews. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09855-3
- Rice, D., Nijs, J., Kosek, E., Wideman, T., Hasenbring, M. I., Koltyn, K., Graven-Nielsen, T., & Polli, A. (2019). Exercise-Induced Hypoalgesia in Pain-Free and Chronic Pain Populations: State of the Art and Future Directions. Journal of Pain, 20(11). https://doi.org/10.1016/j.jpain.2019.03.005
- Rio, E., van Ark, M., Docking, S., Moseley, G. L., Kidgell, D., Gaida, J. E., van den Akker-Scheek, I., Zwerver, J., & Cook, J. (2017). Isometric contractions are more analgesic than isotonic contractions for patellar tendon pain: An in-season randomized clinical trial. Clinical Journal of Sport Medicine, 27(3). https://doi.org/10.1097/JSM.0000000000000364
- Sluka, K. A., Frey-Law, L., & Bement, M. H. (2018). Exercise-induced pain and analgesia? Underlying mechanisms and clinical translation. In Pain (Vol. 159, Issue 1). https://doi.org/10.1097/j.pain.0000000000001235
- Stasinopoulos, D., & Manias, P. (2013). Comparing two eccentric exercise programmes for the management of Achilles tendinopathy. A pilot trial. Journal of Bodywork and Movement Therapies, 17(3). https://doi.org/10.1016/j.jbmt.2012.11.003
- Tour, J., Löfgren, M., Mannerkorpi, K., Gerdle, B., Larsson, A., Palstam, A., Bileviciute-Ljungar, I., Bjersing, J., Martin, I., Ernberg, M., Schalling, M., & Kosek, E. (2017). Gene-to-gene interactions regulate endogenous pain modulation in fibromyalgia patients and healthy controls-antagonistic effects between opioid and serotonin-related genes. Pain, 158(7). https://doi.org/10.1097/j.pain.0000000000000896
- van der Vlist, A. C., van Veldhoven, P. L. J., van Oosterom, R. F., Verhaar, J. A. N., & de Vos, R. J. (2020). Isometric exercises do not provide immediate pain relief in Achilles tendinopathy: A quasi-randomized clinical trial. Scandinavian Journal of Medicine and Science in Sports, 30(9). https://doi.org/10.1111/sms.13728
- Vang, C., & Niznik, A. (2021). The Effectiveness of Isometric Contractions Compared with Isotonic Contractions in Reducing Pain for In-Season Athletes with Patellar Tendinopathy. Journal of Sport Rehabilitation, 30(3). https://doi.org/10.1123/JSR.2019-0376