Impact of Experimental Tonic Pain on Corrective Motor Responses to Mechanical Perturbations

Movement is altered by pain, but the underlying mechanisms remain unclear. Assessing corrective muscle responses following mechanical perturbations can help clarify these underlying mechanisms, as these responses involve spinal (short-latency response, 20-50 ms), transcortical (long-latency response...

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Main Authors: Elodie Traverse, Clémentine Brun, Émilie Harnois, Catherine Mercier
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2020/8864407
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author Elodie Traverse
Clémentine Brun
Émilie Harnois
Catherine Mercier
author_facet Elodie Traverse
Clémentine Brun
Émilie Harnois
Catherine Mercier
author_sort Elodie Traverse
collection DOAJ
description Movement is altered by pain, but the underlying mechanisms remain unclear. Assessing corrective muscle responses following mechanical perturbations can help clarify these underlying mechanisms, as these responses involve spinal (short-latency response, 20-50 ms), transcortical (long-latency response, 50-100 ms), and cortical (early voluntary response, 100-150 ms) mechanisms. Pairing mechanical (proprioceptive) perturbations with different conditions of visual feedback can also offer insight into how pain impacts on sensorimotor integration. The general aim of this study was to examine the impact of experimental tonic pain on corrective muscle responses evoked by mechanical and/or visual perturbations in healthy adults. Two sessions (Pain (induced with capsaicin) and No pain) were performed using a robotic exoskeleton combined with a 2D virtual environment. Participants were instructed to maintain their index in a target despite the application of perturbations under four conditions of sensory feedback: (1) proprioceptive only, (2) visuoproprioceptive congruent, (3) visuoproprioceptive incongruent, and (4) visual only. Perturbations were induced in either flexion or extension, with an amplitude of 2 or 3 Nm. Surface electromyography was recorded from Biceps and Triceps muscles. Results demonstrated no significant effect of the type of sensory feedback on corrective muscle responses, no matter whether pain was present or not. When looking at the effect of pain on corrective responses across muscles, a significant interaction was found, but for the early voluntary responses only. These results suggest that the effect of cutaneous tonic pain on motor control arises mainly at the cortical (rather than spinal) level and that proprioception dominates vision for responses to perturbations, even in the presence of pain. The observation of a muscle-specific modulation using a cutaneous pain model highlights the fact that the impacts of pain on the motor system are not only driven by the need to unload structures from which the nociceptive signal is arising.
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spelling doaj-art-a9eec360529e47179ab807762a7b1c182025-02-03T05:52:43ZengWileyNeural Plasticity2090-59041687-54432020-01-01202010.1155/2020/88644078864407Impact of Experimental Tonic Pain on Corrective Motor Responses to Mechanical PerturbationsElodie Traverse0Clémentine Brun1Émilie Harnois2Catherine Mercier3Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, QC, CanadaCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, QC, CanadaCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, QC, CanadaCenter for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, QC, CanadaMovement is altered by pain, but the underlying mechanisms remain unclear. Assessing corrective muscle responses following mechanical perturbations can help clarify these underlying mechanisms, as these responses involve spinal (short-latency response, 20-50 ms), transcortical (long-latency response, 50-100 ms), and cortical (early voluntary response, 100-150 ms) mechanisms. Pairing mechanical (proprioceptive) perturbations with different conditions of visual feedback can also offer insight into how pain impacts on sensorimotor integration. The general aim of this study was to examine the impact of experimental tonic pain on corrective muscle responses evoked by mechanical and/or visual perturbations in healthy adults. Two sessions (Pain (induced with capsaicin) and No pain) were performed using a robotic exoskeleton combined with a 2D virtual environment. Participants were instructed to maintain their index in a target despite the application of perturbations under four conditions of sensory feedback: (1) proprioceptive only, (2) visuoproprioceptive congruent, (3) visuoproprioceptive incongruent, and (4) visual only. Perturbations were induced in either flexion or extension, with an amplitude of 2 or 3 Nm. Surface electromyography was recorded from Biceps and Triceps muscles. Results demonstrated no significant effect of the type of sensory feedback on corrective muscle responses, no matter whether pain was present or not. When looking at the effect of pain on corrective responses across muscles, a significant interaction was found, but for the early voluntary responses only. These results suggest that the effect of cutaneous tonic pain on motor control arises mainly at the cortical (rather than spinal) level and that proprioception dominates vision for responses to perturbations, even in the presence of pain. The observation of a muscle-specific modulation using a cutaneous pain model highlights the fact that the impacts of pain on the motor system are not only driven by the need to unload structures from which the nociceptive signal is arising.http://dx.doi.org/10.1155/2020/8864407
spellingShingle Elodie Traverse
Clémentine Brun
Émilie Harnois
Catherine Mercier
Impact of Experimental Tonic Pain on Corrective Motor Responses to Mechanical Perturbations
Neural Plasticity
title Impact of Experimental Tonic Pain on Corrective Motor Responses to Mechanical Perturbations
title_full Impact of Experimental Tonic Pain on Corrective Motor Responses to Mechanical Perturbations
title_fullStr Impact of Experimental Tonic Pain on Corrective Motor Responses to Mechanical Perturbations
title_full_unstemmed Impact of Experimental Tonic Pain on Corrective Motor Responses to Mechanical Perturbations
title_short Impact of Experimental Tonic Pain on Corrective Motor Responses to Mechanical Perturbations
title_sort impact of experimental tonic pain on corrective motor responses to mechanical perturbations
url http://dx.doi.org/10.1155/2020/8864407
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AT emilieharnois impactofexperimentaltonicpainoncorrectivemotorresponsestomechanicalperturbations
AT catherinemercier impactofexperimentaltonicpainoncorrectivemotorresponsestomechanicalperturbations