Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Convergence analysis of pain changes on brain wave and autonomic nervous system after intervention for delayed onset muscle soreness

지연성근육통 중재 후 통증의 변화가 뇌파와 자율신경계에 미치는 융합적 분석

  • Kim, Kyung-Yoon (Dept. of Physical Therapy, College of Health and Welfare, Dongshin University) ;
  • Bae, Seahyun (Dept. of Physical Therapy, College of Health and Welfare, Dongshin University)
  • Received : 2020.11.26
  • Accepted : 2021.02.20
  • Published : 2021.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to investigate the effect of changes in pain on the autonomic nervous system and brain waves after inducing delayed-onset muscle soreness(DOMS). Based on voluntary participation, 28 participants with induced-DOMS were randomly divided into control(non-treatment, n=14) and experiment groups(transcutaneous electrical nerve stimulation (TENS) and kinesio taping, n=14). Intervention was performed from first day to fifth days after the onset of DOMS. Measurements were performed using the Visual Analogue Scale(VAS), Heart Rate Variability(HRV), and brain wave before DOMS induction, 24 hours after, fifth day after, and eighth day after. According to the study results, when DOMS occurred, the activity of the sympathetic nervous system was increased or the activity of the parasympathetic nervous system was suppressed, and reduction of pain due to interventions showed the opposite activity. A decreased in alpha was seen during pain, but was not significant. These results will help develop and study pain management and treatment strategies.

본 연구의 목적은 지연성근육통의 통증 변화가 자율신경계와 뇌파에 미치는 영향을 알아보고자 하였다. 지연성 근육통이 유발된 28명을 대조군(n=14)과 실험군(경피신경자극과 키네시오테이핑 적용, n=14)으로 구분하였다. 중재는 지연성근육통 유발 1일 후부터 5일 동안 실시하였다. 평가는 VAS(visual analog scale), 심박변이, 뇌파를 사용하여 지연성근육통 유발 전, 유발 24시간 후, 5일 치료 후, 치료 중단 3일 후에 측정하였다. 실험 결과 지연성근육통이 발생하면 교감신경계의 활성 증가 또는 부교감신경계 활성 억제가 되며, 중재로 인한 통증 감소는 반대의 활동이 나타났다. 통증 발생 시 alpha파의 감소가 나타났으나 유의하지 않았다. 본 연구 결과 통증 변화는 자율신경계와 뇌파에 영향을 미침을 알 수 있었으며, 이러한 결과는 통증 관리와 치료 전략 개발 및 연구에 도움이 될 것이다.

Keywords

References

  1. K. Cheung, P. Hume & L. Maxwell. (2003). Delayed onset muscle soreness: Treatment strategies and performance factors. Sports Med, 33(2), 145-164. DOI: 10.2165/00007256-200333020-00005
  2. B. Vadasz et al. (2020). Improving characterization and diagnosis quality of myofascial pain syndrome: a systematic review of the clinical and biomarker overlap with delayed onset muscle soreness. Eur J Phys Rehabil Med 56(4), 469-478. DOI: 10.23736/S1973-9087.20.05820-7
  3. B. Sonkodi, I. Berkes & E. Koltai. (2020). Have we looked in the wrong direction for more than 100 years? delayed onset muscle soreness is, in fact, neural microdamage rather than muscle damage. Antioxidants 9(3), 212. DOI: 10.3390/antiox9030212
  4. P. M. Clarkson & M. J. Hubal. (2002). Exercise-induced muscle damage in humans. Am J Phys Med Rehabil, 81(11), S52-69. https://doi.org/10.1097/00002060-200211001-00007
  5. C. Kisner, L. A. Colby & J. Borstad. (2017). Therapeutic exercise: foundations and techniques. F.A. Davis.
  6. K. L. Sellwood, P. Brukner, D. Williams, A. Nicol & R. Hinman. (2007). Ice‐water immersion and delayed‐ onset muscle soreness: a randomised controlled trial. Br J Sports Med 41(6), 392-397. DOI: 10.1136/bjsm.2006.033985.
  7. D. A. J. Connolly, S. P. Sayers & M. P. McHugh. (2003). Treatment and prevention of delayed onset muscle soreness. J Strength Cond Res 17(1), 197-208. DOI: 10.1519/1533-4287(2003)017<0197:tapodo>2.0.co;2
  8. T. Halseth, J. W. McChesney, M. Debeliso, R. Vaughn & J. Lien. (2004). The effects of kinesioTM taping on proprioception at the ankle. J Sports Sci Med 3(1), 1-7.
  9. H. H. Host. (1995). Scapular taping in the treatment of anterior shoulder impingement. Phys Ther 75(9), 803-812. DOI: doi.org/10.1093/ptj/75.9.803
  10. C. G. T. Vance, D. L. Dailey, B. A. Rakel & K. A. Sluka. (2014). Using TENS for pain control: the state of the evidence. Pain Manag 4(3), 197-209. DOI: doi.org/10.2217/pmt.14.13
  11. S. Telles, S. K. Sharma, R. K. Gupta, A. K. Bhardwaj & A. Balkrishna. (2016). Heart rate variability in chronic low back pain patients randomized to yoga or standard care. BMC Complement Altern Med 16(1), 279. DOI: 10.1186/s12906-016-1271-1
  12. L. M. Tracy, L. Ioannou, K. S. Baker, S. J. Gibson, N. Georgiou-Karistianis & M. J. Giummarra. (2016). Meta-analytic evidence for decreased heart rate variability in chronic pain implicating parasympathetic nervous system dysregulation. Pain 157(1), 7-29. DOI: 10.1097/j.pain.0000000000000360
  13. A. Friedman et al. (2017). Chronic stress alters striosome-circuit dynamics, leading to aberrant decision-making. Cell 171(5), 1191-1205.e28. DOI: 10.1016/j.cell.2017.10.017
  14. D. G. Behm, K. M. Baker, R. Kelland & J. Lomond. (2001). The effect of muscle damage on strength and fatigue deficits. J Strength Cond Res 15(2), 255-263. DOI: 10.1519/00124278-200105000-00016
  15. J. H. Lee, B. C. Yoon, M. J. Jeon, K. H. Jung & M. H. Lee. (2005). The effects of low frequency transcutaneous electrical nerve dtimulation on delayed onset muscle soreness and muscle strength. Journal of KSSPT, 1(1), 31-37.
  16. Y. S. Lee, S. H. Bae, J. A. Hwang & K. Y. Kim. (2015). The effects of kinesio taping on architecture, strength and pain of muscles in delayed onset muscle soreness of biceps brachii. J Phys Ther Sci 27(2), 457-459. DOI: 10.1589/jpts.27.457
  17. S. H. Bae, Y. S. Lee, G. D. Kim & K. Y. Kim. (2014). The Effects of Kinesio-taping Applied to Delayed Onset Muscle Soreness on Changes in Pain. International Journal of Bio-Science and Bio-Technology 6(3), 133-142. https://doi.org/10.14257/ijbsbt.2014.6.3.16
  18. M. Yilmaz, H. Kayancicek & Y. Cekici. (2018). Heart rate variability: Highlights from hidden signals. J Integr Cardiol 4(5). DOI: 10.15761/JIC.1000258
  19. D. M. Hallman & E. Lyskov. (2012). Autonomic Regulation in Musculoskeletal Pain. In: Pain in Perspective. IntechOpen. 35-62. DOI: 10.5772/51086
  20. C. Stein, P. Dal Lago, J. B. Ferreira, K. R. Casali, R & D. M. Plentz. (2011). Transcutaneous electrical nerve stimulation at different frequencies on heart rate variability in healthy subjects. Autonomic Neuroscience 165(2), 205-208. DOI: 10.1016/j.autneu.2011.07.003
  21. L. K. McCorry. (2007). Physiology of the Autonomic Nervous System. Am J Pharm Educ 71(4), 78. DOI: 10.5688/aj710478
  22. T. Harmony et al. (1996) EEG delta activity: an indicator of attention to internal processing during performance of mental tasks. International Journal of Psychophysiology 24(1), 161-171. DOI: 10.1016/S0167-8760(96)00053-0
  23. M. Ploner, J. Gross, L. Timmermann, B. Pollok & A. Schnitzler. (2006). Pain suppresses spontaneous brain rhythms. Cereb Cortex 16(4), 537-540. DOI: 10.1093/cercor/bhj001
  24. N. Saithong, W. Poolpoem, P. Panavaranan, J. Saetang & Y. Wongsawat. (2012). EEG-Based Acute Pain Control System. In: Computer Aided Surgery. Tokyo : Springer. 101-112. DOI: 10.1007/978-4-431-54094-6_12