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bioRxiv · 10.1101/2022.09.30.510274

Reproducibility of spatial summation of pain effect during COVID-19 pandemic

Abstract

The purpose of this study was to reproduce the previously observed spatial summation of pain effect (SSp) using non-laboratory procedures and commercial equipment. An additional aim was to explore the association between expectations and SSp. The Cold Pressor Task (CPT) was used to induce SSp. Healthy participants (N=68) immersed their non-dominant hands (divided into 5 segments) into cold water (CPT). Two conditions were used 1) gradual hand immersion (ascending condition) and 2) gradual hand withdrawal (descending condition). Pain intensity was measured on a Visual Analogue Scale (VAS). Psychological factors, such as the participants expectations of pain intensity were also measured on a VAS. Results showed significant SSp (X2(4) = 116.90, p < 0.001), reproduced with non-laboratory equipment in a home-based set-up. Furthermore, two novel findings were observed: i) there was a significant correlation between expectations and perceived pain, indicating a link between pain expectations and SSp, ii) spatial summation increased with the increase in duration exposure to the noxious stimulus (Wald X2(8) = 80.80, p < 0.001). This study suggests that SSp is associated with pain expectations and can be formed by a mixture of excitatory and inhibitory mechanisms potentially driven by temporal characteristics of neural excitation. Moreover, this study proposes a new feasible way to induce SSp using a home-based set-up.

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BibTeXRIS

Nastaj, J., Skalski, J., Budzisz, A., Szikszay, T. M., Swoboda, S., Kowalska, W., Nowak, D., Zbroja, E., Kruszyna, N., Jakubinska, M., Grygny, D., Polczyk, R., Malecki, A., Luedtke, K., Adamczyk, W. M.. 2022-10-03. Reproducibility of spatial summation of pain effect during COVID-19 pandemic. https://doi.org/10.1101/2022.09.30.510274

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