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Cited by 18Endometriosis Research and TreatmentMusculoskeletal pain and rehabilitationPain Mechanisms and Treatments

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Strength Exercise Has Different Effects on Pressure Pain Thresholds in Women with Endometriosis-Related Symptoms and Healthy Controls: A Quasi-experimental Study

Poli-Neto, Omero Benedicto, Oliveira, Arthur Marques Zecchin, Salata, Mariana Cecchi, Cesar Rosa-e-Silva, Julio, Machado, Dalmo Roberto Lopes, Candido-dos-Reis, Francisco Jose, Nogueira, Antonio Alberto·2020·Pain Medicine
DOI 10.1093/pm/pnz310
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Abstract

Objective: To evaluate the influence of strength exercises on remote pain sensitivity in women with endometriosis-related symptoms. Design: A quasi-experimental study. Setting: University Hospital, a tertiary health unit. Subjects: Twenty-one women with endometriosis-related symptoms and 21 healthy women provided written informed consent. Methods: The participants performed weekly exercise sessions on an extensor chair for four consecutive weeks. An electronic algometer was used to measure the pressure pain thresholds on the nondominant forearm. Heart rate and blood pressure were measured using a digital device. All measurements were taken before, immediately after, and 10 and 20 minutes after the exercise series. Results: Women with endometriosis-related symptoms had lower pain thresholds. Pressure pain thresholds increased immediately after exercise in healthy women, returning to baseline level 20 minutes after exercise. Women with endometriosis-related symptoms did not present significant pressure pain threshold alterations after exercise. However, they had a higher heart rate and systolic, diastolic, and average blood pressure than healthy women at all the timepoints. There were no consistent correlations between pressure pain thresholds and heart rate or blood pressure. Conclusions: The strength exercise regimen used in this study increased pain thresholds in healthy women but not in women with endometriosis-related painful symptoms. The maintenance or even worsening of pain perception after exercise in women with persistent pain, such as those with endometriosis, may limit their adherence to a physical training program, which in turn could prevent them from experiencing the long-term beneficial effects of exercise.

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Metadata

Authors
Poli-Neto, O. B., Oliveira, A. M. Z., Salata, M. C., Cesar Rosa-e-Silva, J., Machado, D. R. L., Candido-dos-Reis, F. J., & Nogueira, A. A.
Affiliations
  • Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Universidade de São Paulo (BR)
ORCID
Venue
Pain Medicine
Publisher
Oxford University Press (OUP)
Published
2020-03-13
Volume
21
Issue
10
Pages
2280-2287
ISSN
  • 1526-2375 (ISSN-L)
  • 1526-4637
DOI
10.1093/pm/pnz310
OpenAlex
W2992396156
Cited by
18
References
4
Citations by year
2026: 3 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 5 · 2021: 2
FWCI
1.67
Type
journal article
Language
en
Open access
closed
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • Pain Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Council for Scientific and Technological Development
  • Foundation for Support to Teaching, Research and Assistance
  • University Hospital of Ribeirão Preto Medical School
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Keywords
endometriosis, resistance training, pressure pain threshold, exercise-induced pain, heart rate, blood pressure, exercise adherence, chronic pain, women
MeSH terms
Endometriosis, Female, Humans, Pain, Pain Measurement, Exercise, Pain Threshold

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