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2019, vol. 72, br. 3-4, str. 66-71
Procena uslovne modulacije bola izazvane korišćenjem kontaktne toplote kao uslovljavajućeg stimulusa i dva različita test stimulusa
aUniverzitet u Novom Sadu, Medicinski fakultet + Klinički centar Vojvodine, Klinika za medicinsku rehabilitaciju, Novi Sad
bUniverzitet u Novom Sadu, Medicinski fakultet

e-adresaaleksandar.knezevic@mf.uns.ac.rs
Ključne reči: merenje bola; bol; prag bola; zagrevanje; pritisak; uslovljavanje; nocicepcija; analgezija; leđni mišići
Sažetak
Uvod. Cilj ove studije bio je da se utvrdi potencijal i pouzdanost izazivanja efekta uslovne modulacije bola u zdravoj populaciji korišćenjem lokalno aplikovane toplote kao uslovljavajućeg stimulusa, a toplote i pritiska aplikovane na donji deo leđa kao test-stimulusa. Materijal i metode. Istraživanje je obuhvatilo 33 zdrava ispitanika (prosečne starosti 25,73 ± 5,35 godina). Kao test-stimulusi ispitivani su pragovi za bol za pritisak i toplotu na paravertebralnoj muskulaturi donjeg dela leđa. Kontaktna toplota je primenjena na kontralateralnoj podlaktici kao uslovljavajući stimulus. Uslovna modulacija bola izračunata je kao razlika između pragova bola nakon i pre primene stimulusa. Kako bi se procenila pouzdanost protokola, identično ispitivanje je sprovedeno nakon 14 ± 2 dana. Rezultati. Prag bola za pritisak i toplotu koji su dobijeni nakon uslovljavajućeg stimulusa bili su značajno viši u poređenju sa pragovima bola dobijenim pre primene ovog stimulusa (101,63 N/cm2 ± 45,21 N/cm2 vs 82,15 N/cm2 ± 36,15 N/cm2 , t = -7,528, p < 0,001 i 47,08o C ± 2,19o C vs 45 ± 3,05o C, t = -6,644, p < 0,001, respektivno). Procena pouzdanosti protokola, merena 14 ± 2 dana nakon inicijalnog ispitivanja pokazala je dobru pouzdanost za prag bola za pritisak (ICC = 0,636, 95% CI 0,240 ̶ 0,825) i osrednju za prag bola za toplo (ICC = 0,435, 95% CI -0,070 ̶ 0,713). Zaključak. Kontaktna toplota aplikovana preko termode pokazala se kao efikasan uslovljavajući stimulus jer je uspešno indukovala uslovnu modulaciju bola. Puzdanost ovog načina testiranja pokazala se kao osrednja kada je bio u pitanju prag bola za toplo, odnosno dobra kada je u pitanju bio prag bola za pritisak.
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O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.2298/MPNS1904066K
objavljen u SCIndeksu: 03.06.2020.