PMID- 17621355 OWN - NLM STAT- MEDLINE DCOM- 20071130 LR - 20101118 IS - 0148-639X (Print) IS - 0148-639X (Linking) VI - 36 IP - 4 DP - 2007 Oct TI - Transient decrease of sensory perception after thermoalgesic stimuli for quantitative sensory testing. PG - 466-70 AB - Transient decrease in the excitability of a reflex circuit following its activation by appropriate stimuli is a well-recognized phenomenon, but it is unclear how this applies to thermoalgesic stimuli during quantitative sensory testing (QST). We examined the effects induced by a thermoalgesic (conditioning) stimulus on the response to a subsequent (test) stimulus of the same characteristics. All tests were done using a Peltier thermode with a surface area of 12.5 cm(2) using ramp rates of 2 degrees C/s and variable interstimulus intervals (ISIs) ranging from 10 to 60 s. Perception was measured with an electronic visual analog scale. No changes were observed in latency of pain perception. However, latency of warm perception was significantly delayed and pain perception intensity was significantly reduced with respect to conditioning stimuli at ISIs below 60 s. Our results indicate a transient saturation of warm and heat pain perception systems after a thermoalgesic stimulus. We therefore recommend that time intervals of >1 min be used between two consecutive thermoalgesic stimuli when examining QST. FAU - Schestatsky, Pedro AU - Schestatsky P AD - Department of Neurology, Hospital Clinic, Universitat de Barcelona, Villarroel 170, Barcelona, Spain. FAU - Algaba, Rebeca AU - Algaba R FAU - Perez, Daniel AU - Perez D FAU - Casanova-Molla, Jordi AU - Casanova-Molla J FAU - Leon, Lucia AU - Leon L FAU - Costa, Joao AU - Costa J FAU - Valls-Sole, Josep AU - Valls-Sole J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 SB - IM MH - Adult MH - Female MH - Humans MH - Male MH - Pain Measurement/methods MH - Physical Stimulation/methods MH - Reaction Time/physiology/radiation effects MH - Sensory Thresholds/*physiology MH - *Temperature MH - Thermosensing/*physiology EDAT- 2007/07/11 09:00 MHDA- 2007/12/06 09:00 CRDT- 2007/07/11 09:00 PHST- 2007/07/11 09:00 [pubmed] PHST- 2007/12/06 09:00 [medline] PHST- 2007/07/11 09:00 [entrez] AID - 10.1002/mus.20837 [doi] PST - ppublish SO - Muscle Nerve. 2007 Oct;36(4):466-70. doi: 10.1002/mus.20837.