PMID- 19679505 OWN - NLM STAT- MEDLINE DCOM- 20100415 LR - 20100203 IS - 1532-2769 (Electronic) IS - 1356-689X (Linking) VI - 15 IP - 1 DP - 2010 Feb TI - Exercise-induced mechanical hypoalgesia in musculotendinous tissues of the lateral elbow. PG - 66-73 LID - 10.1016/j.math.2009.07.002 [doi] AB - The aim of this study was to investigate mechanical sensitivity responses at the lateral elbow to repeated weekly bouts of low load exercise in healthy subjects. Thirteen young men (n=6) and women participated in 4 weeks of exercise. Arms were randomly allocated to an eccentric-only exercise protocol (ECC: 5 sets of 20 contractions) or to a concentric-eccentric protocol (CON-ECC: 5 sets of 10 eccentric/10 concentric contractions) performed at 30% maximal wrist extension force. Arms were exercised consecutively within each supervised weekly session. Quantitative measures of pressure pain threshold (PPT) recorded at three sites and maximal force for grip and wrist extension were assessed at baseline, and immediately pre/post exercise at each session. Muscle endurance during 100 maximal grip contractions force was assessed at baseline and one week following the final exercise session. Results showed that regardless of protocol, repeated low load exercise resulted in a time-dependent increase in PPT at all sites post exercise Weeks 3 and 4 and persisting at follow up Week 5 (P<0.02). No significant difference between protocols was evident for any measure. Muscle force and endurance were not significantly augmented compared with baseline. In conclusion mechanical hypoalgesia is induced by repeated low load exercises regardless of exercise mode, and this may prove beneficial if replicated clinically. FAU - Slater, Helen AU - Slater H AD - School of Physiotherapy, Curtin University of Technology, GPO Box U1987, Perth 6845, Australia. h.slater@curtin.edu.au FAU - Theriault, Eric AU - Theriault E FAU - Ronningen, Bent Ove AU - Ronningen BO FAU - Clark, Richard AU - Clark R FAU - Nosaka, Kazunori AU - Nosaka K LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20090812 PL - Scotland TA - Man Ther JT - Manual therapy JID - 9610924 SB - IM MH - Adult MH - Analysis of Variance MH - *Elbow/physiology MH - Female MH - Hand Strength MH - Humans MH - Hyperalgesia/diagnosis/*etiology MH - Male MH - Muscle Strength Dynamometer MH - Pain/diagnosis/etiology MH - Pain Threshold MH - Physical Endurance MH - Range of Motion, Articular MH - Resistance Training/adverse effects/methods MH - Tennis Elbow/etiology/*rehabilitation MH - Time Factors EDAT- 2009/08/15 09:00 MHDA- 2010/04/16 06:00 CRDT- 2009/08/15 09:00 PHST- 2008/12/24 00:00 [received] PHST- 2009/06/25 00:00 [revised] PHST- 2009/07/10 00:00 [accepted] PHST- 2009/08/15 09:00 [entrez] PHST- 2009/08/15 09:00 [pubmed] PHST- 2010/04/16 06:00 [medline] AID - S1356-689X(09)00124-6 [pii] AID - 10.1016/j.math.2009.07.002 [doi] PST - ppublish SO - Man Ther. 2010 Feb;15(1):66-73. doi: 10.1016/j.math.2009.07.002. Epub 2009 Aug 12.