PMID- 23640243 OWN - NLM STAT- MEDLINE DCOM- 20140303 LR - 20190109 IS - 1532-8651 (Electronic) IS - 1098-7339 (Linking) VI - 38 IP - 4 DP - 2013 Jul-Aug TI - Exercise training attenuates postoperative pain and expression of cytokines and N-methyl-D-aspartate receptor subunit 1 in rats. PG - 282-8 LID - 10.1097/AAP.0b013e31828df3f9 [doi] AB - BACKGROUND: Exercise creates a variety of psychophysical effects, including altered pain perception. We investigated whether physical exercise reduces postincisional pain and cytokine and N-methyl-D-aspartate receptor 1 (NR1) expression in a rat model of skin/muscle incision and retraction (SMIR)-evoked pain. METHODS: Male Sprague-Dawley rats were divided randomly into 4 groups: sham operated, SMIR-sedentary (SS), SMIR-exercise, and sham operated-exercise. On postoperative day 8, trained rats started to run on a treadmill 55 min/d with an intensity of 18 meter/minute (m/min), 5 days per week for 4 weeks. NR1, tumor necrosis factor alpha (TNF-alpha), and interleukin 6 (IL-6) expressions in the spinal cord as well as mechanical hypersensitivity following SMIR surgery were assessed for 6 to 35 days. RESULTS: On postoperative day 6, SMIR-sedentary rats exhibited a marked hypersensitivity to von Frey stimuli. By contrast, SMIR-operated rats undergoing exercise demonstrated a quick recovery of mechanical hypersensitivity. The levels of TNF-alpha, IL-6, and NR1 in the spinal cord were significantly increased in SS rats when compared with sham-operated rats on postoperative days 6, 21, and 35 after SMIR surgery. After the 4-week exercise intervention, the SMIR-exercise group showed lower NR1, TNF-alpha, and IL-6 expression in the spinal cord than those in the SS group. CONCLUSIONS: These results suggest that exercise training decreases persistent postsurgical pain caused by SMIR surgery. There appears to be a protective effect, probably relating to the decrease of NR1, TNF-alpha, and IL-6 expression in the spinal cord of SMIR rats, after exercise intervention. FAU - Chen, Yu-Wen AU - Chen YW AD - Department of Physical Therapy, China Medical University, Taichung, Taiwan. FAU - Lin, Min-Fei AU - Lin MF FAU - Chen, Yu-Chung AU - Chen YC FAU - Hung, Ching-Hsia AU - Hung CH FAU - Tzeng, Jann-Inn AU - Tzeng JI FAU - Wang, Jhi-Joung AU - Wang JJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Reg Anesth Pain Med JT - Regional anesthesia and pain medicine JID - 9804508 RN - 0 (Cytokines) RN - 0 (Interleukin-6) RN - 0 (NMDA receptor A1) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Cytokines/*metabolism MH - Disease Models, Animal MH - Down-Regulation MH - Interleukin-6/metabolism MH - Male MH - Pain Measurement MH - *Pain Perception MH - *Pain Threshold MH - Pain, Postoperative/metabolism/physiopathology/*prevention & control/psychology MH - *Physical Exertion MH - Rats MH - Rats, Sprague-Dawley MH - Receptors, N-Methyl-D-Aspartate/*metabolism MH - Running MH - Spinal Cord/*metabolism/physiopathology MH - Time Factors MH - Tumor Necrosis Factor-alpha/metabolism EDAT- 2013/05/04 06:00 MHDA- 2014/03/04 06:00 CRDT- 2013/05/04 06:00 PHST- 2013/05/04 06:00 [entrez] PHST- 2013/05/04 06:00 [pubmed] PHST- 2014/03/04 06:00 [medline] AID - 10.1097/AAP.0b013e31828df3f9 [doi] PST - ppublish SO - Reg Anesth Pain Med. 2013 Jul-Aug;38(4):282-8. doi: 10.1097/AAP.0b013e31828df3f9.