PMID- 24040974 OWN - NLM STAT- MEDLINE DCOM- 20140501 LR - 20210112 IS - 1872-6623 (Electronic) IS - 0304-3959 (Linking) VI - 154 IP - 10 DP - 2013 Oct TI - Modulation of the human nociceptive flexion reflex by pleasant and unpleasant odors. PG - 2054-2059 LID - 10.1016/j.pain.2013.06.032 [doi] AB - The nociceptive withdrawal reflex (NWR), a defensive response that allows withdrawal from a noxious stimulus, is a reliable index of spinal nociception in humans. It has been shown that various kinds of stimuli (emotional, visual, auditory) can modulate the transmission and perception of pain. The aim of the present study was to evaluate, by means of the NWR, the modulatory effect on the spinal circuitry of olfactory stimuli with different emotional valence. The magnitude of the NWR elicited by electrical stimulation of the sural nerve was measured while 18 subjects (9 women, 9 men) smelled pleasant, unpleasant, or neutral odors. The NWR was conditioned by odor probe with interstimulus intervals (ISIs) of 500 ms and 1,500 ms. The magnitude of NWR was significantly greater after the unpleasant odor probe (P <.001) and reduced following the pleasant odor probe (P<.001) at both ISIs. A significant effect of olfactory stimuli on subjective pain ratings were found at both ISIs for pleasant vs unpleasant odors (P<.000), and for both pleasant and unpleasant odors vs neutral and basal conditions (P<.000). No statistical differences in subjective pain ratings at different ISIs were found. Consistent with the notion that NWR magnitude and pain perception can be modulated by stimuli with different emotional valence, these results show that olfactory stimuli, too, can modulate spinal nociception in humans. CI - Copyright (c) 2013 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved. FAU - Bartolo, Michelangelo AU - Bartolo M AD - NeuroRehabilitation Unit, IRCCS Neurological Mediterranean Institute NEUROMED, Pozzilli, Isernia, Italy University Center for Adaptive Disorders and Head pain (UCADH), Pavia, Italy Neurorehabilitation Unit, "Sapienza" University of Rome Polo Pontino, Latina, Italy Rehabilitation Center, Policlinico Italia, Rome, Italy Laboratory of Nociceptive Psychophysiology, Casimiro Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy Center of Audiology and Hearing Rehabilitation, Tbilisi, Georgia Tbilisi State Medical University, Tbilisi, Georgia IRCCS Neurological Mediterranean Institute NEUROMED, Pozzilli, Isernia, Italy Fondazione Don Gnocchi, Milan, Italy Headache Science Center, Casimiro Mondino National Institute of Neurology Foundation, IRCCS, Pavia, Italy Department of Public Health, Neuroscience, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy. FAU - Serrao, Mariano AU - Serrao M FAU - Gamgebeli, Zurab AU - Gamgebeli Z FAU - Alpaidze, Marina AU - Alpaidze M FAU - Perrotta, Armando AU - Perrotta A FAU - Padua, Luca AU - Padua L FAU - Pierelli, Francesco AU - Pierelli F FAU - Nappi, Giuseppe AU - Nappi G FAU - Sandrini, Giorgio AU - Sandrini G LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Pain JT - Pain JID - 7508686 SB - IM MH - Adult MH - Conditioning, Psychological/physiology MH - Electric Stimulation/methods MH - Emotions/*physiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Odorants MH - Pain/*prevention & control/psychology MH - Pain Measurement/*methods/psychology MH - Pleasure/physiology MH - Smell/*physiology MH - Young Adult OTO - NOTNLM OT - Nociception OT - Nociceptive withdrawal reflex OT - Odor olfactory stimulation OT - Olfactory EDAT- 2013/09/18 06:00 MHDA- 2014/05/03 06:00 CRDT- 2013/09/18 06:00 PHST- 2013/01/17 00:00 [received] PHST- 2013/06/01 00:00 [revised] PHST- 2013/06/17 00:00 [accepted] PHST- 2013/09/18 06:00 [entrez] PHST- 2013/09/18 06:00 [pubmed] PHST- 2014/05/03 06:00 [medline] AID - 00006396-201310000-00023 [pii] AID - 10.1016/j.pain.2013.06.032 [doi] PST - ppublish SO - Pain. 2013 Oct;154(10):2054-2059. doi: 10.1016/j.pain.2013.06.032.