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Repeated buffered acidic saline infusion in the human masseter muscle as a putative experimental pain model

机译:作为假定的实验性疼痛模型在人体咬肌中重复缓冲酸性盐水注入

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摘要

This study investigated if repeated buffered acidic saline infusions into the masseter muscles induced muscle pain and mechanical sensitization. Fourteen healthy men participated in this double-blind, randomized, and placebo-controlled study. Two repeated infusions (day 1 and 3) were given in the masseter muscles with either a buffered acidic saline solution (pH 5.2) or an isotonic saline solution (pH 6) as control. After 10 days of wash-out, the experiment was repeated with the other substance. Pressure pain thresholds (PPT), pain intensity, maximum unassisted mouth opening (MUO), and pain drawings were assessed before, directly following, and after each infusion at 5, 15, and 30 min and on day 4 and 7. Fatigue and pain intensity were assessed after a one-minute chewing test 30 min after infusions and day 4 and 7. Acidic saline induced higher pain intensity than control day 3 up to 5 min after infusions, but did not affect PPT. The chewing test did not evoke higher fatigue during chewing or MUO or after acidic saline infusion compared to control. Repeated acidic saline infusions in the masseter muscles induced a short-lasting muscle pain without mechanical hyperalgesia or functional pain. Hence, this model might not be superior to already existing experimental muscle pain models.
机译:这项研究调查了是否在咬肌中反复注入缓冲的酸性盐水会引起肌肉疼痛和机械过敏。 14名健康男性参加了这项双盲,随机和安慰剂对照研究。以缓冲酸性盐溶液(pH 5.2)或等渗盐溶液(pH 6)作为对照,在咬肌中进行两次重复输注(第1天和第3天)。冲洗10天后,用另一种物质重复实验。在每次输注之前,之后和之后,第5、15和30分钟以及第4和7天,评估压力痛阈值(PPT),疼痛强度,最大无助张开口(MUO)和疼痛图。在输注后第30天和第4天和第7天进行一分钟的咀嚼测试后,评估其强度。酸性生理盐水在输注后直至5分钟前比对照第3天诱导更高的疼痛强度,但不影响PPT。与对照组相比,咀嚼试验在咀嚼或MUO或酸性盐水注入后未引起更高的疲劳感。在咬肌中反复注入酸性盐水可引起短暂的肌肉疼痛,而无机械性痛觉过敏或功能性疼痛。因此,该模型可能不会优于已经存在的实验性肌肉疼痛模型。

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