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Clinical Trial
Experimental Sleep Restriction Facilitates Pain and Electrically Induced Cortical Responses.
- Dagfinn Matre, Li Hu, Leif A Viken, Ingri B Hjelle, Monica Wigemyr, Stein Knardahl, Trond Sand, and Kristian Bernhard Nilsen.
- National Institute of Occupational Health, Department of Work Psychology and Physiology, Oslo, Norway.
- Sleep. 2015 Oct 1; 38 (10): 1607-17.
Study ObjectivesSleep restriction (SR) has been hypothesized to sensitize the pain system. The current study determined whether experimental sleep restriction had an effect on experimentally induced pain and pain-elicited electroencephalographic (EEG) responses.DesignA paired crossover study.InterventionPain testing was performed after 2 nights of 50% SR and after 2 nights with habitual sleep (HS).SettingLaboratory experiment at research center.ParticipantsSelf-reported healthy volunteers (n = 21, age range: 18-31 y).Measurements And ResultsBrief high-density electrical stimuli to the forearm skin produced pinprick-like pain. Subjective pain ratings increased after SR, but only in response to the highest stimulus intensity (P = 0.018). SR increased the magnitude of the pain-elicited EEG response analyzed in the time-frequency domain (P = 0.021). Habituation across blocks did not differ between HS and SR. Event-related desynchronization (ERD) was reduced after SR (P = 0.039). Pressure pain threshold of the trapezius muscle region also decreased after SR (P = 0.017).ConclusionSleep restriction (SR) increased the sensitivity to pressure pain and to electrically induced pain of moderate, but not low, intensity. The increased electrical pain could not be explained by a difference in habituation. Increased response magnitude is possibly related to reduced processing within the somatosensory cortex after partial SR.© 2015 Associated Professional Sleep Societies, LLC.
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