QST in Context With Conditioned Pain Modulation

Study Overview
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Brief Summary
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Conditioned Pain Modulation (CPM) is a phenomenon which isn't examined enough. Many factors of influence such as gender, age and psyche are already known - but the duration of such effects, their reliability and the correlation between standardized Quantitative Sensory Testing (QST) and CPM is still unknown. In this study the investigators expect to find parameters in QST that correlate with the efficacy of Conditioned Pain Modulation. Knowing factors that indicate high or low potential CPM could help finding patients-at-risk and adapting their therapy.

Detailed Description
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Conditioned Pain Modulation was firstly found in rats by electrical stimulation of their spinal cord and called Diffuse Noxious Inhibitory Controls. In humans such experimental settings are impossible. That is why we need two noxious stimuli for provoking such an endogenous pain inhibition. Before the CPM setting begins, we will investigate our 32 healthy probands by basic QST following the protocol of DFNS (German Research Network on Neuropathic Pain). This assessment helps us to create a sensory profile for every proband and to look for correlations between QST parameters and CPM efficacy. Then the CPM setting follows. In our experimental design we use a test stimulus (TS) on the dominant forearm by thermode (normally 45-47°C, depending on the pain rating, we need scores >NRS 60) and a conditioned stimulus (CS) on the other hand by cold water bath (10°C). Both stimuli must be rated on the numerical rating scale (NRS) 0-100 alone and in combination. A positive effect can be seen, if the difference between TS alone and TS in combination with CS is >0. To learn more about the duration of CPM effects we decided to repeat four QST parameters (cold detection threshold, warm detection threshold, mechanical detection threshold and mechanical pain threshold) within 30 minutes after finishing the CPM part to detect changes of time. The whole study design will be repeated 24-72h hours later to increase the test-retest-reliability.

Official Title
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Quantitative Sensory Testing in Context With Conditioned Pain Modulation (CPM)

Conditions
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Healthy

Intervention / Treatment
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* Procedure: Quantitative Sensory Testing
* Procedure: Conditioned Pain Modulation
* Procedure: Repetition of four QST parameters


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: healthy probands >18 years right-handedness informed consent no chronic pain no drugs (but oral contraceptives) no neurological diseases no psychiatric diseases Exclusion Criteria: no informed consent language deficits left-handedness not enough pain intensity by thermode or cold water bath psychiatric disease, neurological diseases other chronic disease chronic pain syndromes pregnancy or lactation permanent drug use, drug use in the last 14 days

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Healthy<br>26 healthy voluntary probands | Procedure: Quantitative Sensory Testing<br>* following the standardized protocol of DFNS<br>* Other names: QST;Procedure: Conditioned Pain Modulation<br>* test stimulus by hot thermode conditioned stimulus by cold water bath<br>* Other names: Diffuse Noxious Inhibitory Controls;Procedure: Repetition of four QST parameters<br>* warm detection threshold (WDT) cold detection threshold (CDT) mechanical detection threshold (MDT) mechanical pain threshold (MPT)<br>* Other names: Quantitative Sensory Testing;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Conditioned Pain Modulation, Quantitative Sensory Testing, duration, correlation