Balgrist University Hospital
Zurich, Canton of Zurich, 8008, Switzerland
NCT Number: NCT06667895
In this study, we want to investigate how pain processing and sensation are related to a certain part of the nervous system, the so-called autonomic nervous system.
For this purpose, we apply heat and pressure stimuli to the skin and test pain processing by means of ratings scales and sensory tests. Breathing, heart rate and sweat response are also measured. To assess the spinal cord level, we measure muscle response (measured by electromyography, EMG) to electrical stimulation. Additionally, sensory nerves will be stimulated at the ear and participants will also be given various questionnaires to complete.
Trial opening soon.
Get Notified18 year–40 year
All sexes
Interventional
Not applicable
Zurich, Canton of Zurich, 8008, Switzerland
This study investigates the effects of autonomic regulation on pain perception and experimentally induced pain sensitivity. Participants come for one or two study visits, that will last approximately 3 hours. The study is divided into two phases: the pilot phase and the main experimental phase.
During the pilot phase, the perception of pressure and heat stimuli, as well as spinal excitability, will be assessed before and during different types of electrical stimulation of sensory nerves at the outer ear.
During the main experimental phase, skin sensitivity and spinal excitability will be assessed before and after repetitive heat stimulation and stimulation of sensory nerves at the outer ear.
In both study phases, the activity of the autonomic nervous system will be assessed throughout the experiment, and questionnaires will be completed.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Electrical stimulation will be delivered in bursts during expiration
Electrical stimulation will be delivered in bursts at random timepoints during the breathing cycle
Electrical stimulation will be delivered continuously for 30sec followed by a 30sec break.
Electrical stimulation will be identical to the taVNS, but the electrodes will be placed at a different position on the ear
Time frame: Before, during, and/or immediately after the intervention
Muscle responses of the biceps fermoris to an electrical stimulation of the sural nerve will be measured using an electromyogramm
Time frame: Before and 20 min after the intervention
Von Frey filaments will be used to assess the spatial extent of experimentally induced hyperalgesia
Time frame: Before, during, and/or immediately after the intervention
Pressure will be applied over the thenar eminance of the hand until the participant reports a painful sensation
Time frame: Before, during, and/or immediately after the intervention
Perceived intensity and unpleasantness of heat stimuli will be assessed using rating scales. The intensity rating scale ranges from 0, indicating no perception, to 100, indicating the pain threshold, and up to 200, indicating the most tolerable pain. The unpleasantness rating scale ranges from -100 for 'extremely unpleasant,' through 0 for 'neutral,' to 100 for 'extremely pleasant.
Time frame: Before, during, and up to 2 min after the intervention.
The activity of the autonomic nervous system will be measures using electrocardiogramm and galvanic skin response
Contact information is provided by the study sponsor or research team.
Madeleine Hau
CONTACT
Petra Schweinhardt, PhD, M Chiro Med
CONTACT
Schweinhardt Petra
Other
Influences of the Autonomic Nervous System on Experimental Pain Sensitization
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