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2015 ; 473
(9
): 2936-47
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Whole-body Vibration at Thoracic Resonance Induces Sustained Pain and Widespread
Cervical Neuroinflammation in the Rat
#MMPMID25917423
Zeeman ME
; Kartha S
; Jaumard NV
; Baig HA
; Stablow AM
; Lee J
; Guarino BB
; Winkelstein BA
Clin Orthop Relat Res
2015[Sep]; 473
(9
): 2936-47
PMID25917423
show ga
BACKGROUND: Whole-body vibration (WBV) is associated with back and neck pain in
military personnel and civilians. However, the role of vibration frequency and
the physiological mechanisms involved in pain symptoms are unknown.
QUESTIONS/PURPOSES: This study asked the following questions: (1) What is the
resonance frequency of the rat spine for WBV along the spinal axis, and how does
frequency of WBV alter the extent of spinal compression/extension? (2) Does a
single WBV exposure at resonance induce pain that is sustained? (3) Does WBV at
resonance alter the protein kinase C epsilon (PKC?) response in the dorsal root
ganglia (DRG)? (4) Does WBV at resonance alter expression of calcitonin
gene-related peptide (CGRP) in the spinal dorsal horn? (5) Does WBV at resonance
alter the spinal neuroimmune responses that regulate pain? METHODS: Resonance of
the rat (410 ± 34 g, n = 9) was measured by imposing WBV at frequencies from 3 to
15 Hz. Separate groups (317 ± 20 g, n = 10/treatment) underwent WBV at resonance
(8 Hz) or at a nonresonant frequency (15 Hz). Behavioral sensitivity was assessed
throughout to measure pain, and PKC? in the DRG was quantified as well as spinal
CGRP, glial activation, and cytokine levels at Day 14. RESULTS:
Accelerometer-based thoracic transmissibility peaks at 8 Hz (1.86 ± 0.19) and 9
Hz (1.95 ± 0.19, mean difference [MD] 0.290 ± 0.266, p < 0.03), whereas the
video-based thoracic transmissibility peaks at 8 Hz (1.90 ± 0.27), 9 Hz (2.07 ±
0.20), and 10 Hz (1.80 ± 0.25, MD 0.359 ± 0.284, p < 0.01). WBV at 8 Hz produces
more cervical extension (0.745 ± 0.582 mm, MD 0.242 ± 0.214, p < 0.03) and
compression (0.870 ± 0.676 mm, MD 0.326 ± 0.261, p < 0.02) than 15 Hz (extension,
0.503 ± 0.279 mm; compression, 0.544 ± 0.400 mm). Pain is longer lasting (through
Day 14) and more robust (p < 0.01) after WBV at the resonant frequency (8 Hz)
compared with 15 Hz WBV. PKC? in the nociceptors of the DRG increases according
to the severity of WBV with greatest increases after 8 Hz WBV (p < 0.03).
However, spinal CGRP, cytokines, and glial activation are only evident after
painful WBV at resonance. CONCLUSIONS: WBV at resonance produces long-lasting
pain and widespread activation of a host of nociceptive and neuroimmune responses
as compared with WBV at a nonresonance condition. Based on this work, future
investigations into the temporal and regional neuroimmune response to resonant
WBV in both genders would be useful. CLINICAL RELEVANCE: Although WBV is a major
issue affecting the military population, there is little insight about its
mechanisms of injury and pain. The neuroimmune responses produced by WBV are
similar to other pain states, suggesting that pain from WBV may be mediated by
similar mechanisms as other neuropathic pain conditions. This mechanistic insight
suggests WBV-induced injury and pain may be tempered by antiinflammatory
intervention.