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The goal of this clinical trial is to investigate the effect of breathing on the processing of experimental pain in healthy participants. The main questions are:
Participants:
Researchers will compare the spatial extent of sensitivity resulting from application of heat stimuli during paced resonance frequency breathing compared to paced breathing at a natural frequency to see if the breathing rhythm influences central sensitization processes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy participants | Experimental | Participants should be aged 18-40, in good health, capable of informed consent, without major medical/psychiatric conditions (e.g., heart disease, diabetes, autoimmune disorders, infectious diseases, major depressive disorder), chronic pain, respiratory issues, or ongoing acute pain, qualify. Exclusions: inability to follow instructions (e.g., language issues), recent alcohol/drug/analgesic use (<24h), caffeine intake (>100mg <8h), or scar tissue/general reduced sensitivity in test areas. Participants undergo three interventions. The heat stimulation intervention is performed twice. During one heat stimulation intervention, participants receive the 'resonance frequency breathing' intervention. During the other heat stimulation intervention, participants receive the 'natural frequency breathing' intervention. The order of the breathing interventions is counterbalanced across participants. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Paced Resonance Frequency Breathing | Behavioral | Participants are required to pace their breathing to their pre-determined individual resonance frequency. |
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| Measure | Description | Time Frame |
|---|---|---|
| Area of Hypersensitivity surrounding the primary stimulation site | Before and after thermal stimulations, the sensitivity of the skin is tested using a von Frey Filament, a Pin Prick and a brush. Thermal stimulations cause hypersensitivity of the skin, resulting in an area of hypersensitivity surrounding the stimulation site. The primary outcome measure is the amount of change in the area of hypersensitivity from before to after the thermal stimulations. The measuring unit of this outcome is square centimetres. | 40 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Power in the Low-frequency Range of the Heart Rate Variability | Power is measured in units of milliseconds squared (ms 2) for a the low frequency band (Hz), ranging from 0.04 - 0.15Hz | 25 minutes |
| Root Mean Square of Successive Differences of the Heart Rate Variability |
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Inclusion Criteria:
Exclusion Criteria:
Additional exclusion criteria for experiments 3 and 4
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Petra Schweinhardt, Prof. Dr. med | Contact | +41 44 510 73 81 | petra.schweinhardt@balgrist.ch |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Balgrist, University Zürich | Recruiting | Zurich | 8008 | Switzerland |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Paced Breathing at Natural Frequency | Behavioral | Participants are required to pace their breathing to their pre-determined individual breathing frequency at rest. |
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| Heat Stimulations | Other | Participants will undergo a heat stimulation procedure on their left and right foot (the order of which is counterbalanced across participants). During this procedure, there are 10 blocks, with an inter-stimulus interval of 30 seconds between two blocks. During a block, six 6-second heat stimulations (48 degrees) are given. Between the stimulations, the temperature quickly returns to baseline (32 degrees). |
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The measuring unit to measure heart rate variability is the root mean square of successive differences between normal heartbeats. |
| 25 minutes |
| Galvanic Skin Potential | Galvanic Skin potential is taken as a reflection of electrodermal activity. The measuring unit of this outcome is microsiemens | 25 minutes |
| Threshold and Magnitude of the Nociceptive Withdrawal Reflex | The nociceptive withdrawal reflex is triggered using an supratheshold electrical stimulation at the nervus suralis leading muscle contraction in the ipsilateral biceps femoris, rectus femoris and tibialis anterior. Muscle contraction is measures in millivolt using electromyogram with recording electrodes attached to the respective muscles | 25 minutes |