Cardiovascular and sensory responses to forearm ischemia and dynamic hand exercise.


Journal Article

The relationship between cardiovascular responses and pain produced by the submaximal-effort tourniquet procedure was evaluated in healthy humans. Graded increases in ischemic pain were associated with graded elevations in arterial blood pressure, forearm vascular resistance, and venous tone. Many of the vascular responses to muscle ischemia were typical of the cardiovascular components of the defense reaction and correlated with both the sensory and affective aspects of ischemic pain. The cardiovascular responses to arm ischemia were distinguishable from those produced by rhythmic hand exercise used to produce ischemia. Dynamic hand exercise produced a transient increase in arterial blood pressure, heart rate, and measures of hand discomfort. These responses were enhanced when dynamic hand exercise was conducted under ischemic conditions. The tightly coupled and coordinated cardiovascular responses elicited by ischemic pain represent integrated adaptive responses to painful stimulation.

Full Text

Duke Authors

Cited Authors

  • Maixner, W; Gracely, RH; Zuniga, JR; Humphrey, CB; Bloodworth, GR

Published Date

  • December 1990

Published In

Volume / Issue

  • 259 / 6 Pt 2

Start / End Page

  • R1156 - R1163

PubMed ID

  • 2260726

Pubmed Central ID

  • 2260726

International Standard Serial Number (ISSN)

  • 0002-9513

Digital Object Identifier (DOI)

  • 10.1152/ajpregu.1990.259.6.R1156


  • eng

Conference Location

  • United States