title: Transcutaneous vagal nerve stimulation may elicit anti- and pro-nociceptive effects under experimentally-induced pain - a crossover placebo-controlled investigation.
abstract: Vagal nerve stimulation is a promising method for the treatment of pain. The aim was to investigate the effect of non-invasive transcutaneous vagal nerve stimulation (TVNS) on the experimental pain threshold (PT) and to compare it with placebo. PT of standardized electrical stimulation was measured in 22 healthy male volunteers during two study sessions. TVNS was applied to the auricular concha bilaterally for 35min using 2Hz/100Hz bursts with the intensity, which was individually maximal but non-painful. During the placebo session, the volunteers received no stimulation. PT, heart rate and blood pressure were registered as outcome measures. There were no differences in PT values between TVNS and placebo conditions in the group analysis. Fifteen volunteers (responders) reacted with an increase in PT during TVNS (p<0.01 vs. baseline) but not during the placebo session. Another six participants reported decreased PT during and after TVNS (p<0.05 vs. baseline), but not during the placebo session. Heart rate and blood pressure did not change during the study. Transcutaneous vagal nerve stimulation may produce both anti- and pro-nociceptive effects in healthy volunteers. The individual sensitivity and TVNS parameters might play a role.
authors.affiliation: Institute for Diagnostic Radiology and Neuroradiology, University Medicine of Greifswald, Germany.
authors.forename: René
authors.initials: R
authors.lastname: Laqua
authors.affiliation: Department of Anesthesiology, Intensive Care Medicine, University Medicine of Greifswald, Germany.
authors.forename: Bianca
authors.initials: B
authors.lastname: Leutzow
authors.affiliation: Department of Anesthesiology, Intensive Care Medicine, University Medicine of Greifswald, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Wendt
authors.affiliation: Department of Anesthesiology, Intensive Care Medicine, University Medicine of Greifswald, Germany. Electronic address: taras@uni-greifswald.de.
authors.forename: Taras
authors.initials: T
authors.lastname: Usichenko
mesh_terms: D000328:Adult; D001794:Blood Pressure; D018592:Cross-Over Studies; D004558:Electric Stimulation; D006339:Heart Rate; D006801:Humans; D007206:Individuality; D008297:Male; D059226:Nociceptive Pain / Q000503:physiopathology / Q000628:therapy*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D017288:Pain Threshold; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods*; D055536:Vagus Nerve Stimulation / Q000379:methods*
keywords: Experimental pain; Pain threshold; Transcutaneous vagal nerve stimulation