Pain and Distraction According to Sensory Modalities: Current Findings and Future Directions.

BACKGROUND: This review discusses the findings in the literature on pain and distraction tasks according to their sensory modality. Distraction tasks have been shown to reduce (experimentally induced) acute pain and chronic pain. This can be influenced by nature and by the sensory modalities used in the distraction tasks. Yet the effect on reducing pain according to the sensory modality of the distraction task has received little attention. METHODS: A bibliographic search was performed in different databases. The studies will be systematized according to the sensory modality in which the distraction task was applied. RESULTS: The analyzed studies with auditory distractors showed a reduction of acute pain in adults. However, these are not effective at healthy children and in adults with chronic pain. Visual distractors showed promising results in acute pain in adults and children. Similarly, tactile and mixed distractors decreased acute pain in adults. CONCLUSION: Distraction tasks by diverse sensory modalities have a positive effect on decreasing the perception of acute pain in adults. Future studies are necessary given the paucity of research on this topic, particularly with tactile distractors (there is only one study). Finally, the most rigorous methodology and the use of ecological contexts are encouraged in future research.

Response Inhibition as a Function of Movement Complexity and Movement Type Selection.

This study aims to determine whether response inhibition shows the same degree of effectiveness for two sources of motor complexity: (1) Movement complexity, which is measured through two actions with different motor requirements (simple lifting action vs. complex reaching action), and (2) Movement type selection, which is measured in movements performed separately (no active-movement type selection) vs. selectively (active-movement type selection). Activation-suppression model was tested in three experiments to measure activation of the preponderant responses and subsequent suppression in a Simon task. More errors and higher magnitude of congruence effect (which reflects greater effectiveness of response suppression) were expected for more difficult motor conditions. Reaction time, movement time, kinematic errors, and movement errors were recorded. Results of Experiment 1, in which movement type selection was not active, showed that both movements did not differ in their activation and suppression, as they presented similar kinematic error rates and Simon effects. Experiment 2, in which movement type selection was active, resulted in a higher kinematic error rate and higher magnitude of Simon effect in lifting. These results were confirmed in Experiment 3, in which participants performed all experimental motor complexity conditions. Finally, Experiment 4 showed that responses with similar movement complexity did not differ in their activation and suppression, even when movement type selection was active. Thus, the present study provides evidence on the varying effectiveness of response inhibition as a function of movement complexity, but only in demanding situations in which movement type selection is active. These results can be attributed to a top-down strategy to minimize error for actions most prone to develop kinematic error.

Urinary metabolites of 1-nitropyrene in US-Mexico border residents who frequently cross the San Ysidro Port of Entry.

Diesel exhaust presents a community exposure hazard, but methods to measure internal exposure are lacking. We report results from a community-based study using 1-nitropyrene (1-NP) and its urinary metabolites as markers of exposure to traffic-related diesel particulate matter (DPM). The study participants were Tijuana, Mexico residents who commuted on foot into San Diego, California for work or school using the International San Ysidro Port of Entry, placing them within feet of idling traffic (referred to as border commuters). The comparison group (non-border commuters) was comprised of residents of south San Diego who did not commute into Mexico. Air concentration of 1-NP in fine particulate matter (PM2.5) was measured in personal samples from participants. Spot urine samples were analyzed for 1-NP urinary metabolites 8-hydroxy-1-nitropyrene (8-OHNP) and 8-hydroxy-N-acetyl-1-aminopyrene (8-OHNAAP). Compared with non-border commuters, border commuters had two- to threefold higher mean urinary concentrations for unadjusted and creatinine-adjusted 8-OHNP and 8-OHNAAP. Urinary 8-OHNAAP and the sum of 8-OHNP and 8-OHNAAP were both associated with personal exposure to 1-NP in the prior 24 h. These results suggest that 1-NP urinary metabolites reflect recent exposure to DPM-derived 1-NP in community settings and can be useful for exposure analysis.