Iontophoretically applied potassium ions as an experimental pain stimulus for investigating pain mechanisms

The present study investigated the psychophysical characteristics of potassium iontophoresis and its suitability as an experimental pain stimulus. Experiment 1 investigated the optimal duration of the pain stimulus for reliable reporting across repeated trials and whether the relationship between stimulus and subject response was linear, logarithmic, or a power function. In Experiment 2, the optimal interstimulus interval (ISI) was determined for reliable pain reporting, and stimulus history effects, both in terms of session effects and the effects of immediately preceding stimuli, were evaluated. In Experiment 3, potassium iontophoresis was compared with a sodium iontophoresis control. Linear functions described the stimulus-pain relationship best. No significant differences in the goodness-of-fit coefficients of determination, correlations, or coefficients of variation were found for the stimulus durations of 1, 2, and 4 sec. Significant stimulus history effects were found across a session, with adaptation and enhancement of responding for low- and moderate-intensity stimuli, respectively. The effects of the immediately preceding stimuli were suppression or enhancement of pain response, depending on the ISI, the preceding stimulus intensity, and the present stimulus intensity. Potassium iontophoresis was a significantly more effective pain stimulus than was sodium iontophoresis. It was concluded that potassium iontophoresis is a convenient and reliable experimental pain stimulus, which can be presented rapidly and repeatedly with minimal loss in consistency of subject pain report. Potassium iontophoresis provides a tool for investigating the neural modulation of pain in the relative absence of inflammation processes and tissue damage.