Title
Electroencephalography Signatures for Conditioned Pain Modulation and Pain Perception in Nonspecific Chronic Low Back Pain - An Exploratory Study
Date Issued
01 March 2022
Access level
open access
Resource Type
journal article
Author(s)
Teixeira P.E.P.
Uygur-Kucukseymen E.
Machado R.M.
Balbuena-Pareja A.
Giannoni-Luza S.
Luna-Cuadros M.A.
Cardenas-Rojas A.
Gonzalez-Mego P.
Mejia-Pando P.F.
Wagner T.
Dipietro L.
Fregni F.
Publisher(s)
Oxford University Press
Abstract
Conditioned pain modulation (CPM) can discriminate between healthy and chronic pain patients. However, its relationship with neurophysiological pain mechanisms is poorly understood. Brain oscillations measured by electroencephalography (EEG) might help gain insight into this complex relationship. Objective: To investigate the relationship between CPM response and self-reported pain intensity in non-specific chronic low back pain (NSCLBP) and explore respective EEG signatures associated to these mechanisms. Design: Cross-sectional analysis. Participants: Thirty NSCLBP patients participated. Methods: Self-reported low back pain, questionnaires, mood scales, CPM (static and dynamic quantitative sensory tests), and resting surface EEG data were collected and analyzed. Linear regression models were used for statistical analysis. Results: CPM was not significantly correlated with self-reported pain intensity scores. Relative power of EEG in the beta and high beta bands as recorded from the frontal, central, and parietal cortical areas were significantly associated with CPM. EEG relative power at delta and theta bands as recorded from the central area were significantly correlated with self-reported pain intensity scores while controlling for self-reported depression. Conclusions: Faster EEG frequencies recorded from pain perception areas may provide a signature of a potential cortical compensation caused by chronic pain states. Slower EEG frequencies may have a critical role in abnormal pain processing.
Start page
558
End page
570
Volume
23
Issue
3
Language
English
OCDE Knowledge area
Neurología clínica
Subjects
Scopus EID
2-s2.0-85125552605
PubMed ID
Source
Pain Medicine (United States)
ISSN of the container
15262375
Sponsor(s)
Funding sources: Research reported in this publication was supported by the National Institute on Aging of the National Institutes of Health under Award Number R44AG055360. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. All study procedures were approved by the Partner's Institutional Review Board at the Partners Human Research Committee (protocol approval number: 2016P001956) and written informed consent was obtained for all participants. In addition, this research complies with all the relevant national regulations, institutional policies and was performed in accordance with the tenets of the Helsinki Declaration.
Sources of information:
Directorio de Producción Científica
Scopus