Dissociation of Motor Task-Induced Cortical Excitability and Pain Perception Changes in Healthy VolunteersReportar como inadecuado

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There is evidence that interventions aiming at modulation of the motor cortex activity lead to pain reduction. In order to understand further the role of the motor cortex on pain modulation, we aimed to compare the behavioral pressure pain threshold and neurophysiological effects transcranial magnetic stimulation TMS induced cortical excitability across three different motor tasks.

Methodology-Principal Findings

Fifteen healthy male subjects were enrolled in this randomized, controlled, blinded, cross-over designed study. Three different tasks were tested including motor learning with and without visual feedback, and simple hand movements. Cortical excitability was assessed using single and paired-pulse TMS measures such as resting motor threshold RMT, motor-evoked potential MEP, intracortical facilitation ICF, short intracortical inhibition SICI, and cortical silent period CSP. All tasks showed significant reduction in pain perception represented by an increase in pressure pain threshold compared to the control condition untrained hand. ANOVA indicated a difference among the three tasks regarding motor cortex excitability change. There was a significant increase in motor cortex excitability as indexed by MEP increase and CSP shortening for the simple hand movements.


Although different motor tasks involving motor learning with and without visual feedback and simple hand movements appear to change pain perception similarly, it is likely that the neural mechanisms might not be the same as evidenced by differential effects in motor cortex excitability induced by these tasks. In addition, TMS-indexed motor excitability measures are not likely good markers to index the effects of motor-based tasks on pain perception in healthy subjects as other neural networks besides primary motor cortex might be involved with pain modulation during motor training.

Autor: Magdalena S. Volz, Mariana Mendonca, Fernando S. Pinheiro, Huashun Cui, Marcus Santana, Felipe Fregni

Fuente: http://plos.srce.hr/


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