Neuroplasticity of pain processing and motor control in CAI patients: A UK Biobank study with clinical validation

BackgroundPain plays an important role in chronic ankle instability (CAI), and prolonged pain may be associated with ankle dysfunction and abnormal neuroplasticity.PurposeTo investigate the differences in resting-state functional connectivity among the pain-related brain regions and the ankle motor-...

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Main Authors: Yiran Wang, Qianru Li, Xiao'ao Xue, Xiaoyun Xu, Weichu Tao, Sixu Liu, Yunyi Li, He Wang, Yinghui Hua
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Molecular Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnmol.2023.1096930/full
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author Yiran Wang
Qianru Li
Xiao'ao Xue
Xiaoyun Xu
Weichu Tao
Sixu Liu
Yunyi Li
He Wang
He Wang
He Wang
Yinghui Hua
Yinghui Hua
author_facet Yiran Wang
Qianru Li
Xiao'ao Xue
Xiaoyun Xu
Weichu Tao
Sixu Liu
Yunyi Li
He Wang
He Wang
He Wang
Yinghui Hua
Yinghui Hua
author_sort Yiran Wang
collection DOAJ
description BackgroundPain plays an important role in chronic ankle instability (CAI), and prolonged pain may be associated with ankle dysfunction and abnormal neuroplasticity.PurposeTo investigate the differences in resting-state functional connectivity among the pain-related brain regions and the ankle motor-related brain regions between healthy controls and patients with CAI, and explore the relationship between patients' motor function and pain.Study designA cross-database, cross-sectional study.MethodsThis study included a UK Biobank dataset of 28 patients with ankle pain and 109 healthy controls and a validation dataset of 15 patients with CAI and 15 healthy controls. All participants underwent resting-state functional magnetic resonance imaging scanning, and the functional connectivity (FC) among the pain-related brain regions and the ankle motor-related brain regions were calculated and compared between groups. The correlations between the potentially different functional connectivity and the clinical questionnaires were also explored in patients with CAI.ResultsThe functional connection between the cingulate motor area and insula significantly differed between groups in both the UK Biobank (p = 0.005) and clinical validation dataset (p = 0.049), which was also significantly correlated with Tegner scores (r = 0.532, p = 0.041) in patients with CAI.ConclusionA reduced functional connection between the cingulate motor area and the insula was present in patients with CAI, which was also directly correlated with reduction in the level of patient physical activity.
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spelling doaj.art-75eb279ea2144a889c0bae23539d3f492023-02-14T17:20:50ZengFrontiers Media S.A.Frontiers in Molecular Neuroscience1662-50992023-02-011610.3389/fnmol.2023.10969301096930Neuroplasticity of pain processing and motor control in CAI patients: A UK Biobank study with clinical validationYiran Wang0Qianru Li1Xiao'ao Xue2Xiaoyun Xu3Weichu Tao4Sixu Liu5Yunyi Li6He Wang7He Wang8He Wang9Yinghui Hua10Yinghui Hua11Department of Sports Medicine, Fudan University, Shanghai, ChinaDepartment of Sports Medicine, Fudan University, Shanghai, ChinaDepartment of Sports Medicine, Fudan University, Shanghai, ChinaSchool of Exercise and Health, Shanghai University of Sport, Shanghai, ChinaSchool of Exercise and Health, Shanghai University of Sport, Shanghai, ChinaDepartment of Biomedical Engineering, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Biomedical Engineering, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaInstitute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, ChinaHuman Phenome Institute, Fudan University, Shanghai, ChinaKey Laboratory of Computational Neuroscience and Brain-Inspired Intelligence, Ministry of Education, Fudan University, Shanghai, ChinaDepartment of Sports Medicine, Fudan University, Shanghai, ChinaYiwu Research Institute of Fudan University, Yiwu, ChinaBackgroundPain plays an important role in chronic ankle instability (CAI), and prolonged pain may be associated with ankle dysfunction and abnormal neuroplasticity.PurposeTo investigate the differences in resting-state functional connectivity among the pain-related brain regions and the ankle motor-related brain regions between healthy controls and patients with CAI, and explore the relationship between patients' motor function and pain.Study designA cross-database, cross-sectional study.MethodsThis study included a UK Biobank dataset of 28 patients with ankle pain and 109 healthy controls and a validation dataset of 15 patients with CAI and 15 healthy controls. All participants underwent resting-state functional magnetic resonance imaging scanning, and the functional connectivity (FC) among the pain-related brain regions and the ankle motor-related brain regions were calculated and compared between groups. The correlations between the potentially different functional connectivity and the clinical questionnaires were also explored in patients with CAI.ResultsThe functional connection between the cingulate motor area and insula significantly differed between groups in both the UK Biobank (p = 0.005) and clinical validation dataset (p = 0.049), which was also significantly correlated with Tegner scores (r = 0.532, p = 0.041) in patients with CAI.ConclusionA reduced functional connection between the cingulate motor area and the insula was present in patients with CAI, which was also directly correlated with reduction in the level of patient physical activity.https://www.frontiersin.org/articles/10.3389/fnmol.2023.1096930/fullankle injuriesfunctional magnetic resonance imagingfunctional connectionpaincentral nervous system
spellingShingle Yiran Wang
Qianru Li
Xiao'ao Xue
Xiaoyun Xu
Weichu Tao
Sixu Liu
Yunyi Li
He Wang
He Wang
He Wang
Yinghui Hua
Yinghui Hua
Neuroplasticity of pain processing and motor control in CAI patients: A UK Biobank study with clinical validation
Frontiers in Molecular Neuroscience
ankle injuries
functional magnetic resonance imaging
functional connection
pain
central nervous system
title Neuroplasticity of pain processing and motor control in CAI patients: A UK Biobank study with clinical validation
title_full Neuroplasticity of pain processing and motor control in CAI patients: A UK Biobank study with clinical validation
title_fullStr Neuroplasticity of pain processing and motor control in CAI patients: A UK Biobank study with clinical validation
title_full_unstemmed Neuroplasticity of pain processing and motor control in CAI patients: A UK Biobank study with clinical validation
title_short Neuroplasticity of pain processing and motor control in CAI patients: A UK Biobank study with clinical validation
title_sort neuroplasticity of pain processing and motor control in cai patients a uk biobank study with clinical validation
topic ankle injuries
functional magnetic resonance imaging
functional connection
pain
central nervous system
url https://www.frontiersin.org/articles/10.3389/fnmol.2023.1096930/full
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