Effects of sensory behavioral tasks on pain threshold and cortical excitability.

Transcutaneous electrical stimulation has been proven to modulate nervous system activity, leading to changes in pain perception, via the peripheral sensory system, in a bottom up approach. We tested whether different sensory behavioral tasks induce significant effects in pain processing and whether...

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Main Authors: Magdalena Sarah Volz, Vanessa Suarez-Contreras, Mariana E Mendonca, Fernando Santos Pinheiro, Lotfi B Merabet, Felipe Fregni
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3536816?pdf=render
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author Magdalena Sarah Volz
Vanessa Suarez-Contreras
Mariana E Mendonca
Fernando Santos Pinheiro
Lotfi B Merabet
Felipe Fregni
author_facet Magdalena Sarah Volz
Vanessa Suarez-Contreras
Mariana E Mendonca
Fernando Santos Pinheiro
Lotfi B Merabet
Felipe Fregni
author_sort Magdalena Sarah Volz
collection DOAJ
description Transcutaneous electrical stimulation has been proven to modulate nervous system activity, leading to changes in pain perception, via the peripheral sensory system, in a bottom up approach. We tested whether different sensory behavioral tasks induce significant effects in pain processing and whether these changes correlate with cortical plasticity.This randomized parallel designed experiment included forty healthy right-handed males. Three different somatosensory tasks, including learning tasks with and without visual feedback and simple somatosensory input, were tested on pressure pain threshold and motor cortex excitability using transcranial magnetic stimulation (TMS). Sensory tasks induced hand-specific pain modulation effects. They increased pain thresholds of the left hand (which was the target to the sensory tasks) and decreased them in the right hand. TMS showed that somatosensory input decreased cortical excitability, as indexed by reduced MEP amplitudes and increased SICI. Although somatosensory tasks similarly altered pain thresholds and cortical excitability, there was no significant correlation between these variables and only the visual feedback task showed significant somatosensory learning.Lack of correlation between cortical excitability and pain thresholds and lack of differential effects across tasks, but significant changes in pain thresholds suggest that analgesic effects of somatosensory tasks are not primarily associated with motor cortical neural mechanisms, thus, suggesting that subcortical neural circuits and/or spinal cord are involved with the observed effects. Identifying the neural mechanisms of somatosensory stimulation on pain may open novel possibilities for combining different targeted therapies for pain control.
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spelling doaj.art-f727e08cfe9b43ea912d44db6d5f4d232022-12-21T20:37:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0181e5296810.1371/journal.pone.0052968Effects of sensory behavioral tasks on pain threshold and cortical excitability.Magdalena Sarah VolzVanessa Suarez-ContrerasMariana E MendoncaFernando Santos PinheiroLotfi B MerabetFelipe FregniTranscutaneous electrical stimulation has been proven to modulate nervous system activity, leading to changes in pain perception, via the peripheral sensory system, in a bottom up approach. We tested whether different sensory behavioral tasks induce significant effects in pain processing and whether these changes correlate with cortical plasticity.This randomized parallel designed experiment included forty healthy right-handed males. Three different somatosensory tasks, including learning tasks with and without visual feedback and simple somatosensory input, were tested on pressure pain threshold and motor cortex excitability using transcranial magnetic stimulation (TMS). Sensory tasks induced hand-specific pain modulation effects. They increased pain thresholds of the left hand (which was the target to the sensory tasks) and decreased them in the right hand. TMS showed that somatosensory input decreased cortical excitability, as indexed by reduced MEP amplitudes and increased SICI. Although somatosensory tasks similarly altered pain thresholds and cortical excitability, there was no significant correlation between these variables and only the visual feedback task showed significant somatosensory learning.Lack of correlation between cortical excitability and pain thresholds and lack of differential effects across tasks, but significant changes in pain thresholds suggest that analgesic effects of somatosensory tasks are not primarily associated with motor cortical neural mechanisms, thus, suggesting that subcortical neural circuits and/or spinal cord are involved with the observed effects. Identifying the neural mechanisms of somatosensory stimulation on pain may open novel possibilities for combining different targeted therapies for pain control.http://europepmc.org/articles/PMC3536816?pdf=render
spellingShingle Magdalena Sarah Volz
Vanessa Suarez-Contreras
Mariana E Mendonca
Fernando Santos Pinheiro
Lotfi B Merabet
Felipe Fregni
Effects of sensory behavioral tasks on pain threshold and cortical excitability.
PLoS ONE
title Effects of sensory behavioral tasks on pain threshold and cortical excitability.
title_full Effects of sensory behavioral tasks on pain threshold and cortical excitability.
title_fullStr Effects of sensory behavioral tasks on pain threshold and cortical excitability.
title_full_unstemmed Effects of sensory behavioral tasks on pain threshold and cortical excitability.
title_short Effects of sensory behavioral tasks on pain threshold and cortical excitability.
title_sort effects of sensory behavioral tasks on pain threshold and cortical excitability
url http://europepmc.org/articles/PMC3536816?pdf=render
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