González-Roldán Ana M, Cifre Ignacio, Sitges Carolina, Montoya Pedro
*Research Institute of Health Sciences (IUNICS), University of Balearic Islands, Palma, Spain.
Facultat de Psicologia, Ciències de l'educació i de l'Esport, Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
Pain Med. 2016 Jun;17(6):1058-1068. doi: 10.1093/pm/pnw023. Epub 2016 Feb 26.
OBJECTIVE: Previous fMRI findings have shown that chronic pain patients display an altered activation and functional connectivity of the pain network. The aim of the present study was to analyze EEG dynamics in fibromyalgia patients (n = 20) and pain-free controls (n = 18) at rest. METHODS: Spectral power density, source current density, and intra- and inter-hemispheric coherence were analyzed from 64 EEG channels during 5-minutes eyes-closed rest. RESULTS: Results indicated that fibromyalgia patients displayed reduced power density of the delta EEG band (2-4 Hz) over right insula, right superior and middle temporal gyri as compared with pain-free controls. Fibromyalgia patients also exhibited greater power density than pain-free controls in two segments of the beta band (16-23 Hz and 23-30 Hz) over right middle frontal lobe and midcingulate gyrus. Pain duration in fibromyalgia patients was negatively correlated with delta power from right insula. Greater centro-parietal intra-hemispheric coherence was observed at the left hemisphere on theta (4-8 Hz), and beta-3 (23-30 Hz) frequency bands in fibromyalgia patients than in pain-free controls. Individual differences in depression, anxiety or negative affect did not account for these findings. CONCLUSIONS: Fibromyalgia leads to an altered dynamic of the brain network involved in the processing of pain even at rest. Furthermore ,: our results provide further support for the feasibility of resting-state EEG analyses as a clinical biomarker for the characterization of chronic pain states.
目的:先前的功能磁共振成像研究结果表明,慢性疼痛患者的疼痛网络激活和功能连接发生改变。本研究旨在分析纤维肌痛患者(n = 20)和无疼痛对照组(n = 18)静息状态下的脑电图动态变化。 方法:在闭眼静息5分钟期间,从64个脑电图通道分析频谱功率密度、源电流密度以及半球内和半球间相干性。 结果:结果表明,与无疼痛对照组相比,纤维肌痛患者右侧脑岛、右侧颞上回和颞中回的δ脑电图频段(2 - 4Hz)功率密度降低。纤维肌痛患者右侧额中回和扣带回中部β频段的两个波段(16 - 23Hz和23 - 30Hz)的功率密度也高于无疼痛对照组。纤维肌痛患者的疼痛持续时间与右侧脑岛的δ功率呈负相关。与无疼痛对照组相比,纤维肌痛患者在左侧半球的θ(4 - 8Hz)和β-3(23 - 30Hz)频段观察到更大的中央顶叶半球内相干性。抑郁、焦虑或消极情绪的个体差异不能解释这些结果。 结论:即使在静息状态下,纤维肌痛也会导致参与疼痛处理的脑网络动态变化。此外,我们的结果为静息态脑电图分析作为慢性疼痛状态特征化的临床生物标志物的可行性提供了进一步支持。
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