ArticleJournal of psychosomatic research2014
Modulation of intracortical inhibition in response to acute psychosocial stress is impaired among individuals with chronic neck pain.
Article in Journal of psychosomatic research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 21 citations in OpenAlex.
- Understanding intracortical excitability in phantom limb pain: A multivariate analysis from a multicenter randomized clinical trial.Neurophysiologie clinique = Clinical neurophysiology · 2021Trial
- The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Immediate Evaluation of the Effect of Infrared LED Photobiomodulation on Childhood Sleep Bruxism: A Randomized Clinical Trial.Life (Basel, Switzerland) · 2022Article
- Article
- Relationship between Sleep Bruxism, Perceived Stress, and Coping Strategies.International journal of environmental research and public health · 2019Article
- Alterations in the cortical control of standing posture during varying levels of postural threat and task difficulty.Journal of neurophysiology · 2018Article
- Psychosocial stress alters the strength of reticulospinal input to the human upper trapezius.Journal of neurophysiology · 2017Article
- Psychosocial aspects of bruxism: the most paramount factor influencing teeth grinding.BioMed research international · 2014Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectivePsychosocial stress has been associated with a variety of chronic pain disorders although the mechanisms responsible for this relationship are unknown. The purpose of this study was to compare the excitability of intracortical and corticospinal pathways to the trapezius muscle in individuals with and without chronic neck pain during exposure to low and high levels of psychosocial stress.
methodsSingle and paired-pulse transcranial magnetic stimulation was used to assess motor evoked potentials (MEPs) and short-interval intracortical inhibition (SICI) during mental math performed in the presence and absence of social evaluative threat.
resultsAll participants demonstrated higher amplitude MEPs in the high stress compared to the low stress condition (p < 0.01). Participants with chronic neck pain had significantly greater SICI than healthy participants in the low stress condition (p = 0.03). During exposure to the stressor, healthy participants showed an increase in SICI, whereas participants with neck pain showed no change (group difference for change in SICI, p < 0.01).
conclusionsThese findings suggest that individuals with chronic neck pain inhibit motor output to the trapezius in the presence of minor stressors, and are unable to compensate for additional stress-evoked increases in corticospinal excitability through further modulation of SICI. This observation has potential implications for the management of patients who have difficulty relaxing painful muscles during times of stress.
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