Evidence map›Paper›PMID 25515312›Full record

ArticleBrain structure & function2016

Rapid treatment-induced brain changes in pediatric CRPS.

Nathalie Erpelding, Laura Simons, Alyssa Lebel, Paul Serrano, Melissa Pielech, Sanjay Prabhu, Lino Becerra, David Borsook

Open access · greenAbstract read
In one paragraph

Article in Brain structure & function, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. A review of descending pain modulation in humans.Frontiers in pain research (Lausanne, Switzerland) · 2026
    Review
  6. Article
  7. Article
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  12. Article
  13. Article
  14. Review
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  16. Developmental mechanisms of CPSP: Clinical observations and translational laboratory evaluations.Canadian journal of pain = Revue canadienne de la douleur · 2022
    Review
  17. Review
  18. Article
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Nathalie ErpeldingP.A.I.N. Group, Boston Children's Hospital, Center for Pain and the Brain, 9 Hope Avenue, Waltham, MA, 02453, USA. nathalie.erpelding@gmail.com.
Laura SimonsP.A.I.N. Group, Boston Children's Hospital, Center for Pain and the Brain, 9 Hope Avenue, Waltham, MA, 02453, USA.
Alyssa LebelP.A.I.N. Group, Boston Children's Hospital, Center for Pain and the Brain, 9 Hope Avenue, Waltham, MA, 02453, USA.
Paul SerranoP.A.I.N. Group, Boston Children's Hospital, Center for Pain and the Brain, 9 Hope Avenue, Waltham, MA, 02453, USA.
Melissa PielechP.A.I.N. Group, Boston Children's Hospital, Center for Pain and the Brain, 9 Hope Avenue, Waltham, MA, 02453, USA.
Sanjay PrabhuHarvard Medical School, Boston, MA, USA.
Lino BecerraP.A.I.N. Group, Boston Children's Hospital, Center for Pain and the Brain, 9 Hope Avenue, Waltham, MA, 02453, USA.
David BorsookP.A.I.N. Group, Boston Children's Hospital, Center for Pain and the Brain, 9 Hope Avenue, Waltham, MA, 02453, USA.
Center for Pain and the Brain · USBoston Children's Hospital · USHarvard University · US

Funding

Imaging Pain and Analgesia: Mentoring in Basic and Applied ResearchK24NS064050 · NINDS · MCLEAN HOSPITAL · PI BORSOOK, DAVID · 2008 to 2017
$1.7M
CNS Plasticity in Pediatric Complex Regional Pain SyndromeR01NS065051 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI BORSOOK, DAVID · 2010 to 2014
$1.6M
A neuroimaging perspective of pain-related fear in children with chronic painK23HD067202 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SIMONS, LAURA E · 2011 to 2015
$581k
NICHD NIH HHS HD-067202NICHD NIH HHS K23 HD067202NINDS NIH HHS K24 NS064050NINDS NIH HHS K24-NS-064050NINDS NIH HHS R01 NS065051NINDS NIH HHS R01-NS-065051
6 · The paper itself

Abstract

To date, brain structure and function changes in children with complex regional pain syndrome (CRPS) as a result of disease and treatment remain unknown. Here, we investigated (a) gray matter (GM) differences between patients with CRPS and healthy controls and (b) GM and functional connectivity (FC) changes in patients following intensive interdisciplinary psychophysical pain treatment. Twenty-three patients (13 females, 9 males; average age ± SD = 13.3 ± 2.5 years) and 21 healthy sex- and age-matched controls underwent magnetic resonance imaging. Compared to controls, patients had reduced GM in the primary motor cortex, premotor cortex, supplementary motor area, midcingulate cortex, orbitofrontal cortex, dorsolateral prefrontal cortex (dlPFC), posterior cingulate cortex, precuneus, basal ganglia, thalamus, and hippocampus. Following treatment, patients had increased GM in the dlPFC, thalamus, basal ganglia, amygdala, and hippocampus, and enhanced FC between the dlPFC and the periaqueductal gray, two regions involved in descending pain modulation. Accordingly, our results provide novel evidence for GM abnormalities in sensory, motor, emotional, cognitive, and pain modulatory regions in children with CRPS. Furthermore, this is the first study to demonstrate rapid treatment-induced GM and FC changes in areas implicated in sensation, emotion, cognition, and pain modulation.

Indexed as

AdolescentAmygdalaBasal GangliaBrainCase-Control StudiesChildComplex Regional Pain SyndromesConnectomeFemaleGray MatterHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMotor CortexPainChildrenChronic painCortical thicknessFunctional connectivityHippocampusNeuropathic painPeriaqueductal grayPrefrontal cortexVoxel-based morphometry

Identifiers

PMID25515312
PMCPMC4470894
OpenAlexW2094161619

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.