Evidence map›Paper›PMID 28069543›Full record

ArticleNeuroImage2017

Brain oscillations differentially encode noxious stimulus intensity and pain intensity.

Moritz M Nickel, Elisabeth S May, Laura Tiemann, Paul Schmidt, Martina Postorino, Son Ta Dinh, Joachim Gross, Markus Ploner

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in NeuroImage, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03805854 (Modulating Pain Using Transcranial Alternating Stimulation), which is not on this map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT03805854 nacompletednot on this mapstarted 2019, after this paper: background citation

Modulating Pain Using Transcranial Alternating Stimulation (tACS) in Healthy Human Subjects

TypeinterventionalSponsorTechnical University of MunichRan2019 to 2019Enrolled39ConditionsExperimental Pain in Healthy Human SubjectsArms10 Hz tACS of the bilateral somatosensory cortex, 10 Hz tACS of the prefrontal cortex, 80 Hz tACS of the bilateral somatosensory cortex, 80 Hz tACS of the prefrontal cortex, Sham stimulation of the bilateral somatosensory cortex
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 126 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  8. Article
  9. Bridging the Gap in Pain Measurement with a Brain-Based Index.International journal of environmental research and public health · 2025
    Article
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  11. Review
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  13. Article
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  15. Article
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  19. Targeting Prefrontal Cortex Dysfunction in Pain.The Journal of pharmacology and experimental therapeutics · 2024
    Review
  20. Article

5 more citing papers are in PubMed but not listed here.

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 2 institutions in 2 countries.

Moritz M NickelDepartment of Neurology and TUM-Neuroimaging Center, Technische Universität München, 81675 Munich, Germany.
Elisabeth S MayDepartment of Neurology and TUM-Neuroimaging Center, Technische Universität München, 81675 Munich, Germany.
Laura TiemannDepartment of Neurology and TUM-Neuroimaging Center, Technische Universität München, 81675 Munich, Germany.
Paul SchmidtDepartment of Neurology and TUM-Neuroimaging Center, Technische Universität München, 81675 Munich, Germany.
Martina PostorinoDepartment of Neurology and TUM-Neuroimaging Center, Technische Universität München, 81675 Munich, Germany.
Son Ta DinhDepartment of Neurology and TUM-Neuroimaging Center, Technische Universität München, 81675 Munich, Germany.
Joachim GrossInstitute of Neuroscience and Psychology, University of Glasgow, Glasgow, UK.
Markus PlonerDepartment of Neurology and TUM-Neuroimaging Center, Technische Universität München, 81675 Munich, Germany. Electronic address: markus.ploner@tum.de.
Technical University of Munich · DEUniversity of Glasgow · GB

Funding

Wellcome TrustWellcome Trust 098433
6 · The paper itself

Abstract

Noxious stimuli induce physiological processes which commonly translate into pain. However, under certain conditions, pain intensity can substantially dissociate from stimulus intensity, e.g. during longer-lasting pain in chronic pain syndromes. How stimulus intensity and pain intensity are differentially represented in the human brain is, however, not yet fully understood. We therefore used electroencephalography (EEG) to investigate the cerebral representation of noxious stimulus intensity and pain intensity during 10min of painful heat stimulation in 39 healthy human participants. Time courses of objective stimulus intensity and subjective pain ratings indicated a dissociation of both measures. EEG data showed that stimulus intensity was encoded by decreases of neuronal oscillations at alpha and beta frequencies in sensorimotor areas. In contrast, pain intensity was encoded by gamma oscillations in the medial prefrontal cortex. Contrasting right versus left hand stimulation revealed that the encoding of stimulus intensity in contralateral sensorimotor areas depended on the stimulation side. In contrast, a conjunction analysis of right and left hand stimulation revealed that the encoding of pain in the medial prefrontal cortex was independent of the side of stimulation. Thus, the translation of noxious stimulus intensity into pain is associated with a change from a spatially specific representation of stimulus intensity by alpha and beta oscillations in sensorimotor areas to a spatially independent representation of pain by gamma oscillations in brain areas related to cognitive and affective-motivational processes. These findings extend the understanding of the brain mechanisms of nociception and pain and their dissociations during longer-lasting pain as a key symptom of chronic pain syndromes.

Indexed as

AdultAffectAlpha RhythmBeta RhythmBrainBrain MappingElectroencephalographyFemaleFunctional LateralityGamma RhythmHealthy VolunteersHot TemperatureHumansMalePainPhysical StimulationAlphaBetaGammaNociceptionOscillationsPainTonic

Identifiers

PMID28069543
PMCPMC5349759
OpenAlexW2568569209

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.