Evidence map›Paper›PMID 32510695›Full record

ArticleHuman brain mapping2020

Altered resting activity patterns and connectivity in individuals with complex regional pain syndrome.

Flavia Di Pietro, Barbara Lee, Luke A Henderson

Open access · goldAbstract read
In one paragraph

Article in Human brain mapping, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.8field-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.

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

27 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. [Biomarkers in complex regional pain syndrome].Schmerz (Berlin, Germany) · 2025
    Review
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  6. Article
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  8. Sensory processing in medically unexplained pain syndrome. A systematic review.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
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  19. Article
  20. Exploring alterations in sensory pathways in migraine.The journal of headache and pain · 2022
    Article
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

3 authors at 1 institution in 1 country.

Flavia Di PietroDepartment of Anatomy and Histology, Brain and Mind Centre, University of Sydney, Sydney, Australia.ORCID 0000-0002-9642-0805
Barbara LeeDepartment of Anatomy and Histology, Brain and Mind Centre, University of Sydney, Sydney, Australia.
Luke A HendersonDepartment of Anatomy and Histology, Brain and Mind Centre, University of Sydney, Sydney, Australia.ORCID 0000-0002-1026-0151
The University of Sydney · AU

Funding

National Health and Medical Research Council 1091415National Health and Medical Research Council 1130280NWG Macintosh MemorialFundUniversity of Sydney Kickstar
6 · The paper itself

Abstract

Complex regional pain syndrome (CRPS) is a chronic neuropathic pain disorder that typically occurs in the limbs, usually the upper limb. CRPS usually develops from a peripheral event but its maintenance relies on changes within the central nervous system. While functional abnormalities in the thalamus and primary somatosensory cortex (S1) of the brain are some of the most consistently reported brain findings in CRPS, the mechanisms are yet to be explored in full, not least of all how these two regions interact and how they might relate to clinical deficits, such as the commonly reported poor tactile acuity in this condition. This study recruited 15 upper-limb CRPS subjects and 30 healthy controls and used functional magnetic resonance imaging (fMRI) to investigate infra-slow oscillations (ISOs) in critical pain regions of the brain in CRPS. As hypothesised, we found CRPS was associated with increases in resting signal intensity ISOs (0.03-0.06 Hz) in the thalamus contralateral to the painful limb in CRPS subjects. Interestingly, there was no such difference between groups in S1, however CRPS subjects displayed stronger thalamo-S1 functional connectivity than controls, and this was related to pain. As predicted, CRPS subjects displayed poor tactile acuity on the painful limb which, interestingly, was also related to thalamo-S1 functional connectivity strength. Our findings provide novel evidence of altered patterns of resting activity and connectivity in CRPS which may underlie altered thalamocortical loop dynamics and the constant perception of pain.

Indexed as

ConnectomeAdultComplex Regional Pain SyndromesDiscrimination, PsychologicalFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNerve NetSomatosensory CortexThalamusTouch PerceptionUpper Extremitychronic painCRPSinfra-slow oscillationsprimary somatosensory cortexresting state fMRItactile acuitythalamus

Identifiers

PMID32510695
PMCPMC7416050
OpenAlexW3033424726

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.