Evidence map›Paper›PMID 38647038›Full record

ArticleHuman brain mapping2024

Evoked oscillatory cortical activity during acute pain: Probing brain in pain by transcranial magnetic stimulation combined with electroencephalogram.

Enrico De Martino, Adenauer Casali, Silvia Casarotto, Gabriel Hassan, Bruno Andry Couto, Mario Rosanova, Thomas Graven-Nielsen, Daniel Ciampi de Andrade

Open access · goldAbstract read
In one paragraph

Article in Human brain mapping, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Modulation of evoked alpha oscillatory activity in the frontocentral region during analgesia by non-invasive brain stimulation.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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  6. Alpha oscillations in pain neuromodulation: From resting rhythms to reactive networks.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  7. Clinical utility and prospective of TMS-EEG: Updated review from an international expert group.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2026
    Review
  8. Article
  9. Bridging the Gap in Pain Measurement with a Brain-Based Index.International journal of environmental research and public health · 2025
    Article
  10. Article
  11. Review
  12. Article
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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 3 countries.

Enrico De MartinoCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID 0000-0003-3211-3723
Adenauer CasaliInstitute of Science and Technology, Federal University of São Paulo, São Paulo, Brazil.
Silvia CasarottoDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Gabriel HassanDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Bruno Andry CoutoInstitute of Science and Technology, Federal University of São Paulo, São Paulo, Brazil.ORCID 0009-0005-1672-4921
Mario RosanovaDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Thomas Graven-NielsenCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID 0000-0002-7787-4860
Daniel Ciampi de AndradeCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.ORCID 0000-0003-3411-632X
Aalborg University · DKUniversity of Milan · ITFederal Institute of São Paulo · BR

Funding

European Research Council 101087925
6 · The paper itself

Abstract

Temporal dynamics of local cortical rhythms during acute pain remain largely unknown. The current study used a novel approach based on transcranial magnetic stimulation combined with electroencephalogram (TMS-EEG) to investigate evoked-oscillatory cortical activity during acute pain. Motor (M1) and dorsolateral prefrontal cortex (DLPFC) were probed by TMS, respectively, to record oscillatory power (event-related spectral perturbation and relative spectral power) and phase synchronization (inter-trial coherence) by 63 EEG channels during experimentally induced acute heat pain in 24 healthy participants. TMS-EEG was recorded before, during, and after noxious heat (acute pain condition) and non-noxious warm (Control condition), delivered in a randomized sequence. The main frequency bands (α, β1, and β2) of TMS-evoked potentials after M1 and DLPFC stimulation were recorded close to the TMS coil and remotely. Cold and heat pain thresholds were measured before TMS-EEG. Over M1, acute pain decreased α-band oscillatory power locally and α-band phase synchronization remotely in parietal-occipital clusters compared with non-noxious warm (all p < .05). The remote (parietal-occipital) decrease in α-band phase synchronization during acute pain correlated with the cold (p = .001) and heat pain thresholds (p = .023) and to local (M1) α-band oscillatory power decrease (p = .024). Over DLPFC, acute pain only decreased β1-band power locally compared with non-noxious warm (p = .015). Thus, evoked-oscillatory cortical activity to M1 stimulation is reduced by acute pain in central and parietal-occipital regions and correlated with pain sensitivity, in contrast to DLPFC, which had only local effects. This finding expands the significance of α and β band oscillations and may have relevance for pain therapies.

Indexed as

Acute PainElectroencephalographyTranscranial Magnetic StimulationAdultDorsolateral Prefrontal CortexFemaleHot TemperatureHumansMaleMotor CortexPain ThresholdYoung Adultacute painalphaelectroencephalogramevent‐related spectral perturbationinter‐trial coherencetranscranial magnetic stimulation

Identifiers

PMID38647038
PMCPMC11034005
OpenAlexW4395010409

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.