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Neural oscillations

Does your brain state before a pain stimulus change how it feels?

Tu Y, Zhang Z, Tan A, et al. · Human brain mapping · 2016

Open access · cc by · source: Europe PMC

Weaker alpha and gamma brain rhythms just before a painful laser pulse predicted that it would feel more intense, and the two rhythms carried separate, additive information.

Study at a glance

Design
Human experiment — Within-subject laser pain experiment at graded intensities; single-trial prestimulus EEG power (and, in a separate sample, prestimulus BOLD) related to pain ratings and evoked responses.
N
N=96 · 96 healthy volunteers in the EEG experiment; an independent sample of 32 healthy volunteers in the fMRI experiment.
Population
Healthy young adult volunteers receiving brief radiant-heat laser pulses to the back of the left hand.
Outcome
Trial-by-trial pain intensity ratings and laser-evoked brain responses, predicted from prestimulus alpha/gamma power or prestimulus BOLD signal.

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Key findings

Lower prestimulus alpha power over central sensorimotor areas and lower prestimulus gamma power over parietal areas both predicted higher pain ratings and larger evoked responses, and this held at every stimulus intensity. Classifying high versus low pain from alpha alone gave 55.3% accuracy and gamma alone 55.0%, while combining them gave 58.0%, a significant gain. In fMRI, higher baseline activity in sensory and cingulate regions predicted more pain, lower activity in default-mode regions predicted less, and again combining both sets improved prediction.

Methodology

In the EEG study, 96 healthy volunteers received laser heat pulses at four intensities and rated each one for pain while their brain activity was recorded. The researchers looked at oscillation power in the fraction of a second before each pulse and related it to the rating and the evoked brain response. An independent group of 32 volunteers did the same task in an fMRI scanner to locate brain regions whose baseline activity predicted pain.

Limitations

Prediction accuracy was only modestly above chance, so the prestimulus state explains a small slice of trial-to-trial pain variability. The findings are correlational: fluctuations were observed, not manipulated, so the study does not prove that alpha or gamma cause the change in pain. The link between the EEG rhythms and the fMRI networks rests on similar spatial layouts in two different samples, not simultaneous recording, and the time-frequency method smears some post-stimulus activity into the prestimulus window.

How this study connects

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