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Altered central sensorimotor processing in patients with complex regional pain syndrome

Juottonen, Kirsi, Gockel, Maarit, Silén, Teija, Hurri, Heikki, Hari, Riitta, Forss, Nina·2002·Pain

Abstract

Alterations in tactile sensitivity are common in patients with chronic pain. Recent brain imaging studies have indicated that brain areas activated by acute experimental pain partly overlap with areas processing innocuous tactile stimuli. However, the possible effect of chronic pain on central tactile processing has remained unclear. We have examined, both clinically and with whole-head magnetoencephalography, six patients suffering from complex regional pain syndrome (CRPS) of the upper limb. The cortical somatosensory responses were elicited by tactile stimuli applied to the fingertips and the reactivity of spontaneous brain oscillations was monitored as well. Tactile stimulation of the index finger elicited an initial activation at 65 ms in the contralateral SI cortex, followed by activation of the ipsi- and contralateral SII cortices at about 130 ms. The SI responses were 25-55% stronger to stimulation of the painful than the healthy side. The distance between SI representations of thumb and little finger was significantly shorter in the hemisphere contralateral than ipsilateral to the painful upper limb. In addition, reactivity of the 20-Hz motor cortex rhythm to tactile stimuli was altered in the CRPS patients, suggesting modified inhibition of the motor cortex. These results imply that chronic pain may alter central tactile and motor processing.

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Metadata

Authors
Juottonen, K., Gockel, M., Silén, T., Hurri, H., Hari, R., & Forss, N.
Venue
Pain
Published
2002-08
Volume
98
Issue
3
Pages
315-323
ISSN
0304-3959 (ISSN-L)
OpenAlex
W2045432647
Cited by
366
References
42
FWCI
19.08
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Altered central sensorimotor processing in patients with complex regional pain syndrome. https://app.cochat.ai/papers/10.1016/s0304-3959(02)00119-7
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Juottonen, K., Gockel, M., Silén, T., Hurri, H., Hari, R., & Forss, N. (2002). Altered central sensorimotor processing in patients with complex regional pain syndrome. Pain. https://doi.org/10.1016/s0304-3959(02)00119-7

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