The relationship between physical activity and brain responses to pain in fibromyalgia
The Journal of Pain, 04/04/2011
McLoughlin MJ et al. – This study determined whether physical activity was predictive of brain responses to experimental pain in FM using functional magnetic resonance imaging (fMRI).
Methods- 34 participants (n = 16 FM; n = 18 Control) completed self-report and accelerometer measures of physical activity and underwent fMRI of painful heat stimuli
- In FM patients, positive relationships between physical activity and brain responses to pain observed in dorsolateral prefrontal cortex, posterior cingulate cortex, and posterior insula, regions implicated in pain regulation
- Negative relationships found for primary sensory and superior parietal cortices, regions implicated in sensory aspects of pain
- Greater physical activity significantly associated with decreased pain ratings to repeated heat stimuli for FM patients
- Similar nonsignificant trend observed in controls
- Brain responses to pain significantly different between FM patients categorized as low active and those categorized as high active
- In controls, positive relationships observed in lateral prefrontal, anterior cingulate, and superior temporal cortices and posterior insula



