Fibromyalgia & musculoskeletal pain

Reduced Cortico‐Cortical Resting‐State Connectivity in Sensory Systems Related to Bodily Pain in Juvenile Fibromyalgia

Arthritis RheumatolPublished Cross-sectional study

Authors' conclusion

Reduced cortico-cortical sensory integration involving PCL/S1 and spanning the sensory systems may underly critical pain sensory features in youth with JFM.

Study context

Population
Female adolescents with juvenile-onset fibromyalgia and healthy female adolescents
Participants
37 vs 43
Exposure
Female adolescents with juvenile-onset FM vs healthy female adolescents
  • JFMn = 37
  • Healthyn = 43reference
Outcome
Data-driven resting-state functional connectivity (rsFC) alterations and their associations with bodily pain
Methodological detailsresting-state functional MRI, whole-brain voxel-wise intrinsic connectivity contrast, seed-based analyses
  • Resting-state functional MRI
  • Whole-brain voxel-wise intrinsic connectivity contrast
  • Seed-based analyses

Main finding

As reported in the abstract

Voxel-wise rsFC alterations, JFM vs healthy
Reduced resting-state functional connectivity (rsFC) in paracentral lobule (PCL)/primary somatosensory cortex (S1), T = 4.89
pFWE < 0.001
Reduced rsFC in left midcingulate cortex, T = 4.67
pFWE = 0.043
Post hoc: reduced rsFC spanning major cortical sensory hubs, T > 4.4
pFWE < 0.030
Cortico-cortical rsFC reductions within PCL/S1 in locations innervated by bodily areas where pain was most frequent, F = 3.15
positive false discovery rate = 0.029
Cortico-cortical rsFC reductions within PCL/S1 predicted widespread pain, T > 4.4
pFWE < 0.045
Increased PCL/S1-thalamus rsFC, T = 4.75
pFWE = 0.046
Increased PCL/S1-anterior insula rsFC, T = 5.13
pFWE = 0.039

Observational data: associations, not effects.

Original publication

Reduced Cortico‐Cortical Resting‐State Connectivity in Sensory Systems Related to Bodily Pain in Juvenile Fibromyalgia. Arthritis Rheumatol. Published 21 December 2023. doi:10.1002/art.42691

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