author_facet Gracely, Richard H.
Petzke, Frank
Wolf, Julie M.
Clauw, Daniel J.
Gracely, Richard H.
Petzke, Frank
Wolf, Julie M.
Clauw, Daniel J.
author Gracely, Richard H.
Petzke, Frank
Wolf, Julie M.
Clauw, Daniel J.
spellingShingle Gracely, Richard H.
Petzke, Frank
Wolf, Julie M.
Clauw, Daniel J.
Arthritis & Rheumatism
Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
Pharmacology (medical)
Immunology
Rheumatology
Immunology and Allergy
author_sort gracely, richard h.
spelling Gracely, Richard H. Petzke, Frank Wolf, Julie M. Clauw, Daniel J. 0004-3591 1529-0131 Wiley Pharmacology (medical) Immunology Rheumatology Immunology and Allergy http://dx.doi.org/10.1002/art.10225 <jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To use functional magnetic resonance imaging (fMRI) to evaluate the pattern of cerebral activation during the application of painful pressure and determine whether this pattern is augmented in patients with fibromyalgia (FM) compared with controls.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Pressure was applied to the left thumbnail beds of 16 right‐handed patients with FM and 16 right‐handed matched controls. Each FM patient underwent fMRI while moderately painful pressure was being applied. The functional activation patterns in FM patients were compared with those in controls, who were tested under 2 conditions: the “stimulus pressure control” condition, during which they received an amount of pressure similar to that delivered to patients, and the “subjective pain control” condition, during which the intensity of stimulation was increased to deliver a subjective level of pain similar to that experienced by patients.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Stimulation with adequate pressure to cause similar pain in both groups resulted in 19 regions of increased regional cerebral blood flow in healthy controls and 12 significant regions in patients. Increased fMRI signal occurred in 7 regions common to both groups, and decreased signal was observed in 1 common region. In contrast, stimulation of controls with the same amount of pressure that caused pain in patients resulted in only 2 regions of increased signal, neither of which coincided with a region of activation in patients. Statistical comparison of the patient and control groups receiving similar stimulus pressures revealed 13 regions of greater activation in the patient group. In contrast, similar stimulus pressures produced only 1 region of greater activation in the control group.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The fact that comparable subjectively painful conditions resulted in activation patterns that were similar in patients and controls, whereas similar pressures resulted in no common regions of activation and greater effects in patients, supports the hypothesis that FM is characterized by cortical or subcortical augmentation of pain processing.</jats:p></jats:sec> Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia Arthritis & Rheumatism
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title Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_unstemmed Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_full Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_fullStr Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_full_unstemmed Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_short Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_sort functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
topic Pharmacology (medical)
Immunology
Rheumatology
Immunology and Allergy
url http://dx.doi.org/10.1002/art.10225
publishDate 2002
physical 1333-1343
description <jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To use functional magnetic resonance imaging (fMRI) to evaluate the pattern of cerebral activation during the application of painful pressure and determine whether this pattern is augmented in patients with fibromyalgia (FM) compared with controls.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Pressure was applied to the left thumbnail beds of 16 right‐handed patients with FM and 16 right‐handed matched controls. Each FM patient underwent fMRI while moderately painful pressure was being applied. The functional activation patterns in FM patients were compared with those in controls, who were tested under 2 conditions: the “stimulus pressure control” condition, during which they received an amount of pressure similar to that delivered to patients, and the “subjective pain control” condition, during which the intensity of stimulation was increased to deliver a subjective level of pain similar to that experienced by patients.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Stimulation with adequate pressure to cause similar pain in both groups resulted in 19 regions of increased regional cerebral blood flow in healthy controls and 12 significant regions in patients. Increased fMRI signal occurred in 7 regions common to both groups, and decreased signal was observed in 1 common region. In contrast, stimulation of controls with the same amount of pressure that caused pain in patients resulted in only 2 regions of increased signal, neither of which coincided with a region of activation in patients. Statistical comparison of the patient and control groups receiving similar stimulus pressures revealed 13 regions of greater activation in the patient group. In contrast, similar stimulus pressures produced only 1 region of greater activation in the control group.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The fact that comparable subjectively painful conditions resulted in activation patterns that were similar in patients and controls, whereas similar pressures resulted in no common regions of activation and greater effects in patients, supports the hypothesis that FM is characterized by cortical or subcortical augmentation of pain processing.</jats:p></jats:sec>
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author Gracely, Richard H., Petzke, Frank, Wolf, Julie M., Clauw, Daniel J.
author_facet Gracely, Richard H., Petzke, Frank, Wolf, Julie M., Clauw, Daniel J., Gracely, Richard H., Petzke, Frank, Wolf, Julie M., Clauw, Daniel J.
author_sort gracely, richard h.
container_issue 5
container_start_page 1333
container_title Arthritis & Rheumatism
container_volume 46
description <jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To use functional magnetic resonance imaging (fMRI) to evaluate the pattern of cerebral activation during the application of painful pressure and determine whether this pattern is augmented in patients with fibromyalgia (FM) compared with controls.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Pressure was applied to the left thumbnail beds of 16 right‐handed patients with FM and 16 right‐handed matched controls. Each FM patient underwent fMRI while moderately painful pressure was being applied. The functional activation patterns in FM patients were compared with those in controls, who were tested under 2 conditions: the “stimulus pressure control” condition, during which they received an amount of pressure similar to that delivered to patients, and the “subjective pain control” condition, during which the intensity of stimulation was increased to deliver a subjective level of pain similar to that experienced by patients.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Stimulation with adequate pressure to cause similar pain in both groups resulted in 19 regions of increased regional cerebral blood flow in healthy controls and 12 significant regions in patients. Increased fMRI signal occurred in 7 regions common to both groups, and decreased signal was observed in 1 common region. In contrast, stimulation of controls with the same amount of pressure that caused pain in patients resulted in only 2 regions of increased signal, neither of which coincided with a region of activation in patients. Statistical comparison of the patient and control groups receiving similar stimulus pressures revealed 13 regions of greater activation in the patient group. In contrast, similar stimulus pressures produced only 1 region of greater activation in the control group.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The fact that comparable subjectively painful conditions resulted in activation patterns that were similar in patients and controls, whereas similar pressures resulted in no common regions of activation and greater effects in patients, supports the hypothesis that FM is characterized by cortical or subcortical augmentation of pain processing.</jats:p></jats:sec>
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spelling Gracely, Richard H. Petzke, Frank Wolf, Julie M. Clauw, Daniel J. 0004-3591 1529-0131 Wiley Pharmacology (medical) Immunology Rheumatology Immunology and Allergy http://dx.doi.org/10.1002/art.10225 <jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>To use functional magnetic resonance imaging (fMRI) to evaluate the pattern of cerebral activation during the application of painful pressure and determine whether this pattern is augmented in patients with fibromyalgia (FM) compared with controls.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Pressure was applied to the left thumbnail beds of 16 right‐handed patients with FM and 16 right‐handed matched controls. Each FM patient underwent fMRI while moderately painful pressure was being applied. The functional activation patterns in FM patients were compared with those in controls, who were tested under 2 conditions: the “stimulus pressure control” condition, during which they received an amount of pressure similar to that delivered to patients, and the “subjective pain control” condition, during which the intensity of stimulation was increased to deliver a subjective level of pain similar to that experienced by patients.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Stimulation with adequate pressure to cause similar pain in both groups resulted in 19 regions of increased regional cerebral blood flow in healthy controls and 12 significant regions in patients. Increased fMRI signal occurred in 7 regions common to both groups, and decreased signal was observed in 1 common region. In contrast, stimulation of controls with the same amount of pressure that caused pain in patients resulted in only 2 regions of increased signal, neither of which coincided with a region of activation in patients. Statistical comparison of the patient and control groups receiving similar stimulus pressures revealed 13 regions of greater activation in the patient group. In contrast, similar stimulus pressures produced only 1 region of greater activation in the control group.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The fact that comparable subjectively painful conditions resulted in activation patterns that were similar in patients and controls, whereas similar pressures resulted in no common regions of activation and greater effects in patients, supports the hypothesis that FM is characterized by cortical or subcortical augmentation of pain processing.</jats:p></jats:sec> Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia Arthritis & Rheumatism
spellingShingle Gracely, Richard H., Petzke, Frank, Wolf, Julie M., Clauw, Daniel J., Arthritis & Rheumatism, Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia, Pharmacology (medical), Immunology, Rheumatology, Immunology and Allergy
title Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_full Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_fullStr Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_full_unstemmed Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_short Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_sort functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
title_unstemmed Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia
topic Pharmacology (medical), Immunology, Rheumatology, Immunology and Allergy
url http://dx.doi.org/10.1002/art.10225