Acute Exercise Modulates Pain-induced Response on Sensorimotor Cortex ∼20 Hz Oscillation.

Exercise affects positively on self-reported pain in musculoskeletal pain conditions possibly via top-down pain inhibitory networks. However, the role of cortical activity in these networks is unclear. The aim of the current exploratory study was to investigate the effects of acute exercise on cortical nociceptive processing and specifically the excitability in the human sensorimotor cortex. Five healthy adults (mean age 32.8 years) were recorded with a whole-head 306-channel magnetoencephalography (MEG, Elekta Neuromag® Triux™). Participant's right hand third fingertip was stimulated electrically with an intracutaneous non-magnetic copper tip electrode before and immediately after an exercise task. Stimulus intensity was set individually so that the stimulation was subjectively rated as moderately painful, 6-7 on a visual analog scale. The acute exercise task was an isometric three-minute fatiguing left hand contraction with force-level at 30% of maximum voluntary contraction. Data analysis was conducted as event-related evoked field and frequency analysis. Early cortical activations after stimulation were localized in the primary and secondary somatosensory cortices. The main result demonstrated modulation of cortical nociceptive processing in the sensorimotor cortex ∼20 Hz rhythm immediately after the acute exercise. In conclusion, acute exercise may have an effect on nociceptive processing in the sensorimotor cortex on oscillatory level. Research on cortical oscillations analyzing interaction between nociception and exercise is limited. This study presents results indicating brain oscillatory activity as a feasible research target for examining mechanisms interacting between exercise and cortical nociceptive processing.