Alterations in central motor representation increase over time in individuals with rotator cuff tendinopathy.

TitleAlterations in central motor representation increase over time in individuals with rotator cuff tendinopathy.
Publication TypeJournal Article
Year of Publication2015
AuteursNgomo, S, Mercier, C, Bouyer, LJ, Savoie, A, Roy, J-S
JournalClin Neurophysiol
Volume126
Issue2
Pagination365-71
Date Published2015 Feb
ISSN1872-8952
KeywordsAdult, Female, Humans, Male, Middle Aged, Motor Cortex, Pain, Pain Measurement, Rotator Cuff, Tendinopathy, Time Factors, Transcranial Magnetic Stimulation
Abstract

OBJECTIVE: To investigate whether rotator cuff tendinopathy leads to changes in central motor representation of a rotator cuff muscle, and to assess whether such changes are related to pain intensity, pain duration, and physical disability.METHODS: Using transcranial magnetic stimulation, motor representation of infraspinatus muscle was assessed bilaterally in patients with unilateral rotator cuff tendinopathy.RESULTS: Active motor threshold is significantly larger for the affected shoulder comparatively to the unaffected shoulder (n=39, p=0.01), indicating decreased corticospinal excitability on the affected side compared to unaffected side. Further, results suggest that this asymmetry in corticospinal excitability is associated with duration of pain (n=39; r=0.45; p=0.005), but not with pain intensity (n=39; r<0.03; p>0.43). In contrast with findings in other populations with musculoskeletal pain, no significant inter-hemispheric asymmetry was observed in map location (n=16; p-values ⩾ 0.91), or in the amplitude of motor responses obtained at various stimulation intensities (n=16; p=0.83).CONCLUSION: Chronicity of pain, but not its intensity, appears to be a factor related to lower excitability of infraspinatus representation.SIGNIFICANCE: These results support the view that while cortical reorganization correlates with magnitude of pain in neuropathic pain syndromes, it could be more related to chronicity in the case of musculoskeletal disorders.

DOI10.1016/j.clinph.2014.05.035
Alternate JournalClin Neurophysiol
PubMed ID25043198
Grant List / / Canadian Institutes of Health Research / Canada