Alpha as a Predictive Biomarker



Status:Completed
Conditions:Chronic Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:21 - 44
Updated:10/17/2018
Start Date:July 2016
End Date:July 2018

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Development of a Reliable Neurophysiological Pain Assessment Tool: Alpha as a Predictive Biomarker

The investigators will use non-invasive recordings of brain activity to measure pain as a
proxy to self-report. Participants will undergo testing for about 3 hours on two separate
days. The testing will involve experiencing painful heat.

Neurophysiological investigations of pain have suggested that electroencephalograph (EEG)
measures of peak alpha frequency might provide a means of pain assessment. In healthy
subjects, increased peak alpha frequency is strongly correlated with pain self-reports after
exposure to acute noxious heat. Conversely, chronic pain patients compared to healthy control
display decreased peak alpha frequencies higher in alpha power. Measures of peak alpha
frequency also show a negative relationship with disease duration, suggesting that peak alpha
frequency may not only index ongoing pain but also disease progression. The overall aim is to
determine the predictive accuracy, reliability, and specificity of EEG alpha activity in
acute pain and a model of neuropathic pain in healthy subjects.

Inclusion Criteria:

- Able to speak, read, and write English

- Between 21 and 44 years of age

- Able to understand and willing to comply with all study procedures and is available
for the duration of the study

- Free of an acute or chronic pain condition

- Not history of psychiatric or neurologic condition

Exclusion Criteria:

- Unable to undergo EEG, assessed on an individual basis

- History of unstable major psychiatric disorder (self-report)

- History of chronic pain (self-report)

- More than 14 alcoholic drinks per week on average (self-report)

- Active [within 6 months] substance or alcohol abuse (self-report and urine toxicology)

- Use of opioids (self-report and urine toxicology)

- History of major depressive disorder (self-report)

- Pregnant or Lactating (women only), based on (self-report and urine test)

- Anything that, in the opinion of the investigator, would place the subject at
increased risk or preclude the subject's full compliance with or completion of the
study

- Uncontrolled (systolic blood pressure > 175 mmHg or diastolic blood pressure >105
mmHg) or unstable hypertension
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