Evidence map›Paper›PMID 42115099›Full record

Trial reportNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2026

Modulation of evoked alpha oscillatory activity in the frontocentral region during analgesia by non-invasive brain stimulation.

Nahian S Chowdhury, Samantha K Millard, Enrico De Martino, Dennis Boye Larsen, David A Seminowicz, Siobhan M Schabrun, Daniel Ciampi de Andrade, Thomas Graven-Nielsen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Alpha oscillations in pain neuromodulation: From resting rhythms to reactive networks.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nahian S ChowdhuryCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark; Center for Pain IMPACT, Neuroscience Research Australia, Sydney, New South Wales, Australia; NeuroRecovery Research Hub, School of Psychology, University of New South Wales, Sydney, New South Wales, Australia.
Samantha K MillardCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Enrico De MartinoCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Dennis Boye LarsenCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
David A SeminowiczDepartment of Medical Biophysics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Canada.
Siobhan M SchabrunThe Gray Centre for Mobility and Activity, Lawson Research Institute, St. Josephs Healthcare London, Canada; School of Physical Therapy, University of Western Ontario, London, Canada.
Daniel Ciampi de AndradeCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Thomas Graven-NielsenCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark. Electronic address: tgn@hst.aau.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepetitive transcranial magnetic stimulation (rTMS) to the posterior superior insula (PSI) can produce analgesia, although the underlying mechanisms require further exploration. While alpha oscillations have been implicated in rTMS-induced plasticity, research has largely focused on resting-state metrics, whereas alterations in perturbation-evoked alpha activity remain unknown.

objectiveTo examine the effect of PSI rTMS on perturbation-evoked alpha activity within a capsaicin-induced tonic pain model.

methodsTwenty healthy adults (10 females) completed two randomised, counterbalanced rTMS sessions (active, sham). Capsaicin was applied to the forearm for 90 min and pain intensity recorded at 5 min intervals on a numerical rating scale. Left PSI rTMS (10 Hz, 100 pulses/train, 15 trains) was delivered ∼50 min after capsaicin application. Evoked electroencephalographic responses to primary motor cortex (M1) TMS were assessed at baseline, during capsaicin-induced pain pre-rTMS, and post-rTMS. The frontocentral event-related spectral perturbation (ERSP) and parietal-occipital inter-trial coherence (ITC) were extracted.

resultsBaseline-normalised frontocentral ERSP showed a more positive pre-to-post change in M1-TMS-evoked alpha power following active rTMS relative to sham (p = 0.013), though no significant effect on ITC was observed. Exploratory analysis showed that lower pre-rTMS ITC predicted a greater reduction in pain with active rTMS (r = 0.68, p < 0.001).

conclusionsPSI-rTMS modulates evoked alpha oscillatory power in frontocentral regions, advancing our understanding of the mechanisms underlying rTMS-induced analgesia. Evoked frontocentral alpha power may index a change in pain state, whereas exploratory findings suggest that alpha-band parietal-occipital ITC may predict individual differences in the rTMS analgesic response, though larger studies are needed to confirm these findings.

Indexed as

Alpha RhythmAnalgesiaPainTranscranial Magnetic StimulationAdultCapsaicinFemaleHumansMaleMotor CortexPain MeasurementYoung AdultCapsaicinCombined TMS-EEGExperimental painPosterior insular cortexrTMS

Identifiers

PMID42115099
PMCPMC13247697

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.