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Electrocortical activity associated with movement-related fear: a methodological exploration of a threat-conditioning paradigm involving destabilising perturbations during quiet standing
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.ORCID iD: 0000-0003-3219-6493
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.ORCID iD: 0000-0002-6715-6208
Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics.ORCID iD: 0000-0003-1098-0076
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.ORCID iD: 0000-0003-0626-3154
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2024 (English)In: Experimental Brain Research, ISSN 0014-4819, E-ISSN 1432-1106, Vol. 242, no 8, p. 1903-1915Article in journal (Refereed) Published
Abstract [en]

Musculoskeletal trauma often leads to lasting psychological impacts stemming from concerns of future injuries. Often referred to as kinesiophobia or re-injury anxiety, such concerns have been shown to hinder return to physical activity and are believed to increase the risk for secondary injuries. Screening for re-injury anxiety is currently restricted to subjective questionnaires, which are prone to self-report bias. We introduce a novel approach to objectively identify electrocortical activity associated with the threat of destabilising perturbations. We aimed to explore its feasibility among non-injured persons, with potential future implementation for screening of re-injury anxiety. Twenty-three participants stood blindfolded on a translational balance perturbation platform. Consecutive auditory stimuli were provided as low (neutral stimulus [CS]) or high (conditioned stimulus [CS+]) tones. For the main experimental protocol (Protocol I), half of the high tones were followed by a perturbation in one of eight unpredictable directions. A separate validation protocol (Protocol II) requiring voluntary squatting without perturbations was performed with 12 participants. Event-related potentials (ERP) were computed from electroencephalography recordings and significant time-domain components were detected using an interval-wise testing procedure. High-amplitude early contingent negative variation (CNV) waves were significantly greater for CS+ compared with CS– trials in all channels for Protocol I (> 521-800ms), most prominently over frontal and central midline locations (P ≤ 0.001). For Protocol II, shorter frontal ERP components were observed (541-609ms). Our test paradigm revealed electrocortical activation possibly associated with movement-related fear. Exploring the discriminative validity of the paradigm among individuals with and without self-reported re-injury anxiety is warranted.

Place, publisher, year, edition, pages
Springer Nature, 2024. Vol. 242, no 8, p. 1903-1915
Keywords [en]
CNV, EEG, ERP, Kinesiophobia, Moving platform, Re-injury anxiety
National Category
Neurology Physiotherapy Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:umu:diva-227914DOI: 10.1007/s00221-024-06873-0ISI: 001251688200002PubMedID: 38896295Scopus ID: 2-s2.0-85196275390OAI: oai:DiVA.org:umu-227914DiVA, id: diva2:1884973
Funder
Swedish Research Council, 2016-02763Swedish Research Council, 2017‐00892Swedish Research Council, 2022-00774Region Västerbotten, VLL-358901Region Västerbotten, 7002795Region Västerbotten, RV966109Region Västerbotten, 2022–2024Region Västerbotten, RV 967112Region Västerbotten, 2022–2024Swedish National Centre for Research in Sports, FO‐2018‐0034Swedish National Centre for Research in Sports, FO-2019-00082Swedish National Centre for Research in Sports, 2020/9 P2020-0035Swedish National Centre for Research in Sports, 2021/9 P2022Swedish National Centre for Research in Sports, 2022/10 P2023-003The Kempe FoundationsAvailable from: 2024-07-19 Created: 2024-07-19 Last updated: 2024-07-19Bibliographically approved

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Grinberg, AdamStrong, AndrewStrandberg, JohanSelling, JonasBjörklund, MartinHäger, Charlotte K.

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