EEG Correlates of Central Origin of Cancer-Related Fatigue

The neurophysiological mechanism of cancer-related fatigue (CRF) remains poorly understood. EEG was examined during a sustained submaximal contraction (SC) task to further understand our prior research findings of greater central contribution to early fatigue during SC in CRF. Advanced cancer patien...

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Main Authors: Didier Allexandre, Dilara Seyidova-Khoshknabi, Mellar P. Davis, Vinoth K. Ranganathan, Vlodek Siemionow, Declan Walsh, Guang H. Yue
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2020/8812984
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author Didier Allexandre
Dilara Seyidova-Khoshknabi
Mellar P. Davis
Vinoth K. Ranganathan
Vlodek Siemionow
Declan Walsh
Guang H. Yue
author_facet Didier Allexandre
Dilara Seyidova-Khoshknabi
Mellar P. Davis
Vinoth K. Ranganathan
Vlodek Siemionow
Declan Walsh
Guang H. Yue
author_sort Didier Allexandre
collection DOAJ
description The neurophysiological mechanism of cancer-related fatigue (CRF) remains poorly understood. EEG was examined during a sustained submaximal contraction (SC) task to further understand our prior research findings of greater central contribution to early fatigue during SC in CRF. Advanced cancer patients and matched healthy controls performed an elbow flexor SC until task failure while undergoing neuromuscular testing and EEG recording. EEG power changes over left and right sensorimotor cortices were analyzed and correlated with brief fatigue inventory (BFI) score and evoked muscle force, a measure of central fatigue. Brain electrical activity changes during the SC differed in CRF from healthy subjects mainly in the theta (4-8 Hz) and beta (12-30 Hz) bands in the contralateral (to the fatigued limb) hemisphere; changes were correlated with the evoked force. Also, the gamma band (30-50 Hz) power decrease during the SC did not return to baseline after 2 min of rest in CRF, an effect correlated with BFI score. In conclusion, altered brain electrical activity during a fatigue task in patients is associated with central fatigue during SC or fatigue symptoms, suggesting its potential contribution to CRF during motor performance. This information should guide the development and use of rehabilitative interventions that target the central nervous system to maximize function recovery.
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spelling doaj-art-66e5adf1408a469983b37befb6438f372025-02-03T00:58:52ZengWileyNeural Plasticity2090-59041687-54432020-01-01202010.1155/2020/88129848812984EEG Correlates of Central Origin of Cancer-Related FatigueDidier Allexandre0Dilara Seyidova-Khoshknabi1Mellar P. Davis2Vinoth K. Ranganathan3Vlodek Siemionow4Declan Walsh5Guang H. Yue6Center for Mobility and Rehabilitation Engineering Research, Kessler Foundation, West Orange, NJ, USAThe Harry R. Horvitz Center for Palliative Medicine, The Taussig Cancer Center, The Cleveland Clinic, Cleveland, OH, USAThe Harry R. Horvitz Center for Palliative Medicine, The Taussig Cancer Center, The Cleveland Clinic, Cleveland, OH, USADepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USADepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USAThe Harry R. Horvitz Center for Palliative Medicine, The Taussig Cancer Center, The Cleveland Clinic, Cleveland, OH, USACenter for Mobility and Rehabilitation Engineering Research, Kessler Foundation, West Orange, NJ, USAThe neurophysiological mechanism of cancer-related fatigue (CRF) remains poorly understood. EEG was examined during a sustained submaximal contraction (SC) task to further understand our prior research findings of greater central contribution to early fatigue during SC in CRF. Advanced cancer patients and matched healthy controls performed an elbow flexor SC until task failure while undergoing neuromuscular testing and EEG recording. EEG power changes over left and right sensorimotor cortices were analyzed and correlated with brief fatigue inventory (BFI) score and evoked muscle force, a measure of central fatigue. Brain electrical activity changes during the SC differed in CRF from healthy subjects mainly in the theta (4-8 Hz) and beta (12-30 Hz) bands in the contralateral (to the fatigued limb) hemisphere; changes were correlated with the evoked force. Also, the gamma band (30-50 Hz) power decrease during the SC did not return to baseline after 2 min of rest in CRF, an effect correlated with BFI score. In conclusion, altered brain electrical activity during a fatigue task in patients is associated with central fatigue during SC or fatigue symptoms, suggesting its potential contribution to CRF during motor performance. This information should guide the development and use of rehabilitative interventions that target the central nervous system to maximize function recovery.http://dx.doi.org/10.1155/2020/8812984
spellingShingle Didier Allexandre
Dilara Seyidova-Khoshknabi
Mellar P. Davis
Vinoth K. Ranganathan
Vlodek Siemionow
Declan Walsh
Guang H. Yue
EEG Correlates of Central Origin of Cancer-Related Fatigue
Neural Plasticity
title EEG Correlates of Central Origin of Cancer-Related Fatigue
title_full EEG Correlates of Central Origin of Cancer-Related Fatigue
title_fullStr EEG Correlates of Central Origin of Cancer-Related Fatigue
title_full_unstemmed EEG Correlates of Central Origin of Cancer-Related Fatigue
title_short EEG Correlates of Central Origin of Cancer-Related Fatigue
title_sort eeg correlates of central origin of cancer related fatigue
url http://dx.doi.org/10.1155/2020/8812984
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