Progress in the Application of Resting-State Functional Magnetic Resonance Imaging in Chronic Nonspecific Low Back Pain

Chronic Nonspecific Low Back Pain (CNLBP) is one of the common diseases in orthopedics and rehabilitation medicine. The high incidence, recurrence rate, and disability rate of CNLBP prompt continuous exploration of its pathophysiological mechanisms. Resting-state functional magnetic resonance imagin...

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Main Authors: XU Ting, XUE Qin, LÜ Ying, TU Jianchun, DAI Dechun
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2025-01-01
Series:康复学报
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Online Access:http://kfxb.publish.founderss.cn/thesisDetails?columnId=80340574&Fpath=home&index=0
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author XU Ting
XUE Qin
LÜ Ying
TU Jianchun
DAI Dechun
author_facet XU Ting
XUE Qin
LÜ Ying
TU Jianchun
DAI Dechun
author_sort XU Ting
collection DOAJ
description Chronic Nonspecific Low Back Pain (CNLBP) is one of the common diseases in orthopedics and rehabilitation medicine. The high incidence, recurrence rate, and disability rate of CNLBP prompt continuous exploration of its pathophysiological mechanisms. Resting-state functional magnetic resonance imaging (rs-fMRI) can reflect the intensity of neuronal activity to acertain extent and has unique advantages in the study of central mechanisms of CNLBP. Variousmethods are used for rs-fMRI analysis, mainly including functional segregation and integration. Common methods for functional segregation mainly include Amplitude of Low-Frequency Fluctuations (ALFF) and Regional Homogeneity (ReHo). Common methods for functional integration mainly include Seed-based Functional Connectivity Analysis (SCA), Independent Component Analysis (ICA), and graph theory-based complex brain network analysis. These methods have their own characteristics and also have corresponding limitations. This paper reviews the specific applications of various rs-fMRI analysis methods in the study of central mechanisms of CNLBP and discusses and prospects the current research status, hoping to provide reference for the study of neural mechanisms of CNLBP. Studies show that there are plastic changes in the brain areas related to pain perception, emotion, and cognition in CNLBP, and these abnormalities still exist even in the absence of noxious pain; the function of the motivation-reward circuit in CNLBP is weakened, leading to a decline in cognitive ability; the Default Mode Network (DMN) produces complex regulation of pain through the adjustment within its own network and other brain networks; negative emotions may further reduce the information transmission capacity at both global and local levels of the CNLBP brain functional network. Dynamic rs-fMRI analysis methods provide supplementary information on the conduction and integration regulation of pain information within the brain, which may be more suitable for explaining the complex and dynamic characteristics of pain, providing a new perspective for exploring the central neural mechanisms of CNLBP, and may be the direction of future research.
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spelling doaj-art-c7b63b5fd11e410eacc25829fb49bb752025-01-18T19:00:14ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282025-01-011780340574Progress in the Application of Resting-State Functional Magnetic Resonance Imaging in Chronic Nonspecific Low Back PainXU TingXUE QinLÜ YingTU JianchunDAI DechunChronic Nonspecific Low Back Pain (CNLBP) is one of the common diseases in orthopedics and rehabilitation medicine. The high incidence, recurrence rate, and disability rate of CNLBP prompt continuous exploration of its pathophysiological mechanisms. Resting-state functional magnetic resonance imaging (rs-fMRI) can reflect the intensity of neuronal activity to acertain extent and has unique advantages in the study of central mechanisms of CNLBP. Variousmethods are used for rs-fMRI analysis, mainly including functional segregation and integration. Common methods for functional segregation mainly include Amplitude of Low-Frequency Fluctuations (ALFF) and Regional Homogeneity (ReHo). Common methods for functional integration mainly include Seed-based Functional Connectivity Analysis (SCA), Independent Component Analysis (ICA), and graph theory-based complex brain network analysis. These methods have their own characteristics and also have corresponding limitations. This paper reviews the specific applications of various rs-fMRI analysis methods in the study of central mechanisms of CNLBP and discusses and prospects the current research status, hoping to provide reference for the study of neural mechanisms of CNLBP. Studies show that there are plastic changes in the brain areas related to pain perception, emotion, and cognition in CNLBP, and these abnormalities still exist even in the absence of noxious pain; the function of the motivation-reward circuit in CNLBP is weakened, leading to a decline in cognitive ability; the Default Mode Network (DMN) produces complex regulation of pain through the adjustment within its own network and other brain networks; negative emotions may further reduce the information transmission capacity at both global and local levels of the CNLBP brain functional network. Dynamic rs-fMRI analysis methods provide supplementary information on the conduction and integration regulation of pain information within the brain, which may be more suitable for explaining the complex and dynamic characteristics of pain, providing a new perspective for exploring the central neural mechanisms of CNLBP, and may be the direction of future research.http://kfxb.publish.founderss.cn/thesisDetails?columnId=80340574&Fpath=home&index=0chronic non-specific low back paincentral mechanismresting-statefunctional magnetic resonance imaging
spellingShingle XU Ting
XUE Qin
LÜ Ying
TU Jianchun
DAI Dechun
Progress in the Application of Resting-State Functional Magnetic Resonance Imaging in Chronic Nonspecific Low Back Pain
康复学报
chronic non-specific low back pain
central mechanism
resting-state
functional magnetic resonance imaging
title Progress in the Application of Resting-State Functional Magnetic Resonance Imaging in Chronic Nonspecific Low Back Pain
title_full Progress in the Application of Resting-State Functional Magnetic Resonance Imaging in Chronic Nonspecific Low Back Pain
title_fullStr Progress in the Application of Resting-State Functional Magnetic Resonance Imaging in Chronic Nonspecific Low Back Pain
title_full_unstemmed Progress in the Application of Resting-State Functional Magnetic Resonance Imaging in Chronic Nonspecific Low Back Pain
title_short Progress in the Application of Resting-State Functional Magnetic Resonance Imaging in Chronic Nonspecific Low Back Pain
title_sort progress in the application of resting state functional magnetic resonance imaging in chronic nonspecific low back pain
topic chronic non-specific low back pain
central mechanism
resting-state
functional magnetic resonance imaging
url http://kfxb.publish.founderss.cn/thesisDetails?columnId=80340574&Fpath=home&index=0
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AT xueqin progressintheapplicationofrestingstatefunctionalmagneticresonanceimaginginchronicnonspecificlowbackpain
AT luying progressintheapplicationofrestingstatefunctionalmagneticresonanceimaginginchronicnonspecificlowbackpain
AT tujianchun progressintheapplicationofrestingstatefunctionalmagneticresonanceimaginginchronicnonspecificlowbackpain
AT daidechun progressintheapplicationofrestingstatefunctionalmagneticresonanceimaginginchronicnonspecificlowbackpain