Assessing the specificity of the relationship between brain alpha oscillations and tonic pain

Recent research has pointed to alpha brain oscillations as a potential clinical biomarker for sensitivity to pain. In particular, researchers claimed that the slowing of individual alpha frequency (IAF) could be an objective marker of pain during prolonged nociceptive stimulation. However, prolonged pain has been also associated with increased IAF. To date, there is insufficient evidence to conclude that IAF can be a neural marker of pain. The current study aimed at elucidating the conflicting findings by assessing the specificity of the relationship between brain alpha oscillations and tonic pain. We recorded electroencephalography (EEG) on healthy volunteers during exposure to consecutive 5-minute sessions of painful hot water immersion, innocuous warm water immersion and an aversive, non-painful auditory stimulus, matched by unpleasantness to the painful condition. Participants rated stimulus unpleasantness throughout each condition. We also asked participants to sit still with eyes closed and eyes open right before and after the three experimental conditions in order to obtain a robust estimate of baseline alpha. Our findings revealed both increased and decreased IAF during tonic hot stimulation depending on the alpha range targeted (7-13 Hz vs. 8-10 Hz). In addition, they provide mild evidence for a negative relationship between IAF and the unpleasantness of the experience. Finally, we could not identify a difference between IAF during tonic hot temperature and during tonic auditory experience. Altogether, these findings emphasize a twofold frequency pattern (increase vs. decrease) for IAF during tonic thermal pain, thus indicating the need for robust methodological scrutiny of IAF as a neural marker of pain.