The role of long-term physical exercise on performance and brain activation during the Stroop colour word task in fibromyalgia patients

Clin Physiol Funct Imaging. 2018 May;38(3):508-516. doi: 10.1111/cpf.12449. Epub 2017 Jun 18.

Abstract

The Stroop colour word test (SCWT) has been widely used to assess changes in cognitive performance such as processing speed, selective attention and the degree of automaticity. Moreover, the SCWT has proven to be a valuable tool to assess neuronal plasticity that is coupled to improvement in performance in clinical populations. In a previous study, we showed impaired cognitive processing during SCWT along with reduced task-related activations in patients with fibromyalgia. In this study, we used SCWT and functional magnetic resonance imagingFMRI to investigate the effects of a 15-week physical exercise intervention on cognitive performance, task-related cortical activation and distraction-induced analgesia (DIA) in patients with fibromyalgia and healthy controls. The exercise intervention yielded reduced fibromyalgia symptoms, improved cognitive processing and increased task-related activation of amygdala, but no effect on DIA. Our results suggest beneficial effects of physical exercise on cognitive functioning in FM.

Keywords: Stroop task; amygdala; cognitive performance; fibromyalgia; functional magnetic resonance imaging; neuroimaging; pain.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Attention
  • Brain / diagnostic imaging
  • Brain / physiopathology*
  • Brain Mapping / methods*
  • Cognition*
  • Exercise Therapy*
  • Female
  • Fibromyalgia / diagnosis
  • Fibromyalgia / physiopathology
  • Fibromyalgia / psychology
  • Fibromyalgia / therapy*
  • Humans
  • Magnetic Resonance Imaging*
  • Middle Aged
  • Pain Measurement
  • Predictive Value of Tests
  • Quality of Life
  • Reaction Time
  • Stroop Test*
  • Surveys and Questionnaires
  • Sweden
  • Time Factors
  • Treatment Outcome