Use-dependent plasticity enhances nociceptive and non-nociceptive somatosensory cortical responses in healthy individuals

Repetitive movements and multisensory integration promote use-dependent plasticity, which has been consistently demonstrated using musical training as a model. Prolonged and repeated execution of motor patterns is also a main risk factor for developing pain syndromes, yet the neural underpinnings that link repetitive movements and use-dependent plasticity to abnormal pain processing in humans are unknown. Employing nociceptive and non-nociceptive electrical stimulation to evoke brain responses, we demonstrate that healthy musicians compared to non-musicians show larger non-nociceptive N140 and nociceptive N200 responses, smaller non-nociceptive P200 responses, and faster reaction times (RTs) to both stimuli. Across participants, larger N140 and N200 amplitudes predicted the RTs, whereas amount of daily practice in musicians predicted RTs, non-nociceptive P200, and nociceptive P300 components. These novel findings indicate that the mechanisms by which repetitive sensorimotor training and multimodal integration promote neural plasticity in multisensory neural structures may also increase stimulus-selectivity to nociceptive cues in healthy individuals.