Research Proposal: Investigating Cortical Homunculus Dysfunction and Pain Sensitivity Mapping in ME/CFS and Post-COVID Conditions
1. Background and Rationale The cortical homunculus represents the somatotopic organization of the human body within the primary motor and sensory cortices. This organization reflects the unequal distribution of neural resources, with highly sensitive or finely controlled body regions (e.g., hands, lips, face) occupying disproportionately large cortical areas. Originally described by Wilder Penfield and Edwin Boldrey , this model remains central to understanding how the brain processes sensory input and motor output. ME/CFS and post-COVID conditions frequently involve neurological symptoms such as localized pain, hypersensitivity (hyperalgesia or allodynia), and muscle weakness. While current research focuses on neuroinflammation and autonomic dysfunction, the potential role of somatotopic cortical disruption—particularly involving pain sensitivity—remains insufficiently explored. Given the close functional relationship between the sensory homunculus and the supplementary mot...