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Low-back pain patients learn to adapt motor behavior with adverse secondary consequences

We hypothesize that changes in motor behavior in individuals with low-back pain are adaptations aimed at minimizing the real or perceived risk of further pain. Through reinforcement learning, pain and subsequent adaptations result in less dynamic motor behavior, leading to increased loading and impo...

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Bibliographic Details
Main Authors: Dieën, Jaap van (Author) , Flor, Herta (Author) , Hodges, Paul (Author)
Format: Article (Journal)
Language:English
Published: 2017
In: Exercise and sport sciences reviews
Year: 2017, Volume: 45, Issue: 4, Pages: 223-229
ISSN:1538-3008
DOI:10.1249/JES.0000000000000121
Online Access:Verlag, Volltext: http://dx.doi.org/10.1249/JES.0000000000000121
Verlag, Volltext: https://journals.lww.com/acsm-essr/Abstract/2017/10000/Low_Back_Pain_Patients_Learn_to_Adapt_Motor.7.aspx
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Author Notes:Jaap H. van Dieën, Herta Flor and Paul W. Hodges
Description
Summary:We hypothesize that changes in motor behavior in individuals with low-back pain are adaptations aimed at minimizing the real or perceived risk of further pain. Through reinforcement learning, pain and subsequent adaptations result in less dynamic motor behavior, leading to increased loading and impoverished sensory feedback, which contribute to cortical reorganization and proprioceptive impairments that reduce the ability to control lumbar movement in a robust manner.
Item Description:Gesehen am 07.09.2018
Physical Description:Online Resource
ISSN:1538-3008
DOI:10.1249/JES.0000000000000121

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