Low-Back Pain Patients Learn to Adapt Motor Behavior with Adverse Secondary Consequences

Jaap H. van Dieën*, Herta Flor, Paul W. Hodges

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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Abstract

ABSTRACT: 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 adaptions result in less dynamic motor behavior, leading to increased loading and impoverished sensory feedback, which contributes to cortical reorganization and proprioceptive impairments that reduce the ability to control lumbar movement in a robust manner.

Original languageEnglish
Pages (from-to)223-229
Number of pages7
JournalExercise and Sport Sciences Reviews
Volume45
Issue number4
DOIs
Publication statusPublished - Oct 2017

Funding

The preparation of this article was facilitated by a Koselleck award by the Deutsche Forschungsgemeinschaft to Herta Flor. Paul Hodges is supported by a research fellowship (APP1102905) and program grant (APP1091302) from the National Health and Medical Research Council of Australia.

FundersFunder number
National Health and Medical Research Council
Deutsche ForschungsgemeinschaftAPP1091302, APP1102905

    Keywords

    • reinforcement learning
    • nociception
    • postural control
    • motor control
    • sensory feedback
    • perceived risk of pain

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