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

1487 Downloads (Pure)

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 - 1 Oct 2017

Keywords

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

Fingerprint

Dive into the research topics of 'Low-Back Pain Patients Learn to Adapt Motor Behavior with Adverse Secondary Consequences'. Together they form a unique fingerprint.

Cite this