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

Jaap H. van Dieën; Herta Flor; Paul W. Hodges

doi:10.1249/JES.0000000000000121

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

Neuromechanics

Research output: Contribution to Journal › Article › Academic › peer-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 language	English
Pages (from-to)	223-229
Number of pages	7
Journal	Exercise and Sport Sciences Reviews
Volume	45
Issue number	4
DOIs	https://doi.org/10.1249/JES.0000000000000121
Publication status	Published - 1 Oct 2017

Keywords

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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AU - Hodges, Paul W.

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AB - 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.

KW - reinforcement learning

KW - nociception

KW - postural control

KW - motor control

KW - sensory feedback

KW - perceived risk of pain

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

Abstract

Keywords

UN SDGs

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