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

Biomechanics

Research output: Contribution to Journal › Article › Academic › peer-review

2107 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 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 - 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.

Funders	Funder number
National Health and Medical Research Council
Deutsche Forschungsgemeinschaft	APP1091302, APP1102905

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)

Access to Document

10.1249/JES.0000000000000121

low_back_pain_patients_learn_to_adapt_motor.7Final published version, 1.24 MBLicence: Article 25fa Dutch Copyright Act

Persistent URL (handle)

Persistent link

Cite this

@article{537b1fbf418849b0bfca1b0af65cf3c2,

title = "Low-Back Pain Patients Learn to Adapt Motor Behavior with Adverse Secondary Consequences",

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.",

keywords = "reinforcement learning, nociception, postural control, motor control, sensory feedback, perceived risk of pain",

author = "\{van Die{\"e}n\}, \{Jaap H.\} and Herta Flor and Hodges, \{Paul W.\}",

year = "2017",

month = oct,

doi = "10.1249/JES.0000000000000121",

language = "English",

volume = "45",

pages = "223--229",

journal = "Exercise and Sport Sciences Reviews",

issn = "0091-6331",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "4",

}

TY - JOUR

T1 - Low-Back Pain Patients Learn to Adapt Motor Behavior with Adverse Secondary Consequences

AU - van Dieën, Jaap H.

AU - Flor, Herta

AU - Hodges, Paul W.

PY - 2017/10

Y1 - 2017/10

N2 - 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.

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

UR - https://www.scopus.com/pages/publications/85023775415

UR - https://www.scopus.com/inward/citedby.url?scp=85023775415&partnerID=8YFLogxK

U2 - 10.1249/JES.0000000000000121

DO - 10.1249/JES.0000000000000121

M3 - Article

C2 - 28704216

AN - SCOPUS:85023775415

SN - 0091-6331

VL - 45

SP - 223

EP - 229

JO - Exercise and Sport Sciences Reviews

JF - Exercise and Sport Sciences Reviews

IS - 4

ER -

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

Abstract

Funding

Keywords

UN SDGs

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Cite this