Pain and motor control: From the laboratory to rehabilitation.

@article{Hodges2011PainAM,
  title={Pain and motor control: From the laboratory to rehabilitation.},
  author={Paul William Hodges},
  journal={Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology},
  year={2011},
  volume={21 2},
  pages={
          220-8
        }
}
  • P. Hodges
  • Published 1 April 2011
  • Psychology, Biology, Medicine
  • Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology

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References

SHOWING 1-10 OF 122 REFERENCES

Orofacial pain and jaw muscle activity: a new model.

The authors propose that the existing Pain Adaptation Model is a subset of a broader model that could be called the Integrated Painadaptation Model, which states that pain results in a new, optimized recruitment strategy of motor units that represents the individual's integrated motor response to the sensory-discriminative, motivational-affective, and cognitive-evaluative components of pain.

The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity.

It is suggested that the "dysfunction" that is characteristic of several types of chronic musculoskeletal pain is a normal protective adaptation and is not a cause of pain.

Pain and motor control of the lumbopelvic region: effect and possible mechanisms.

  • P. HodgesG. Moseley
  • Medicine, Psychology
    Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology
  • 2003

Driving plasticity in the motor cortex in recurrent low back pain

The motor system shows adaptive changes in complex regional pain syndrome.

The results of this study suggest that substantial adaptive changes within the central nervous system may contribute to motor symptoms in CRPS.

Does anticipation of back pain predispose to back trouble?

It is concluded that anticipation of experimental back pain evokes a protective postural strategy that stiffens the spine that is associated with compressive cost and is thought to predispose to spinal injury if maintained long term.

Experimental muscle pain changes feedforward postural responses of the trunk muscles

The results suggest that acute experimentally induced pain may affect feedforward postural activity of the trunk muscles, with consistent impairment of transversus abdominis (TrA) activity.

Reorganization of the motor cortex is associated with postural control deficits in recurrent low back pain.

Preliminary evidence is provided of reorganization of trunk muscle representation at the motor cortex in individuals with recurrent LBP, and it is suggested this reorganization is associated with deficits in postural control.

Trunk muscle activation in low-back pain patients, an analysis of the literature.

  • J. V. van DieënL. SelenJ. Cholewicki
  • Psychology, Medicine
    Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology
  • 2003
...