Low-back pain patients learn to adapt motor behavior with adverse secondary consequences

• Verfasst von: Dieën, Jaap van [VerfasserIn]
• Verfasst von: Flor, Herta [VerfasserIn]
• Verfasst von: Hodges, Paul [VerfasserIn]
• Titel: Low-back pain patients learn to adapt motor behavior with adverse secondary consequences
• Verf.angabe: Jaap H. van Dieën, Herta Flor and Paul W. Hodges
• Jahr: 2017
• Umfang: 7 S.
• Fussnoten: Gesehen am 07.09.2018
• Titel Quelle: Enthalten in: Exercise and sport sciences reviews
• Ort Quelle: Hagerstown, Md. : Lippincott Williams & Wilkins, 1973
• Jahr Quelle: 2017
• Band/Heft Quelle: 45(2017), 4, Seite 223-229
• ISSN Quelle: 1538-3008
• DOI: doi:10.1249/JES.0000000000000121
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1580767583

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