Adaptation and rehabilitation: from motoneurones to motor cortex and behaviour

Hodges, Paul W. (2013). Adaptation and rehabilitation: from motoneurones to motor cortex and behaviour. In Paul W. Hodges, Jacek Cholewicki and Jaap H. van Dieën (Ed.), The Rehabilitation of Back Pain (pp. 59-73) UK: Elsevier. doi:10.1016/B978-0-7020-4356-7.00006-9

Author Hodges, Paul W.
Title of chapter Adaptation and rehabilitation: from motoneurones to motor cortex and behaviour
Title of book The Rehabilitation of Back Pain
Place of Publication UK
Publisher Elsevier
Publication Year 2013
Sub-type Research book chapter (original research)
DOI 10.1016/B978-0-7020-4356-7.00006-9
Open Access Status
ISBN 9780702043567
Editor Paul W. Hodges
Jacek Cholewicki
Jaap H. van Dieën
Chapter number 6
Start page 59
End page 73
Total pages 15
Total chapters 21
Collection year 2014
Language eng
Formatted Abstract/Summary
There is no doubt that movement is changed in pain. Whether these changes precede or follow the onset of pain is not always clear. Although some changes may be protective and potentially beneficial (at least in the short term), others are not. It is our contention that adapted strategies are not ideal and clinical benefit can be derived from rehabilitation of motor control to either reduce pain and disability, prevent recurrence of symptoms, or prevent the first onset of back pain. There are differing views of the methods that can be used to change motor control and differing views of what the clinical objective should be when aiming to change motor control. It makes sense that the response to both these issues will vary when applied to individual patients as a function of differences in their strategy of adaptation, their pain presentation and their functional demands. Attempts to restore optimal spine control will require consideration of multiple aspects; from strategies of muscle activation to the patient's posture and movement patterns, and consideration of the interaction between motor control and psychological aspects. This chapter discusses new ideas about the basis for adaptation in the motor system with pain and injury (Hodges and Tucker 2011), the challenge to determine the clinical goal for the individual patient, and considerations regarding application of this information for rehabilitation.
Q-Index Code B1
Q-Index Status Confirmed Code
Institutional Status UQ

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Created: Thu, 20 Mar 2014, 12:25:56 EST by Professor Paul Hodges on behalf of School of Health & Rehabilitation Sciences