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

Hodges, PW and Moseley, GL (2003) Pain and motor control of the lumbopelvic region: effect and possible mechanisms. Journal of Electromyography And Kinesiology, 13 4: 361-370. doi:10.1016/S1050-6411(03)00042-7

Author Hodges, PW
Moseley, GL
Title Pain and motor control of the lumbopelvic region: effect and possible mechanisms
Journal name Journal of Electromyography And Kinesiology   Check publisher's open access policy
ISSN 1050-6411
Publication date 2003-01-01
Year available 2003
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/S1050-6411(03)00042-7
Open Access Status Not yet assessed
Volume 13
Issue 4
Start page 361
End page 370
Total pages 10
Editor Dr. Moshe Solomonow
Toshio Moritani
Place of publication UK
Publisher Elsevier
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730114 Skeletal system and disorders (incl. arthritis)
Abstract Many authors report changes in the control of the trunk muscles in people with low back pain (LBP). Although there is considerable disagreement regarding the nature of these changes, we have consistently found differential effects on the deep intrinsic and superficial muscles of the lumbopelvic region. Two issues require consideration; first, the potential mechanisms for these changes in control, and secondly, the effect or outcome of changes in control for lumbopelvic function. Recent data indicate that experimentally induced pain may replicate some of the changes identified in people with LBP. While this does not exclude the possibility that changes in control of the trunk muscles may lead to pain, it does argue that, at least in some cases, pain may cause the changes in control. There are many possible mechanisms, including changes in excitability in the motor pathway, changes in the sensory system, and factors associated. with the attention demanding, stressful and fearful aspects of pain. A new hypothesis is presented regarding the outcome from differential effects of pain on the elements of the motor system. Taken together these data argue for strategies of prevention and rehabilitation of LBP (C) 2003 Elsevier Science Ltd. All rights reserved.
Keyword Neurosciences
Sport Sciences
Experimental Muscle Pain
Chronic Musculoskeletal Pain
Lumbar Spine
Transversus Abdominis
Psychophysiological Responses
Electromyographic Activity
Intraabdominal Pressure
Kinematic Behavior
Q-Index Code C1
Institutional Status UQ
Additional Notes This document is a journal review.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
2004 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 269 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 304 times in Scopus Article | Citations
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Created: Wed, 15 Aug 2007, 11:58:18 EST