Low-Back Pain Patients Learn to Adapt Motor Behavior With Adverse Secondary Consequences
Authors: van Dieën JH, Flor H, Hodges PW
CellNetworks People: Flor Herta
Journal: Exerc Sport Sci Rev. 2017 Oct;45(4):223-229. doi: 10.1249/JES.0000000000000121

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.