Gain of postural responses increases in response to real and anticipated pain

作者: Paul W. Hodges , Henry Tsao , Kevin Sims

DOI: 10.1007/S00221-015-4347-0

关键词:

摘要: This study tested two contrasting theories of adaptation postural control to pain. One proposes alteration the strategy including inhibition muscles that produce painful movement; another amplification adjustment recruit strategies normally reserved for higher load. aimed determine which these alternatives best explains pain-related hip muscle activity associated with stepping down from steps increasing height load was evaluated electromyography (fine-wire and surface electrodes) as ten males stepped (i.e. load). In one set trials, participants a low step (5 cm) pain induced by noxious electrical stimulation over sacrum triggered foot contact force plate or anticipated. Changes in EMG amplitude onset timing were compared between conditions. Hip activation earlier larger when steps. Although ground reaction forces (one determinants joint load) unchanged before, during after pain, trials real anticipated accompanied indistinguishable (EMG increased 9 17 % peak). These data support notion is augmented challenged real/anticipated stimulation. Muscle greater than required task likely create unnecessary loading. could have long-term consequences if maintained.

参考文章(41)
Michael T. Taussig, The Nervous System ,(1991)
Paul W Hodges, Jacek Cholewicki, Functional control of the spine Movement, Stability & Lumbopelvic Pain (Second Edition)#R##N#Integration of Research and Therapy. pp. 489- 512 ,(2007) , 10.1016/B978-044310178-6.50035-9
P.W. Hodges, M.W. Coppieters, D. MacDonald, J. Cholewicki, New insight into motor adaptation to pain revealed by a combination of modelling and empirical approaches. European Journal of Pain. ,vol. 17, pp. 1138- 1146 ,(2013) , 10.1002/J.1532-2149.2013.00286.X
D. Falla, G. Jull, P. W. Hodges, Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Experimental Brain Research. ,vol. 157, pp. 43- 48 ,(2004) , 10.1007/S00221-003-1814-9
Lars Arendt-Nielsen, Thomas Graven-Nielsen, Heine Svarrer, Peter Svensson, The influence of low back pain on muscle activity and coordination during gait: a clinical and experimental study Pain. ,vol. 64, pp. 231- 240 ,(1996) , 10.1016/0304-3959(95)00115-8
K. Tucker, J. Butler, T. Graven-Nielsen, S. Riek, P. Hodges, Motor Unit Recruitment Strategies Are Altered during Deep-Tissue Pain The Journal of Neuroscience. ,vol. 29, pp. 10820- 10826 ,(2009) , 10.1523/JNEUROSCI.5211-08.2009
J. A. Hides, M. J. Stokes, M. Saide, G. A. Jull, D. H. Cooper, Evidence of Lumbar Multifidus Muscle Wasting Ipsilateral to Symptoms in Patients with Acute/Subacute Low Back Pain Spine. ,vol. 19, pp. 165- 172 ,(1994) , 10.1097/00007632-199401001-00009