Kinematic adaptations to movement-evoked pain experimentally induced in the lumbar region.
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| Title: | Kinematic adaptations to movement-evoked pain experimentally induced in the lumbar region. |
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| Authors: | Devecchi, V., Falla, D., Cabral, H., Abboud, J., Hodges, P. W., Gallina, A. |
| Source: | Pain Practice. 2022 Supplement, Vol. 22, p22-22. 1/2p. |
| Subjects: | Lumbar pain, Conferences & conventions, Nociceptors, Electric stimulation, Kinematics |
| Geographic Terms: | Netherlands |
| Abstract: | Introduction: Pain is a motivational stimulus that influences motor behaviour. To identify whether motor adaptation may be a purposeful strategy to avoid pain-provocative movements, we investigated kinematic adaptations to experimentally induced pain modulated by lumbar flexion. Methods: Sixteen healthy adults performed a lifting task consisting of 15 sets of 10 cycles each. Pain was induced in the lumbosacral region (sets 3-13) using electrical stimulation modulated in real-time3 to induce pain intensity of 5/10 when lumbar flexion was equal or higher than the peak flexion recorded at baseline. Repeated-measures ANOVA followed by post-hoc analyses were conducted to assess changes in lumbar kinematics between baseline (sets 1-2), early adaptation (sets 3-4), late adaptation (sets 12-13), and post-pain (sets 14-15). Results: Compared to baseline, participants reduced lumbar flexion in the late adaptation (p < 0.05) and post-pain (p < 0.05), and increased lumbar extension during both early (p < 0.05) and late adaptation (p < 0.05). The reduction of lumbar flexion during late adaptation was inversely associated to reported pain intensity (r = -0.52, p < 0.05). Discussion: When pain is modulated by lumbar flexion, individuals increase lumbar extension and learn to reduce lumbar flexion over time to limit pain. The adopted movement strategy (reduction in lumbar flexion) was maintained after pain resolution. Process evaluation: Pain perception could be affected by habituation to electrical stimulation and exercise-induced hypoalgesia. To ensure consistency across trials, the pain threshold was regularly reassessed. [ABSTRACT FROM AUTHOR] |
| Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 159783619 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Kinematic adaptations to movement-evoked pain experimentally induced in the lumbar region. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Devecchi%2C+V%2E%22">Devecchi, V.</searchLink><br /><searchLink fieldCode="AR" term="%22Falla%2C+D%2E%22">Falla, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Cabral%2C+H%2E%22">Cabral, H.</searchLink><br /><searchLink fieldCode="AR" term="%22Abboud%2C+J%2E%22">Abboud, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Hodges%2C+P%2E+W%2E%22">Hodges, P. W.</searchLink><br /><searchLink fieldCode="AR" term="%22Gallina%2C+A%2E%22">Gallina, A.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. 2022 Supplement, Vol. 22, p22-22. 1/2p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Lumbar+pain%22">Lumbar pain</searchLink><br /><searchLink fieldCode="DE" term="%22Conferences+%26+conventions%22">Conferences & conventions</searchLink><br /><searchLink fieldCode="DE" term="%22Nociceptors%22">Nociceptors</searchLink><br /><searchLink fieldCode="DE" term="%22Electric+stimulation%22">Electric stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Kinematics%22">Kinematics</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Netherlands%22">Netherlands</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Introduction: Pain is a motivational stimulus that influences motor behaviour. To identify whether motor adaptation may be a purposeful strategy to avoid pain-provocative movements, we investigated kinematic adaptations to experimentally induced pain modulated by lumbar flexion. Methods: Sixteen healthy adults performed a lifting task consisting of 15 sets of 10 cycles each. Pain was induced in the lumbosacral region (sets 3-13) using electrical stimulation modulated in real-time3 to induce pain intensity of 5/10 when lumbar flexion was equal or higher than the peak flexion recorded at baseline. Repeated-measures ANOVA followed by post-hoc analyses were conducted to assess changes in lumbar kinematics between baseline (sets 1-2), early adaptation (sets 3-4), late adaptation (sets 12-13), and post-pain (sets 14-15). Results: Compared to baseline, participants reduced lumbar flexion in the late adaptation (p < 0.05) and post-pain (p < 0.05), and increased lumbar extension during both early (p < 0.05) and late adaptation (p < 0.05). The reduction of lumbar flexion during late adaptation was inversely associated to reported pain intensity (r = -0.52, p < 0.05). Discussion: When pain is modulated by lumbar flexion, individuals increase lumbar extension and learn to reduce lumbar flexion over time to limit pain. The adopted movement strategy (reduction in lumbar flexion) was maintained after pain resolution. Process evaluation: Pain perception could be affected by habituation to electrical stimulation and exercise-induced hypoalgesia. To ensure consistency across trials, the pain threshold was regularly reassessed. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/papr.13128 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 0 StartPage: 22 Subjects: – SubjectFull: Lumbar pain Type: general – SubjectFull: Conferences & conventions Type: general – SubjectFull: Nociceptors Type: general – SubjectFull: Electric stimulation Type: general – SubjectFull: Kinematics Type: general – SubjectFull: Netherlands Type: general Titles: – TitleFull: Kinematic adaptations to movement-evoked pain experimentally induced in the lumbar region. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Devecchi, V. – PersonEntity: Name: NameFull: Falla, D. – PersonEntity: Name: NameFull: Cabral, H. – PersonEntity: Name: NameFull: Abboud, J. – PersonEntity: Name: NameFull: Hodges, P. W. – PersonEntity: Name: NameFull: Gallina, A. IsPartOfRelationships: – BibEntity: Dates: – D: 03 M: 09 Text: 2022 Supplement Type: published Y: 2022 Identifiers: – Type: issn-print Value: 15307085 Numbering: – Type: volume Value: 22 Titles: – TitleFull: Pain Practice Type: main |
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