The interaction between pain and movement |
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| Institution: | 1. Department of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, IA, USA;2. Military Performance Division, United States Army Research Institute of Environmental Medicine, Natick, MA, USA;1. Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia;2. Harvard Center for Work, Health and Well-being, Harvard T.H. Chan School of Public Health, Boston, MA, USA;3. Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Australia;4. The Hopkins Centre, Menzies Health Institute, Griffith University, Gold Coast, Australia;5. Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia;6. Amsterdam Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands;7. School of Medicine, The University of Queensland, St Lucia, Australia;8. Orthopaedic Department, Princess Alexandra Hospital, Woolloongabba, Australia;9. RECOVER Injury Research Centre, The University of Queensland, St Lucia, Australia;1. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy;2. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy;3. Physical Therapy Section, Faculty of Health Sciences, University of Malaga, Tecan Hand Center, Malaga, Spain;4. Department of Physical Therapy, University of Florida, Gainesville, FL, USA;1. Plastic Surgery Department, The Royal Free Hospital, London;2. St Mary''s Hospital, Imperial College NHS Trust, London;3. Specialist Surgery Psychology Team, Psychological Medicine Centre, John Radcliffe Hospital, Oxford;1. Certified Physical Therapy Associates, Glenwood Landing, NY, USA;2. STARS/Northwell Health, Manhasset, NY, USA;1. Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada, G1M 2S8;2. Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada, G1R 1P5;1. Midwestern University Occupational Therapy Department, Glendale, AZ, USA;2. Orfit Industries America, Physical Rehabilitation, Jericho, NY, USA |
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| Abstract: | Study DesignClinical commentary.Introduction/PurposePain and movement are universally relevant phenomena that influence human experiences in readily observable ways. Improved understanding of pain-movement relationships can guide medical and rehabilitative approaches to recovery and decrease risk of dysfunctional long-term consequences of otherwise normal neuromuscular responses. Therefore, the overall intent of this article is to elucidate the relationships between pain and movement as they relate to clinical decision making.ConclusionsMotor output is highly adaptable, can be influenced by multiple mechanisms at various levels along the nervous system, and may vary between individuals despite similar diagnoses. Therefore, interventions need to be individualized and consider both the types of motor response observed (ie, whether the response is protective or maladaptive), and the patient's acute physical activity tolerance when prescribing exercise/movement. |
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