Identifying Motor Control Strategies and Their Role in Low Back Pain: A Cross-Disciplinary Approach Bridging Neurosciences With Movement Biomechanics
Persistent low back pain (LBP) is a major health issue, and its treatment remains challenging due to a lack of pathophysiological understanding. A better understanding of LBP pathophysiology has been recognized as a research priority, however research on contributing mechanisms to LBP is often limit...
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doaj-8478dba4e7b944619817e8abf40c52352021-08-11T06:28:50ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2021-08-01210.3389/fpain.2021.715219715219Identifying Motor Control Strategies and Their Role in Low Back Pain: A Cross-Disciplinary Approach Bridging Neurosciences With Movement BiomechanicsStefan Schmid0Stefan Schmid1Christian Bangerter2Petra Schweinhardt3Petra Schweinhardt4Petra Schweinhardt5Michael L. Meier6Michael L. Meier7Spinal Movement Biomechanics Group, Division of Physiotherapy, Department of Health Professions, Bern University of Applied Sciences, Bern, SwitzerlandFaculty of Medicine, University of Basel, Basel, SwitzerlandSpinal Movement Biomechanics Group, Division of Physiotherapy, Department of Health Professions, Bern University of Applied Sciences, Bern, SwitzerlandDepartment of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Integrative Spinal Research, Zurich, SwitzerlandUniversity of Zurich, Zurich, SwitzerlandAlan Edwards Center for Research on Pain, McGill University, Montreal, QC, CanadaDepartment of Chiropractic Medicine, Balgrist University Hospital, University of Zurich, Integrative Spinal Research, Zurich, SwitzerlandUniversity of Zurich, Zurich, SwitzerlandPersistent low back pain (LBP) is a major health issue, and its treatment remains challenging due to a lack of pathophysiological understanding. A better understanding of LBP pathophysiology has been recognized as a research priority, however research on contributing mechanisms to LBP is often limited by siloed research within different disciplines. Novel cross-disciplinary approaches are necessary to fill important knowledge gaps in LBP research. This becomes particularly apparent when considering new theories about a potential role of changes in movement behavior (motor control) in the development and persistence of LBP. First evidence points toward the existence of different motor control strategy phenotypes, which are suggested to have pain-provoking effects in some individuals driven by interactions between neuroplastic, psychological and biomechanical factors. Yet, these phenotypes and their role in LBP need further validation, which can be systematically tested using an appropriate cross-disciplinary approach. Therefore, we propose a novel approach, connecting methods from neuroscience and biomechanics research including state-of-the-art optical motion capture, musculoskeletal modeling, functional magnetic resonance imaging and assessments of psychological factors. Ultimately, this cross-disciplinary approach might lead to the identification of different motor control strategy phenotypes with the potential to translate into clinical research for better treatment options.https://www.frontiersin.org/articles/10.3389/fpain.2021.715219/fulllow back painkinematicspain-related fearmotor controlfunctional magnetic resonance imaging |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Stefan Schmid Stefan Schmid Christian Bangerter Petra Schweinhardt Petra Schweinhardt Petra Schweinhardt Michael L. Meier Michael L. Meier |
spellingShingle |
Stefan Schmid Stefan Schmid Christian Bangerter Petra Schweinhardt Petra Schweinhardt Petra Schweinhardt Michael L. Meier Michael L. Meier Identifying Motor Control Strategies and Their Role in Low Back Pain: A Cross-Disciplinary Approach Bridging Neurosciences With Movement Biomechanics Frontiers in Pain Research low back pain kinematics pain-related fear motor control functional magnetic resonance imaging |
author_facet |
Stefan Schmid Stefan Schmid Christian Bangerter Petra Schweinhardt Petra Schweinhardt Petra Schweinhardt Michael L. Meier Michael L. Meier |
author_sort |
Stefan Schmid |
title |
Identifying Motor Control Strategies and Their Role in Low Back Pain: A Cross-Disciplinary Approach Bridging Neurosciences With Movement Biomechanics |
title_short |
Identifying Motor Control Strategies and Their Role in Low Back Pain: A Cross-Disciplinary Approach Bridging Neurosciences With Movement Biomechanics |
title_full |
Identifying Motor Control Strategies and Their Role in Low Back Pain: A Cross-Disciplinary Approach Bridging Neurosciences With Movement Biomechanics |
title_fullStr |
Identifying Motor Control Strategies and Their Role in Low Back Pain: A Cross-Disciplinary Approach Bridging Neurosciences With Movement Biomechanics |
title_full_unstemmed |
Identifying Motor Control Strategies and Their Role in Low Back Pain: A Cross-Disciplinary Approach Bridging Neurosciences With Movement Biomechanics |
title_sort |
identifying motor control strategies and their role in low back pain: a cross-disciplinary approach bridging neurosciences with movement biomechanics |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Pain Research |
issn |
2673-561X |
publishDate |
2021-08-01 |
description |
Persistent low back pain (LBP) is a major health issue, and its treatment remains challenging due to a lack of pathophysiological understanding. A better understanding of LBP pathophysiology has been recognized as a research priority, however research on contributing mechanisms to LBP is often limited by siloed research within different disciplines. Novel cross-disciplinary approaches are necessary to fill important knowledge gaps in LBP research. This becomes particularly apparent when considering new theories about a potential role of changes in movement behavior (motor control) in the development and persistence of LBP. First evidence points toward the existence of different motor control strategy phenotypes, which are suggested to have pain-provoking effects in some individuals driven by interactions between neuroplastic, psychological and biomechanical factors. Yet, these phenotypes and their role in LBP need further validation, which can be systematically tested using an appropriate cross-disciplinary approach. Therefore, we propose a novel approach, connecting methods from neuroscience and biomechanics research including state-of-the-art optical motion capture, musculoskeletal modeling, functional magnetic resonance imaging and assessments of psychological factors. Ultimately, this cross-disciplinary approach might lead to the identification of different motor control strategy phenotypes with the potential to translate into clinical research for better treatment options. |
topic |
low back pain kinematics pain-related fear motor control functional magnetic resonance imaging |
url |
https://www.frontiersin.org/articles/10.3389/fpain.2021.715219/full |
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