medigraphic.com
Academia Mexicana de Neurología, A.C.

2017, Number 5

<< Back Next >>

Rev Mex Neuroci 2017; 18 (5)

Considerations and reconceptualization of theories of chronic pain associated with musculoskeletal dysfunctions and its implication in plasticity and cerebral reorganization: a review of the literature

Pinto CS, Araya QF, Gutiérrez EH

Language: Spanish
References: 53
Page: 64-74
PDF size: 171.81 Kb.


ABSTRACT

Current explanatory models of chronic musculoskeletal pain disorders refer to peripheral nociceptive mechanisms and are driven secondary to the structural and post-traumatic anomaly. Considering several limitations present in the literature and available evidence, it is necessary to generate a synthesis of concepts under a current framework of knowledge about the conceptualization of pain and its processes at the level of the central nervous system. Currently our understanding of pain and neuroplasticity in chronic musculoskeletal disorders, in this last decade, modern neuroscience is constantly growing. That is why the proposed models and theories continually grow and evolve under a requirement of new and growing information. Whereas, Naturally, the theories or concepts that we have so far could be mistaken in the simplistic sense, but in a specific and even subtle sense, they only need to be considered as incomplete in need to re-conceptualize. Therefore, our review aims to describe and contextualize the new adaptive theories of chronic pain and to see their implications in plasticity and cortical reorganization in musculoskeletal dysfunctions. It is worth mentioning that the new adaptive theories of pain and new knowledge suggest and force to generate new strategies that integrate all the systems and see as a cornerstone the work in the cortical and subcortical structures.


REFERENCES

  1. Hodges PW, Tucker K. Moving differently in pain: a new theory to explain the adaptation to pain. Pain. 2011;152:90–98.

  2. O`Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Manual Therapy. 2005, 10 (4) :242-255

  3. Nijs J, Van Houdenhove B, Oostendorp R. Recognition of central sensitization in patients with musculoskeletal pain: Application of pain neurophysiology in manual therapy practice. Manual Therapy. (2010); 15: 135–141

  4. Henry D, Chiodo A, Yang W. Central Nervous System Reorganization in a Variety of Chronic Pain States: A Review. PM&R. (2011); 3:1116-1125.

  5. Liu P, Maffulli N, Rolf C, Smith R. What are the validated models for tendinopathy?. Scand J Med Sci Sports. (2011); 21(1): 3-17.

  6. Pelletier R, Higgins J, Bourbonnais D. Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders?. BMC Musculoskeletal Disorders (2015): 16-25

  7. Cote J, Hoeger Bement M. Update on the Relation Between Pain and Movement: Consequences for Clinical Practice. Clin J Pain. (2010); 26 (9):754-762.

  8. Simmonds M, Moseley L, Vlaeyen J. Pain, Mind, and Movement An Expanded, Updated, and Integrated Conceptualization Clin J Pain. (2008); 24 (4):279–280

  9. Moseley GL. Reconceptualising pain according to modern pain science. Physical Therapy Reviews. (2007); 12 (3) :169-178.

  10. Hodges PW. Pain and motor control: From the laboratory to rehabilitation. Journal of Electromyography and Kinesiology. (2011); (21): 220–228.

  11. Hodges PW, Smeets R. Interaction Between Pain, Movement, and Physical Activity. Short-term Benefits, Long-term Consequences, and Targets for Treatment. Clin J Pain. (2015); 31:97–107

  12. Moseley GL, Flor H. Targeting cortical representations in the treatment of chronic pain a review. Neurorehabil Neural Repair. (2012); 26: 646–52

  13. Littlewood C, Malliaras P, Bateman M, Stace R, May S, Walters S. The central nervous system e an additional consideration in rotator cuff tendinopathy and a potential basis for understanding response to loaded therapeutic exercise. Manual Therapy. (2013); 18(6):468-72.

  14. Cook J, Purdam C. Is tendon pathology a continuum? A pathology model to explain the clinical presentation of loadinduced tendinopathy. Br J Sports Med. (2009);43: 409-416

  15. Wand B, Parkitny L, O’Connell N, Luomajoki H, McAuley J, Thacker M, et al. Cortical changes in chronic low back pain: current state of the art and implications for clinical practice. Manual Therapy. (2011); 16:15-20.

  16. Gifford, L. Pain, the tissues and the nervous system: a conceptual model. Physiotherapy. (1998); 84 (1), 27-36.

  17. Adams M, Roughley P. What is Intervertebral Disc Degeneration, and What Causes It?. Spine. (2006); 31: 2151–2161.

  18. Seitz A, McClure P, Finucane S, Boardman D, Michener L. Mechanisms of rotator cuff tendinopathy: Intrinsic, extrinsic, or both?. Clinical Biomechanics. (2011); 26: 1–12

  19. Rees JD1, Wilson AM, Wolman RL. Current concepts in the management of tendon disorders. Rheumatology. 2006;45(5):508-21

  20. Iannetti GD, Mouraux A. From the neuromatrix to the pain matrix (and back). Exp Brain Res. 2010;205(1):1-12

  21. Melzack R. Phantom limbs and the concept of a neuromatrix. Trends Neurosci. (1990);13:88-92.

  22. Brinjikji W, Luetmer PH, Comstock B, Bresnahan BW, Chen LE, Deyo RA.Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol. 2015;36(4):811-6

  23. Butler D., Moseley L. Explain pain. Physiotherapy Research International. 2004.9;4185–187

  24. Arendt-Nielsen L, Nie H, Laursen MB, Laursen BS, Madeleine P, Simonsen OH, et.al. Sensitization in patients with painful knee osteoarthritis. Pain. 2010;149(3):573-81

  25. Puentedura EJ, Louw A. A neuroscience approach to managing athletes with low back pain. Phys Ther Sport. 2012;13(3):123-33

  26. Hodges PW, Smeets RJ. Interaction between pain, movement, and physical activity: short-term benefits, long-term consequences, and targets for treatment. Clin J Pain. 2015;31(2):97-107.

  27. Madeleine P, Mathiassen SE, Arendt-Nielsen L. Changes in the degree of motor variability associated with experimental and chronic neck-shoulder pain during a standardised repetitive arm movement. Exp Brain Res. (2008);185:689–698

  28. Farina D, Leclerc F, Arendt-Nielsen L, et al. The change in spatial distribution of upper trapezius muscle activity is correlated to contraction duration. J Electromyogr Kinesiol. (2008);18:16–25

  29. Nijs J, Kosek E, Van Oosterwijck J, Meeus M. Dysfunctional Endogenous Analgesia During Exercise in Patients with Chronic Pain: To Exercise or Not to Exercise? Pain Physician. (2012); 15:ES205-ES213

  30. Tsao H, Galea MP, Hodges PW. Reorganization of the motor cortex is associated with postural control deficits in recurrent low back pain. Brain. 2008;131: 2161-71

  31. Pascual-Leone A, Amedi A, Fregni F, Merabet LB. The plastic human brain cortex. Annu Rev Neuroscience. 2005;28:377-401.

  32. Flor H. Painful memories. Can we train chronic pain patients to ‘forget’ their pain? EMBO Rep. (2002);3(4):288-91.

  33. Macedo LG, Maher CG, Latimer J, McAuley JH. Motor control exercise for persistent, nonspecific low back pain: a systematic review. Phys Ther. (2009);89(1):9-25

  34. Bystrom MG, Rasmussen-Barr E, Grooten WJ. Motor control exercises reduces pain and disability in chronic and recurrent low back pain: a meta-analysis. Spine. (2013); 38(6):350-8

  35. Guillot A, Collet C. Construction of the Motor Imagery Integrative Model in Sport: a review and theoretical investigation of motor imagery use. Int Rev Sport Exerc Psychol. (2008);1(1):31-44.

  36. Mulder T. Motor imagery and action observation: cognitive tools for rehabilitation. J Neural Transm. (2007);114(10):1265- 78.

  37. Tsao H, Galea MP, Hodges PW. Driving plasticity in the motor cortex in recurrent low back pain. Eur J Pain. (2010);14(8):832-9.

  38. Carey JR, Kimberley TJ, Lewis SM, Auerbach EJ, Dorsey L, Rundquist P, et al. Analysis of fMRI and finger tracking training in subjects with chronic stroke. Brain. (2002);125(Pt 4):773-88.

  39. Madeleine P, Vedsted P, Blangsted A K, Sjøgaard G, Søgaard K. Effects of electromyographic and mechanomyographic biofeedback on upper trapezius muscle activity during standardized computer work. Ergonomics. (2006); (49): 921-933.

  40. Madeleine P, Leclerc F, Arendt-Nielsen L, Ravier P, Farina D. Experimental muscle pain changes the spatial distribution of upper trapezius muscle activity during sustained contraction. Clin Neurophysiol. (2006); (117): 2436-2445.

  41. Vibe K, O Sullivan P, Skouen J, Smith A, Kvale A. Efficacy of classification-based cognitive functional therapy in patients with non-specific chronic low back pain: A randomized controlled trial. Eur J Pain. 2013 J;17(6):916-28

  42. Birbaumer N, Lutzenberger W, Montoya P, Larbig W, Unertl K, Topfner S, et al. Effects of regional anesthesia on phantom limb pain are mirrored in changes in cortical reorganization. J Neurosci. (1997);17:5503–8.

  43. Huse E, Larbig W, Flor H, Birbaumer N. The effect of opioids on phantom limb pain and cortical reorganization. Pain. (2001);90:47–55.

  44. Rodriguez-Raecke R, Niemeier A, Ihle K, Ruether W, May A. Brain gray matter decrease in chronic pain is the consequence and not the cause of pain. J Neurosci. (2009);29:13746-13750

  45. Seminowicz DA, Wideman TH, Naso L, Hatami-Khoroushahi Z, Fallatah S, Ware MA, et al. Effective treatment of chronic low back pain in humans reverses abnormal brain anatomy and function. J Neurosci. (2011);31(20):7540-50

  46. Baliki M, Petre B, Torbey S. Corticostriatal functional connectivity predicts transition to chronic back pain. Nature Neuroscience. 2012.15:1117-1121

  47. Byl NN, McKenzie A, Nagarajan SS. Differences in somatosensory hand organization in a healthy flutist and a flutist with focal hand dystonia: a case report. J Hand Ther. 2000;13(4):302-9

  48. Byl NN, Nagarajan SS, Merzenich MM, Roberts T, McKenzie A. Correlation of clinical neuromusculoskeletal and central somatosensory performance: variability in controls and patients with severe and mild focal hand dystonia. Neural Plast. 2002;9(3):177-203

  49. D’hooge R, Hodges P, Tsao H, Hall L, MacDonald D, Danneels L. Altered trunk muscle coordination during rapid trunk flexion in people in remission of recurrent low back pain. J Electromyogr Kinesiol. (2013);23:173–81.

  50. Brumagne S, Janssens L, Knapen S, Claeys K, Suuden-Johanson E. Persons with recurrent low back pain exhibit a rigid postural control strategy. Eur Spine J. (2008);17:1177–84.

  51. Keim JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. J Speech Lang Hear Res. (2008);51:225–39

  52. Apkarian AV, Baliki MN, Geha PY. Towards a theory of chronic pain. Prog Neurobiol. (2009);87:81–97.

  53. Mansour A, Farmer M, Baliki M, Apkarian AV. Chronic pain: the role of learning and brain plasticity. Restor Neurol Neurosci. (2014);32:129–39.




2020     |     www.medigraphic.com