The Effects of Sensorimotor Training on Changes in Motor Control by Chronic Low Back Pain Patients` Central Nervous System

2014 ◽  
Author(s):  
Sea-Hyun Bae ◽  
Jin-Ah Hwang ◽  
Kyung-Yoon Kim
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Sensorimotor Training ◽  
Pain Patients

A case report of a thalamic stroke associated with sudden disappearance of severe chronic low back pain

2018 ◽  
Vol 18 (1) ◽  
pp. 121-124 ◽  
Author(s):  
Harsha Shanthanna
Keyword(s):  
Central Nervous System ◽  
Chronic Pain ◽  
Nervous System ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Chronic Pain Condition ◽  
The Central Nervous System

Abstract Background: Chronic pain conditions are associated with neuroplasticity within the central nervous system. In most patients the maladaptive consequence of neuroplasticity supports prolonged course of chronic pain, despite the absence of a commensurate etiology. From a pain neuromatrix perspective it can involve three different circuits within the central nervous system; the classical sensory pathway, the limbic system pathway, and the associative pathways involving the parietal cortical connections. Although this can be conceptualized as a fluid system composed of several interacting networks, it can be broadly separated into a nociceptive specific network of spino-thalamic neurons and second order neurons beyond thalamus that are not nociceptor specific. Thalamus acts as an important relay station that conveys nociceptive signaling to higher centres. Neuroplastic changes can potentially involve any parts within this neuromatrix. It is very uncommon to observe the sudden disappearance of such a chronic pain condition. Methods and results: In this case report, the author describes the clinical course of a patient with severe chronic low back pain (CLBP), whose pain suddenly disappeared after a stroke involving his left thalamus. Although extremely rare, existing case reports of such disappearance of pain with a secondary stroke in patients suffering from central post stroke pain (CPSP) are reviewed. The author further postulates hypotheses that could potentially explain this phenomenon based on the existing knowledge. Conclusions and implications: Although extremely rare and unpredictable, a thalamic stroke involving areas that are involved in chronic pain signaling can potentially lead to disappearence of an existing chronic pain condition. This is the first case report of such sudden disappearence of CLBP with well established nociceptive pathology supported by clinical and imaging findings. This unique case report could potentially generate ideas for future research and clinical treatment in the field of neuromodulation and brain stimulation.

The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment

2006 ◽  
Vol 11 (1) ◽  
pp. 28-39 ◽  
Author(s):  
W. Dankaerts ◽  
P.B. O’Sullivan ◽  
L.M. Straker ◽  
A.F. Burnett ◽  
J.S. Skouen
Keyword(s):  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Classification Method ◽  
Low Back ◽  
Pain Patients

Comparison of spinal stability following motor control and general exercises in nonspecific chronic low back pain patients

2017 ◽  
Vol 48 ◽  
pp. 42-48 ◽  
Author(s):  
MohammadBagher Shamsi ◽  
Javad Sarrafzadeh ◽  
Aliashraf Jamshidi ◽  
Navid Arjmand ◽  
Farshid Ghezelbash
Keyword(s):  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Spinal Stability ◽  
Low Back ◽  
Pain Patients

Chronic Low Back Pain, Core Stability and Francis Bacon: Implications for Contemporary Physiotherapy – A Narrative Review

2014 ◽  
Vol 22 (1) ◽  
pp. 35-41
Author(s):  
Wacław Adamczyk ◽  
E. Saulicz
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
The Body ◽  
Narrative Review ◽  
Core Stability ◽  
Low Back ◽  
The Central Nervous System

AbstractBackground: Chronic low back pain (LBP) is the most common cause of disability, hence multiple attempts have been undertaken to develop therapeutic strategies aimed at addressing the issue. The most commonly used strategies include motor control exercises of deep core muscles that stabilize the lower back. However, on the practical side, they require application of special devices, such as ultrasonography or electromyography as well as instructions and support provided by trained personnel. Despite the lack of high-quality empirical evidence, these exercises are extensively used in clinical practice.Narrative Review: The vast body of literature collected suggests that the cause of chronic LBP should be sought in the structural and functional alterations within different levels of the central nervous system. These alterations and maladaptations apply to both the molecular and tissue levels. Nevertheless, successful treatment of these changes is currently possible due to an affordable, cognitive therapeutic approach. It encompasses a number of strategies that aim to restore the normal function of the nervous system using brain plasticity processes. These include graded motor imagery, mirror therapy, graded exposure, pain education, sensory training and pain coping strategies.Conclusions: Lack of clear advantage in the application of the core stability exercises over other, potentially cheaper alternatives, implies a shift-paradigm from the existing biomedical model of chronic LBP treatment towards modern cognitive approaches. As results of numerous studies confirm the validity of the approach aimed at restoring the structure and function of the central nervous system in contrast to the still common concept of treatment of the peripheral tissues of the body, more rigorous systematic reviews and meta-analysis are required. Evidence from this kind of evaluation may contribute to the shift in current beliefs regarding the treatment of chronic LBP.

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