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The interaction between pain and movement
Journal article   Open access   Peer reviewed

The interaction between pain and movement

Shannon L Merkle, Kathleen A Sluka and Laura A Frey-Law
Journal of hand therapy, Vol.33(1), pp.60-66
01/2020
DOI: 10.1016/j.jht.2018.05.001
PMCID: PMC6335190
PMID: 30025839
url
https://www.ncbi.nlm.nih.gov/pmc/articles/6335190View
Open Access

Abstract

Clinical commentary. Pain 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. Motor 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. •Discusses the primary pain-motor theories that influence clinical practice.•Reviews evidence that both informs and refutes the primary pain-motor theories.•Considers clinical implications based on the primary pain-motor theories and review of current evidence.•Considers strategies that address pain-related maladaptive motor responses.
 Chronic Motor response Neuromuscular adaptation Acute Exercise prescription

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