Through the Lens of Movement-Evoked Pain: A Theoretical Framework of the "Pain-Movement Interface" to Guide Research and Clinical Care for Musculoskeletal Pain Conditions

Katie A. Butera; Ruth L. Chimenti; Ali M. Alsouhibani; Giovanni Berardi; Staja Q. Booker; Patrick J. Knox; Andrew A. Post; Ericka N. Merriwether; Abigail T. Wilson; Corey B. Simon

doi:10.1016/j.jpain.2024.01.351

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Through the Lens of Movement-Evoked Pain: A Theoretical Framework of the "Pain-Movement Interface" to Guide Research and Clinical Care for Musculoskeletal Pain Conditions

Journal article

Peer reviewed

Through the Lens of Movement-Evoked Pain: A Theoretical Framework of the "Pain-Movement Interface" to Guide Research and Clinical Care for Musculoskeletal Pain Conditions

Katie A. Butera, Ruth L. Chimenti, Ali M. Alsouhibani, Giovanni Berardi, Staja Q. Booker, Patrick J. Knox, Andrew A. Post, Ericka N. Merriwether, Abigail T. Wilson and Corey B. Simon

The journal of pain, Vol.25(7), pp.104486-104486

07/01/2024

DOI: 10.1016/j.jpain.2024.01.351

PMCID: PMC11180580

PMID: 38316243

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Abstract

Over 120 million Americans report experiencing pain in the past 3 months. Among these individuals, 50 million report chronic pain and 17 million report pain that limits daily life or work activities on most days (ie, high-impact chronic pain). Musculoskeletal pain conditions in particular are a major contributor to global disability, health care costs, and poor quality of life. Movement-evoked pain (MEP) is an important and distinct component of the musculoskeletal pain experience and represents an emerging area of study in pain and rehabilitation fields. This focus article proposes the "Pain-Movement Interface" as a theoretical framework of MEP that highlights the interface between MEP, pain interference, and activity engagement. The goal of the framework is to expand knowledge about MEP by guiding scientific inquiry into MEP-specific pathways to disability, high-risk clinical phenotypes, and underlying individual influences that may serve as treatment targets. This framework reinforces the dynamic nature of MEP within the context of activity engagement, participation in life and social roles, and the broader pain experience. Recommendations for MEP evaluation, encompassing the spectrum from high standardization to high patient specificity, and MEP-targeted treatments are provided. Overall, the proposed framework and recommendations reflect the current state of science in this emerging area of study and are intended to support future efforts to optimize musculoskeletal pain management and enhance patient outcomes. Perspective: Movement-evoked pain (MEP) is a distinct component of the musculoskeletal pain experience and emerging research area. This article introduces the "Pain-Movement Interface" as a theoretical framework of MEP, highlighting the interface between MEP, pain interference, and activity engagement. Evaluating and treating MEP could improve rehabilitation approaches and enhance patient outcomes.

Clinical Neurology

Life Sciences & Biomedicine

Neurosciences

Neurosciences & Neurology

Science & Technology

Details

Title: Subtitle: Through the Lens of Movement-Evoked Pain: A Theoretical Framework of the "Pain-Movement Interface" to Guide Research and Clinical Care for Musculoskeletal Pain Conditions
Creators: Katie A. Butera - University of Delaware
Ruth L. Chimenti - University of Iowa
Ali M. Alsouhibani - Qassim University
Giovanni Berardi - University of Iowa
Staja Q. Booker - University of Florida
Patrick J. Knox - University of Delaware
Andrew A. Post - University of Iowa
Ericka N. Merriwether - New York University
Abigail T. Wilson - University of Central Florida
Corey B. Simon - Duke University
Resource Type: Journal article
Publication Details: The journal of pain, Vol.25(7), pp.104486-104486
DOI: 10.1016/j.jpain.2024.01.351
PMID: 38316243
PMCID: PMC11180580
NLM abbreviation: J Pain
ISSN: 1526-5900
eISSN: 1528-8447
Publisher: Elsevier
Number of pages: 14
Grant note: F30AG081010 / National Institute on Aging of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) K23AR080846 / National Institute of Arthritis and Musculoskeletal and Skin Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS) UH3AR076387-02S1 / National Institute of Arthritis and Musculoskeletal and Skin Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS) University of Delaware's Graduate College Foundation for Physical Therapy Research U24NS112873 / National Institute of Neurological Disease and Stroke; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS) Research Development Office, University of Iowa (OVPR Early Career Scholars Program) TL1 TR002533 / National Institutes of Health/National Center for Advancing Translational Sciences (NIH/NCATS) Colorado Clinical and Translational Science Award (CTSA) K76AG074943 / National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) T32-HD007490 / Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Language: English
Date published: 07/01/2024
Academic Unit: Physical Therapy and Rehabilitation Science
Record Identifier: 9985113182602771

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