It has frequently been observed that those with low back pain (LBP) move differently than those without; however, the mechanism of the motor control patterns behind these changes is still not well understood. Motor control is defined as the way in which the nervous system controls posture and movement, including all of the motor, sensory and integrative processes. The quality of the process can be assessed by how well a posture is maintained or a movement is achieved. For example, trunk posture is continuously perturbed by neuromuscular noise, concurrent motor tasks and external mechanical (physical) perturbations. Strategies such as anticipatory/feedforward control, tonic muscle activity and feedback mechanisms based on proprioceptive, visual, tactile and vestibular information may be implemented to deal with these perturbations. It is generally believed that those with LBP present with changes in motor control, though the findings thus far are largely inconclusive.
The authors of this commentary (which included our very own Dr. Greg Kawchuk) aimed to summarize the current state of the literature regarding the changes in motor control in those with LBP, to propose an interpretation of the variation in motor control changes observed, and to present the clinical implications and considerations for future research. LOG IN OR SUBSCRIBE TO ACCESS THIS REVIEW
THIS WEEK'S RESEARCH REVIEW: “Motor Control Changes in Low Back Pain”
This paper was published in JOSPT (2019) and this Review is posted in Recent Reviews, Low Back Pain, Core Stability and the 2020 Archive.
Spinal Stability