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Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
Update on the relation between pain and movement: consequences for clinical practice.
Julie N Cote1, Marie K Hoeger Bement
1Department of Kinesiology and Physical Education, McGill University, Montreal, Quebec, Canada. julie.cote2@mcgill.ca
The Clinical Journal of Pain
|July 29, 2010
Summary
Exercise can help pain, but overuse may cause injury. Understanding how fatigue impacts pain is key for safe exercise prescription, especially for those with chronic pain conditions.
Area of Science:
- Neuroscience
- Exercise Physiology
- Pain Management
Background:
- Exercise is generally considered beneficial for pain relief.
- However, prolonged physical activity can lead to injuries due to motor unit overload.
- The effects of exercise and fatigue on pain, particularly in individuals with existing pain conditions, remain complex and less understood.
Purpose of the Study:
- To review the relationship between the motor system and pain development and management.
- To explore how fatigue influences pain perception and motor control.
- To inform exercise prescription strategies for individuals experiencing pain.
Main Methods:
- Literature review of recent studies on exercise, fatigue, and pain.
- Analysis of motor system adaptations in response to acute and chronic pain.
- Examination of corticomotor excitability changes due to fatigue.
Main Results:
- Fatigue alters pain-induced corticomotor excitability and induces muscle adaptations.
- Acute pain can increase movement variability as a compensatory strategy.
- Chronic pain often restricts movement duration, speed, and variability, potentially hindering long-term recovery.
Conclusions:
- Movement adaptations in response to pain influence exercise prescription.
- Dynamic, multi-muscle exercises promoting movement variability may be beneficial.
- Tailored exercise strategies incorporating diverse movement patterns can enhance benefits and mitigate pain reaggravation.
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