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Post-injury pain and behaviour: a control theory perspective
Ben Seymour1,2, Robyn J Crook3, Zhe Sage Chen4,5,6
1Institute for Biomedical Engineering, University of Oxford, Oxford, UK. ben.seymour@ndcn.ox.ac.uk.
Nature Reviews. Neuroscience
|May 10, 2023
Summary
The brain uses control theory to manage pain and recovery behaviors after injury. Aberrant inference of injury can lead to chronic pain states.
Area of Science:
- Neuroscience
- Behavioral Biology
- Pain Research
Background:
- Injuries commonly trigger persistent pain and recuperative behaviors for recovery.
- Understanding the brain's adaptive processes driving these behaviors is crucial.
Purpose of the Study:
- To propose a control-theoretic framework explaining brain mechanisms of post-injury behavior.
- To explore the evolutionary and ethological significance of pain and recuperation.
Main Methods:
- Adopting a normative, control-theoretic approach.
- Analyzing diverse sensory and physiological signals for injury inference.
- Examining behavioral homeostasis and effector control mechanisms.
Main Results:
- The brain continuously infers injury state to drive behavioral homeostasis.
- Rest and protective behaviors are modulated by this inference.
- Information restriction during recuperation can lead to persistent pain inference.
Conclusions:
- The proposed framework explains adaptive post-injury behaviors.
- Dysfunctional inference can transition acute pain to chronic pain states.
- Behavioral states during recovery are vital for survival and warrant further study.
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