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The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Dual task function differences in chronic low back pain: a narrative review.

Gannon Brochin1

  • 1Program on Integrative Medicine, Department of Physical Medicine and Rehabilitation, The University of North Carolina at Chapel Hill, Chapel Hill, NC.

The Journal of the Canadian Chiropractic Association
|October 16, 2025
PubMed
Summary
This summary is machine-generated.

Chronic low back pain (CLBP) is linked to impaired dual-tasking abilities, affecting gait and balance. Addressing cognitive and motor skills in rehabilitation may improve patient outcomes.

Keywords:
CLBPchiropracticchronic low back paindual-taskneurocognitivesomatosensory

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Chronic low back pain (CLBP) poses significant challenges with limited treatment efficacy.
  • Dual-task interference, involving simultaneous cognitive and motor processing, is increasingly recognized as a factor in CLBP persistence.

Purpose of the Study:

  • To review existing literature on dual-task performance in individuals with CLBP compared to healthy controls.
  • To synthesize findings on motor control, cognitive function, and sensorimotor integration in CLBP.

Main Methods:

  • A narrative review of 10 studies was conducted.
  • Studies compared dual-task performance (gait, balance, muscle activation) in CLBP and control groups.

Main Results:

  • Individuals with CLBP exhibited significant deficits in gait variability, balance, and muscle activation under cognitive load.
  • Neurocognitive impairments, including delayed anticipatory postural adjustments and altered trunk control, were observed in CLBP.
  • These findings suggest disrupted sensorimotor integration and central nervous system resource competition.

Conclusions:

  • Dual-task deficits in CLBP likely stem from chronic pain's impact on sensorimotor processing.
  • Integrating dual-task interventions into rehabilitation programs may offer a promising approach for CLBP management.
  • Further research is needed on standardized assessments and neuroimaging to refine targeted treatments.