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Disrupted Corticomuscular Coherence and Force Steadiness During Acute Low Back Pain
Franciele Parolini1,2, Klaus Becker2,3, Ulysses F Ervilha2,4
1Center for Rehabilitation Research (CIR), ESS, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 4249-015 Porto, Portugal.
Bioengineering (Basel, Switzerland)
|November 27, 2025
Summary
Acute low back pain impairs motor control, reducing force steadiness and altering brain activity. This study investigated pain
Area of Science:
- Neuroscience
- Motor Control
- Pain Research
Background:
- Acute low back pain is known to impair motor control.
- However, its specific effects on force steadiness and cortical activity are not fully understood.
Purpose of the Study:
- To investigate the impact of experimentally induced acute low back pain on motor control, specifically force steadiness and cortical activity.
- To explore the relationship between pain, neuromuscular regulation, and brain function.
Main Methods:
- Healthy adults performed a sustained spinal extension task under pre- and during-pain conditions.
- Electromyography (EMG) and electroencephalography (EEG) were recorded from relevant muscles and cortical areas.
- Analysis included spectral power (alpha, beta, gamma bands) and corticomuscular/cortico-cortical coherence.
Main Results:
- Acute pain significantly reduced force steadiness.
- Cortical activity was altered, with increased beta/gamma power in the prefrontal cortex and decreased alpha power in the motor cortex.
- Nociceptive modulation of corticomuscular coupling was observed in the Cz region during pain.
Conclusions:
- Experimentally induced acute low back pain disrupts motor control.
- Pain modifies cortical activation patterns and reduces force steadiness.
- These findings highlight the complex interplay between pain and neuromuscular regulation.

