Nociception affects motor output: A review on sensory-motor interaction with focus on clinical implications

72Citations
Citations of this article
263Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Objectives: Research has provided us with an increased understanding of nociception-motor interaction. Nociception-motor interaction is most often processed without conscious thoughts. Hence, in many cases neither patients nor clinicians are aware of the interaction. It is aimed at reviewing the scientific literature on nociception-motor interaction, with emphasis on clinical implications. Methods: Narrative review. Results: Chronic nociceptive stimuli result in cortical relay of the motor output in humans, and a reduced activity of the painful muscle. Nociception-induced motor inhibition might prevent effective motor retraining. In addition, the sympathetic nervous system responds to chronic nociception with enhanced sympathetic activation. Not only motor and sympathetic output pathways are affected by nociceptive input, afferent pathways (proprioception, somatosensory processing) are influenced by tonic muscle nociception as well. Discussion: The clinical consequence of the shift in thinking is to stop trying to restore normal motor control in case of chronic nociception. Activation of central nociceptive inhibitory mechanisms, by decreasing nociceptive input, might address nociception-motor interactions. © 2012 by Lippincott Williams & Wilkins.

Cite

CITATION STYLE

APA

Nijs, J., Daenen, L., Cras, P., Struyf, F., Roussel, N., & Oostendorp, R. A. B. (2012). Nociception affects motor output: A review on sensory-motor interaction with focus on clinical implications. Clinical Journal of Pain, 28(2), 175–181. https://doi.org/10.1097/AJP.0b013e318225daf3

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free