Fear of pain changes movement: Motor behaviour following the acquisition of pain‐related fear

Karos, Kai; Meulders, Ann; Gatzounis, Rena; Seelen, Ham Henk; Geers, Rpg; Vlaeyen, Johan W.S.

doi:10.1002/ejp.1044

Cited by 49 publications

(63 citation statements)

References 24 publications

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“…This result is compatible with a recent study that used a fear of pain conditioning paradigm and tested circular arm movements (Karos et al . ), who suggest that this result reflects a ‘get it over and done with’ motor strategy when movement‐related pain cannot be avoided.…”

Section: Discussionmentioning

confidence: 95%

“…Parallel to this, another recent study explored the effect of pain anticipation on behavioural motor changes, using a pain‐related fear conditioning paradigm (Karos et al . ). Results revealed that movements associated with pain are performed faster, more forcefully and more accurately than movements without pain.…”

Section: Introductionmentioning

confidence: 97%

“…The second study reported that in the presence of pain, externally cued movements are initiated faster, and this is associated with a suppression of premotor cortex beta oscillations in the EEG (Misra et al 2017). Parallel to this, another recent study explored the effect of pain anticipation on behavioural motor changes, using a pain-related fear conditioning paradigm (Karos et al 2017). Results revealed that movements associated with pain are performed faster, more forcefully and more accurately than movements without pain.…”

Section: Introductionmentioning

confidence: 97%

“…reaction time) and execution (i.e. peak velocity) in a direction-specific manner (Karos et al 2017).…”

Section: Introductionmentioning

confidence: 99%

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Effect of movement‐related pain on behaviour and corticospinal excitability changes associated with arm movement preparation

Neige

Mavromatis

Gagné

et al. 2018

The Journal of Physiology

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When a movement repeatedly generates pain, we anticipate movement-related pain and establish self-protective strategies during motor preparation, but the underlying mechanisms remains poorly understood. The current study investigated the effect of movement-related pain anticipation on the modulation of behaviour and corticospinal excitability during the preparation of arm movements. Participants completed an instructed-delay reaction-time (RT) task consisting of elbow flexions and extensions instructed by visual cues. Nociceptive laser stimulations (unconditioned stimuli) were applied to the lateral epicondyle during movement execution in a specific direction (CS+) but not in the other (CS-), depending on experimental group. During motor preparation, transcranial magnetic stimulation was used to measure corticospinal excitability in the biceps brachii (BB). RT and peak end-point velocity were also measured. Neurophysiological results revealed an opposite modulation of corticospinal excitability in BB depending on whether it plays an agonist (i.e. flexion) or antagonist (i.e. extension) role for the CS+ movements (P < 0.001). Moreover, behavioural results showed that for the CS+ movements RT did not change relative to baseline, whereas the CS- movements were initiated more quickly (P = 0.023) and the CS+ flexion movements were faster relative to the CS- flexion movements (P < 0.001). This is consistent with the pain adaptation theory which proposes that in order to protect the body from further pain, agonist muscle activity is reduced and antagonist muscle activity is increased. If these strategies are initially relevant and lead to short-term pain alleviation, they may potentially have detrimental long-term consequences and lead to the development of chronic pain.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

“…reaction time) and execution (i.e. peak velocity) in a direction-specific manner (Karos et al 2017).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of movement‐related pain on behaviour and corticospinal excitability changes associated with arm movement preparation

Neige

Mavromatis

Gagné

et al. 2018

The Journal of Physiology

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show abstract

“…First, kinesiophobia alters how people move, possibly with the initial goal to avoid pain. It causes adjustments of motor behaviour which affects the performance of actions related to the management and control of pain and pain-related disability 22. Second, the processing of pain and pain-related information in people with CMP could be related to how kinesiophobia is perceived 23.…”

Section: Introductionmentioning

confidence: 99%

Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review

2018

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Altered upper limb motor behavior in breast cancer survivors and its relation to pain: A narrative review

Baets

Vets

Emmerzaal

et al. 2022

The Anatomical Record

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Breast cancer is the most commonly diagnosed cancer among women and many women suffer from persistent physical and psychological complaints following their cancer treatment. Altered motor behavior at the shoulder region and upper limb, that is, alterations in movement patterns, spatiotemporal movement characteristics and muscle activation patterns, is a common physical consequence of breast cancer treatment, that can have a clear impact on daily life functioning and quality of life. Furthermore, altered upper limb motor behavior is suggested to relate to upper limb pain, which is very commonly reported in breast cancer survivors (BCS). This review, prepared according to the SANRA guidelines, looks into the current understanding of alterations in motor behavior at shoulder and upper limb in BCS, by discussing the factors related to this altered behavior. In this, we specifically focus on the relation between motor behavior and pain. Results of our search show that cancer treatment modality is predictive for shoulder range of motion. Furthermore, single prospective studies show depressive symptoms, living alone, being non‐white and low physical activity levels as predicting factors for reduced shoulder range of motion. Pain as factor related to altered motor behavior is only assessed in cross‐sectional research, limiting its interpretation in context of being cause or consequence of motor behavioral adaptations, and on the underlying mechanism explaining their relation. It is concluded that studies which explain the mechanisms how and in which subgroup of BCS motor behavioral alterations are associated with pain at the upper limb, are necessary in future.

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Fear of pain changes movement: Motor behaviour following the acquisition of pain‐related fear

Cited by 49 publications

References 24 publications

Effect of movement‐related pain on behaviour and corticospinal excitability changes associated with arm movement preparation

Effect of movement‐related pain on behaviour and corticospinal excitability changes associated with arm movement preparation

Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review

Altered upper limb motor behavior in breast cancer survivors and its relation to pain: A narrative review

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