The role of motor learning and neuroplasticity in designing rehabilitation approaches for musculoskeletal pain disorders.
The extent of cortical neuroplastic changes has been shown to be a key neurophysiological feature that correlates with the level of functional recovery. Therefore, rehabilitation efforts that attempt to maximize cortical reorganization provide the greatest potential for rehabilitation success. This paper reviews the evidence of cortical neuroplastic changes that have been shown to occur in association with experimental or chronic pain disorders. Further, the promising role of novel motor-skill training is discussed in order to best direct the clinician to optimize rehabilitation strategies for patients with musculoskeletal pain disorders.
Boudreau
Shellie A
SA
Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Fredrik Bajers Vej 7, D-3, DK-9220 Aalborg, Denmark.
Farina
Dario
D
Falla
Deborah
D
D000818:Animals; D002908:Chronic Disease; D006801:Humans; D007858:Learning; D009048:Motor Skills / Q000502:physiology*; D009140:Musculoskeletal Diseases / Q000503:physiopathology / Q000534:rehabilitation*; D009473:Neuronal Plasticity / Q000502:physiology*; D010146:Pain / Q000503:physiopathology / Q000534:rehabilitation*; D010147:Pain Measurement; D020127:Recovery of Function