Impaired pain-related threat and safety learning in patients with chronic back pain

Schlitt, Frederik; Schmidt, Katharina; Merz, Christian J.; Wolf, Oliver T.; Kleine-Borgmann, Julian; Elsenbruch, Sigrid; Wiech, Katja; Forkmann, Katarina; Bingel, Ulrike

doi:10.1097/j.pain.0000000000002544

Cited by 6 publications

(1 citation statement)

References 66 publications

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“…Chronic back pain has been associated with altered threat learning, differentiating less between threat and safety cues than in pain-free individuals [ 129 ]. It seems that the sensorimotor systems of people with pain might not fully correct for and/or adapt to conflicting information [ 48 ].…”

Section: Immersive Virtual Reality As a Medium For Altering Sensorimo...mentioning

confidence: 99%

Role of Immersive Virtual Reality in Motor Behaviour Decision-Making in Chronic Pain Patients

et al. 2023

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Primary chronic pain is a major contributor to disability worldwide, with an estimated prevalence of 20–33% of the world’s population. The high socio-economic impact of musculoskeletal pain justifies seeking an appropriate therapeutic strategy. Immersive virtual reality (VR) has been proposed as a first-line intervention for chronic musculoskeletal pain. However, the growing literature has not been accompanied by substantial progress in understanding how VR exerts its impact on the pain experience and what neurophysiological mechanisms might be involved in the clinical effectiveness of virtual reality interventions in chronic pain patients. The aim of this review is: (i) to establish the state of the art on the effects of VR on patients with chronic pain; (ii) to identify neuroplastic changes associated with chronic pain that may be targeted by VR intervention; and (iii) to propose a hypothesis on how immersive virtual reality could modify motor behavioral decision-making through an interactive experience in patients with chronic pain.

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Section: Immersive Virtual Reality As a Medium For Altering Sensorimo...mentioning

confidence: 99%

Role of Immersive Virtual Reality in Motor Behaviour Decision-Making in Chronic Pain Patients

et al. 2023

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Allgemeine Aspekte in präoperativen – intraoperativen – postoperativen Abschnitten

Kapfhammer

2023

Depression, Angst Und Traumatischer Stress in Der Chirurgie

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Examining Barriers to Rehabilitation and Addressing Rehabilitation Needs among Persons with Forced Migration Experiences: Interdisciplinary Perspectives

Mirza,

Trimboli,

Hartman

et al. 2024

Archives of Physical Medicine and Rehabilitation

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Impaired pain-related threat and safety learning in patients with chronic back pain

Abstract: Supplemental Digital Content is Available in the Text. Patients experiencing nonspecific chronic back pain showed impaired pain-related threat and safety learning in a classical differential conditioning heat pain paradigm.

Cited by 6 publications

References 66 publications

Role of Immersive Virtual Reality in Motor Behaviour Decision-Making in Chronic Pain Patients

Role of Immersive Virtual Reality in Motor Behaviour Decision-Making in Chronic Pain Patients

Allgemeine Aspekte in präoperativen – intraoperativen – postoperativen Abschnitten

Examining Barriers to Rehabilitation and Addressing Rehabilitation Needs among Persons with Forced Migration Experiences: Interdisciplinary Perspectives

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