Introduciendo la dimensión motora dentro de la conceptualización de la experiencia del dolor

La Touche, Roy

doi:10.37382/jomts.v3i1.474

Cited by 4 publications

(6 citation statements)

References 39 publications

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“…Pain-related movement dysfunctions describe long-term motor behaviors in the presence or anticipation of pain [ 102 ]. According to the embodied predictive processing theory of pain, this phenomenon involves central and peripheral neurophysiological mechanisms that determine pain-associated behavior [ 12 , 28 ]. Where the anticipation of pain becomes a learned behavior [ 104 ], in which any motor behavior can be triggered as a predictive cue for pain [ 105 , 106 ].…”

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

confidence: 99%

“…The hypoalgesic mechanisms underlying VR are multifactorial, being mediated by the different dimensions of the pain experience: sensory-discriminative, affective-motivational, evaluative-cognitive, and motor behavior [ 27 , 28 ]. Nevertheless, the growth in scientific research has not been accompanied by substantial advances in the understanding of how VR influences the experience of pain [ 18 ] and which mechanisms may be involved in the clinical effectiveness of these interventions in people with chronic pain.…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Introductionmentioning

confidence: 99%

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

et al. 2023

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“…Pain is a complex multidimensional experience that significantly influences behaviour and has a perceptual character dependent on context and individual evaluative processes. In the multidimensional aspect of pain, movement is considered to play a key role ( 1 ). Simmonds et al ( 2 ) considered that movement responses are not just a consequence of anticipating and minimising pain; the authors’ proposed that the motor behaviour involved in pain is a very complex factor because psychological (cognition and emotions), social and contextual factors can influence motor activity within the behavioural component of pain as a multidimensional experience ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

“…These evoked responses can influence movement by altering neuromuscular speed, variability and efficiency. The theory of the motor behaviour dimension of the pain experience encompasses the set of adaptive or maladaptive motor responses related to the pain experience that affect modulation, processing and function and that also interact with or are influenced by contextual, cognitive and affective-motivational factors ( 1 ).…”

Section: Introductionmentioning

confidence: 99%

“…Biobehavioural factors related to pain, functional limitation and disability can be classified into three broad categories: (1) cognitive-perceptual (cognitive-perceptual bias, perceived control, perceived disability, fear of pain, work and family perceptions and perceived self-efficacy); (2) behavioural-environmental (positive and negative behavioural consequences and physical stressors); and (3) physiological (physiological responses to work and physiological responses to pain or other aversive somatic stimuli) (33).…”

Section: Introductionmentioning

confidence: 99%

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The biobehavioural pain and movement questionnaire (BioPMovQ): development and psychometric validation of a new questionnaire

La Touche,

Paris-Alemany,

Pardo-Montero

et al. 2024

Front. Med.

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ObjectiveThe purpose of this research was to design and psychometrically validate a new instrument (the Biobehavioural Pain and Movement Questionnaire/BioPMovQ), which assesses the relationship between pain and various factors related to motor behaviour from a biobehavioural perspective.MethodsA mixed-method design combining a qualitative study with an observational and cross-sectional study was employed to develop (content validity) and psychometrically validate (construct validity, reliability and concurrent/discriminant validity) a new instrument. A total of 200 patients with chronic musculoskeletal pain were recruited.ResultsAccording to the exploratory factor analysis, the final version of the BioPMovQ consists of 16 items distributed across 4 subscales (1, disability, 2, self-efficacy for physical activity; 3, movement avoidance behaviours; and 4, self-perceived functional ability), all with an eigen value greater than 1, explaining 55.79% of the variance. The BioPMovQ showed high internal consistency (Cronbach’s α = 0.82; McDonald’s ω = 0.83). The intraclass correlation coefficient was 0.86 (95% confidence interval 0.76 to 0.91), which was considered to demonstrate excellent test–retest reliability. The standard error of measurement and minimal detectable change were 3.43 and 8.04 points, respectively. No floor or ceiling effects were identified. There was a positive, significant and moderate magnitude correlation with the Graded Chronic Pain Scale (r = 0.54), kinesiophobia (r = 0.60), pain catastrophising (r = 0.44) and chronic pain self-efficacy (r = −0.31).ConclusionThe BioPMovQ showed good psychometric properties. Based on the findings of this study, the BioPMovQ can be used in research and clinical practice to assess patients with chronic musculoskeletal pain.

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Incorporating therapeutic education and exercise in migraine management: a biobehavioral approach

Touche,

de Oliveira,

Paris-Alemany

et al. 2024

Preprint

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We aimed to describe the potential bio-behavioral factors influencing disability in patients with migraine and present a multimodal physiotherapy treatment proposal incorporating therapeutic education and exercise prescription employing a bio-behavioral approach. This manuscript highlights the complex interplay between migraine and physical activity, with many migraine sufferers performing reduced physical activity, even during headache-free intervals. The presence of kinesiophobia in a significant portion of patients with migraine exacerbates functional disability and compromises quality of life. Psychological elements, including pain catastrophizing, depression, and self-efficacy, further compound migraine-related disability. Addressing these issues necessitates a multidisciplinary approach that integrates physical activity and behavioral interventions. We propose a therapeutic education model of motor behavior, emphasizing the enhancement of therapeutic exercise outcomes. This model consists of 4 phases: 1) education about exercise benefits; 2) biobehavioral analysis of movement; 3) movement education; and 4) goal setting. A notable feature is the incorporation of motivational interviewing, a communication strategy that amplifies intrinsic motivation for change. Recent clinical guidelines have advocated for specific exercise modalities to ameliorate migraine symptoms. However, we emphasize the importance of an individualized exercise prescription, given that not all exercises are universally beneficial. The integration of exercise with other lifestyle recommendations, such as maintaining consistent sleep patterns and employing stress management techniques, is pivotal for improving outcomes in patients with migraine. Although evidence supports the benefits of these interventions in various painful conditions, further research is needed to establish their efficacy specifically for migraine management.

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Introduciendo la dimensión motora dentro de la conceptualización de la experiencia del dolor

Cited by 4 publications

References 39 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

The biobehavioural pain and movement questionnaire (BioPMovQ): development and psychometric validation of a new questionnaire

Incorporating therapeutic education and exercise in migraine management: a biobehavioral approach

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