Sensing the body in chronic pain: A review of psychophysical studies implicating altered body representation

Tsay, Anthony; Allen, Trevor James; Proske, Uwe; Giummarra, Melita J.

doi:10.1016/j.neubiorev.2015.03.004

Cited by 121 publications

(95 citation statements)

References 219 publications

(307 reference statements)

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“…Psychophysical findings consistent with disruption of the mechanisms that underpin body perception (Tsay et al, 2015) appear to be features of chronic LBP. Patients with chronic LBP have reduced lumbar tactile acuity, in terms of enlarged two-point discrimination thresholds (Catley et al, 2014), problems localising tactile inputs to the back (Wand et al, 2013), poor trunk motor imagery performance (Bray and Moseley, 2011;Bowering et al, 2014) and impaired perception of the sensorimotor aspects of visually displayed movements (de Lussanet et al, 2012;de Lussanet et al, 2013).…”

Section: Introductionmentioning

confidence: 60%

The development of the Dutch version of the Fremantle Back Awareness Questionnaire

Janssens

Goossens

Wand

et al. 2017

Musculoskeletal Science and Practice

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Section: Introductionmentioning

confidence: 60%

The development of the Dutch version of the Fremantle Back Awareness Questionnaire

Janssens

Goossens

Wand

et al. 2017

Musculoskeletal Science and Practice

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“…A possible explanation could reside in the altered neural representation of the body in chronic pain patients (Gilpin, Moseley, Stanton, & Newport, 2015). So, a visual manipulation of the size of the body would induce a different effect in healthy subjects, with an intact body representation, compared to patients who have a representation of the body distorted (Tsay, Allen, Proske, & Giummarra, 2015). Furthermore, it has been recently discovered that, to be effective in lowering pain intensity, the visual feedback relative to the body has to be ''live" as in a real time video rather than static as in a picture, at least with chronic lower back pain patients (Diers, Löffler, Zieglgänsberger, & Trojan, 2015).…”

Section: The Vision Of One's Own Body In Painmentioning

confidence: 99%

Real, rubber or virtual: The vision of “one’s own” body as a means for pain modulation. A narrative review

Martini

2016

Consciousness and Cognition

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In the last few years a branch of pain research has been focussing on the modulatory effects of the vision of the body on pain perception. So, for instance, the vision of one's own real body has been proven to induce analgesic effects. On the other hand, bodily illusions such as the rubber hand illusion have provided new tools for the study of perceptual processes during altered body ownership states. Recently, new paradigms of body ownership made use of a technology that is going places both in clinical and in experimental settings, i.e. virtual reality. While the vision of one's own real body has been proven to yield compelling analgesic effects, slightly more controversial are those attributed to the vision of "owned" dummy bodies. This review will discuss the studies that examined the effects on pain perception of the vision of the own body, with or without body ownership illusions.

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“…The pathways pertaining to interoception project towards the autonomic and medullar homoeostatic centers and the brainstem, where they are routed to the frontal cingulate cortex and the dorsal posterior insula, by the thalamocortical circuit [21]. Interoception can modulate the exteroceptive representation of the body, as well as pain tolerance; dysregulation of the pathways that manage or stimulate interoception could cause a distortion of one's own body image, influencing emotionality [21,22].…”

Section: Myofascial Interoceptionmentioning

confidence: 99%

Emotions in Motion: Myofascial Interoception

Bordoni¹,

Marelli²

2017

Complement Med Res

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There are numerous articles in the literature dealing with the myofascial system, on the physiological, pathological, macroscopic and microscopic level; yet, we still do not have a thorough knowledge of its functions, just as there is still no shared vision of how to classify it. Many professional manual practitioners are involved in its treatment and there are many emerging therapeutic approaches. What is still missing is the awareness that the body is also emotion. The myofascial continuum is able to stimulate the areas of the brain that deal with the emotional state, and manual treatment activates the interoceptive system. To optimize myofascial treatment, a psychologist should work alongside the manual practitioner, creating a multidisciplinary team that takes into account both the physical and emotional aspects.

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Sensing the body in chronic pain: A review of psychophysical studies implicating altered body representation

Cited by 121 publications

References 219 publications

The development of the Dutch version of the Fremantle Back Awareness Questionnaire

The development of the Dutch version of the Fremantle Back Awareness Questionnaire

Real, rubber or virtual: The vision of “one’s own” body as a means for pain modulation. A narrative review

Emotions in Motion: Myofascial Interoception

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