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Adriaan Louw - Course Description - 2013 BSMPG Summer Seminar

Adriaan Louw

BSMPG Summer Seminar

 

A Neuroscience Approach to Low Back Pain in Athletes

Adriaan Louw, PT, PhD (c), M.App.Sc (Physio)

Course Description:

Low back pain (LBP) is common in athletes. Most therapeutic interventions focus on structural issues such and instability or hypermobility and result in treatment associated with spinal stabilization. This presentation, however, is designed to updated attendees on the brain’s processing of LBP in athletes, with an emphasis on LBP, brain processing and its potential effect on sports performance. New research into the brain’s processing of pain has shown that not only sensory areas of the brain processes pain, but key areas associated with sports performance, such as the motor, pre-motor, amygdala and more are significantly active when LBP is experienced. Given the brain’s priority of processing pain, many of these key areas associated with optimum performance is less likely to contribute to the athletes recovery and may play a significant role in potential performance loss and re-injury. The neuromatrix view of LBP is a true bio-psycho-social view of pain and essential for physical therapists treating athletes. Clinicians need to realize that addressing issues such as fear, anxiety, expectations and pain itself, are all important in delivering optimal recovery in athletes with LBP. This presentation will include discussion of motor control, endocrine system, and immune system and more, all in relation to a brain’s processing of pain in athletes.

 

Objectives:

Upon completion of this educational session the participants will be able to:

 

1. Understand how the brain processes low back pain

2. Understand how an athlete dealing with pain, ultimately utilizes areas of the brain associated with sports performance, thus impacting their recovery

3. Identify bio-psycho-social factors associated with the development of LBP in athletes

4. Develop strategies, based on the neuromatrix, on how the manage athletes with LBP

5. Apply the information from the educational session into clinical practice

 

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Selected References:

  1. Baron R, Janig W. The role of the sympathetic nervous system in pain processing. In Villanueva L, Dickenson A, Ollat H eds. The Pain System in Normal and Patological States: A Primer for Clinicians. Seattle: IASP Press, 2004.
  2. Bono CM. Low-back pain in athletes. J Bone Joint Surg Am 2004;86-A:382-96.
  3. Butler D, Moseley G. Explain Pain.ed. Adelaide: Noigroup, 2003.
  4. d'Hemecourt PA, Gerbino PG, 2nd, Micheli LJ. Back injuries in the young athlete. Clin Sports Med 2000;19:663-79.
  5. George SZ, Delitto A. Management of the athlete with low back pain. Clin Sports Med 2002;21:105-20.
  6. George SZ, Dover GC, Fillingim RB. Fear of pain influences outcomes after exercise-induced delayed onset muscle soreness at the shoulder. Clin J Pain 2007;23:76-84.
  7. Hangai M, Kaneoka K, Hinotsu S, et al. Lumbar intervertebral disk degeneration in athletes. Am J Sports Med 2009;37:149-55.
  8. Hides JA, Stanton WR, McMahon S, et al. Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. J Orthop Sports PhysTher 2008;38:101-8.
  9. Hind K, Truscott JG, Evans JA. Low lumbar spine bone mineral density in both male and female endurance runners. Bone 2006;39:880-5.
  10. Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J ElectromyogrKinesiol 2003;13:361-70.
  11. Hodges PW, Moseley GL, Gabrielsson A, et al. Experimental muscle pain changes feedforward postural responses of the trunk muscles. Exp Brain Res 2003;151:262-71.
  12. Janig W, Chapman CR, Green PG. Pain and body protection: sensory, autonomic, neuroendocrine and behavioural mechanisms in control of inflammation and hyperalgesia. In Flor H, Kalso E, Dostrovsky JO eds. Proceedings of the 11th World Congress on Pain. Seattle: IASP Press, 2006.
  13. Kraft DE. Low back pain in the adolescent athlete. PediatrClin North Am 2002;49:643-53.
  14. Larsson SE, Cai H, Zhang Q, et al. Microcirculation in the upper trapezius muscle during sustained shoulder load in healthy women--an endurance study using percutaneous laser-Doppler flowmetry and surface electromyography. Eur J ApplPhysiolOccupPhysiol 1995;70:451-6.
  15. Lundin O, Hellstrom M, Nilsson I, et al. Back pain and radiological changes in the thoraco-lumbar spine of athletes. A long-term follow-up. Scand J Med Sci Sports 2001;11:103-9.
  16. MacDonald DA, Moseley GL, Hodges PW. The lumbar multifidus: does the evidence support clinical beliefs? Man Ther 2006;11:254-63.
  17. Moseley GL. Evidence for a direct relationship between cognitive and physical change during an education intervention in people with chronic low back pain. Eur J Pain 2004;8:39-45.
  18. Moseley GL. A pain neuromatrix approach to patients with chronic pain. Man Ther 2003;8:130-40.
  19. Moseley GL. Widespread brain activity during an abdominal task markedly reduced after pain physiology education: fMRI evaluation of a single patient with chronic low back pain. Aust J Physiother 2005;51:49-52.
  20. Moseley GL, Brhyn L, Ilowiecki M, et al. The threat of predictable and unpredictable pain: differential effects on central nervous system processing? Aust J Physiother 2003;49:263-7.
  21. Moseley GL, Hodges PW, Gandevia SC. Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements. Spine 2002;27:E29-36.
  22. Moseley GL, Nicholas MK, Hodges PW. Does anticipation of back pain predispose to back trouble? Brain 2004;127:2339-47.
  23. Nadler SF, Malanga GA, Bartoli LA, et al. Hip muscle imbalance and low back pain in athletes: influence of core strengthening. Med Sci Sports Exerc 2002;34:9-16.
  24. Nadler SF, Malanga GA, Feinberg JH, et al. Functional performance deficits in athletes with previous lower extremity injury. Clin J Sport Med 2002;12:73-8.
  25. Nadler SF, Moley P, Malanga GA, et al. Functional deficits in athletes with a history of low back pain: a pilot study. Arch Phys Med Rehabil 2002;83:1753-8.
  26. Ong A, Anderson J, Roche J. A pilot study of the prevalence of lumbar disc degeneration in elite athletes with lower back pain at the Sydney 2000 Olympic Games. Br J Sports Med 2003;37:263-6.
  27. Peyron R, Laurent B, Garcia-Larrea L. Functional imaging of brain responses to pain. A review and meta- analysis (2000). NeurophysiolClin 2000;30:263-88.
  28. Richardson C, Hodges P, Hides J. Therapeutic Exercise For Lumbopelvic Stabilization. Second ed. London: Churchill Livingstone, 2004.
  29. Standaert CJ, Herring SA, Pratt TW. Rehabilitation of the athlete with low back pain. Curr Sports Med Rep 2004;3:35-40.
  30. Takemitsu M, El Rassi G, Woratanarat P, et al. Low back pain in pediatric athletes with unilateral tracer uptake at the pars interarticularis on single photon emission computed tomography. Spine 2006;31:909-14.
  31. Trainor TJ, Wiesel SW. Epidemiology of back pain in the athlete. Clin Sports Med 2002;21:93-103.
  32. Watkins LR, Maier SF. Beyond neurons: evidence that immune and glial cells contribute to pathological pain states. Physiological Reviews 2002;82:981-1011.
  33. Watkins LR, Milligan ED, Maier SF. Immune and glial involvement in physiological and pathological exaggerated pain states. In Dostrovsky JO, Carr DB, Kolzenburg M eds. Progress in Pain Research and Management. Seattle: IASP Press, 2003:369-86.

 

 

 

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