Resource Feeling stiffness in the back: a protective perceptual ...

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We propose a new hypothesis: feelings of back stiffness are a protective perceptual construct, rather than reflecting biomechanical properties ... Skiptomaincontent MyAPO+ Browse Collections Services HowtouseAPO About Subscribe Login/Signup Search Journalarticle Feelingstiffnessintheback:aprotectiveperceptualinferenceinchronicbackpain 29Aug2017 TashaR.Stanton, G.LorimerMoseley, ArnoldY.L.Wong, GregoryN.Kawchuk Journal ScientificReports Backpain Chronicpain Resources Attachment Size Feelingstiffnessintheback:aprotectiveperceptualinferenceinchronicbackpain 1.83MB Description Does feeling backstiffnessactuallyreflect having astiffback?Thisresearchinterrogatesthelong-heldquestionofwhatinformsoursubjectiveexperiencesofbodilystate.Weproposeanewhypothesis: feelings ofbackstiffnessareaprotectiveperceptualconstruct,ratherthanreflectingbiomechanicalpropertiesoftheback.Thishasfar-reachingimplicationsfortreatmentofpain/stiffnessbutalsoforourunderstandingofbodilyfeelings.Overthreeexperiments,wechallengetheprevailingviewbyshowingthat feeling stiffdoesnotrelatetoobjectivespinalmeasuresofstiffnessandobjectivebackstiffnessdoesnotdifferbetweenthosewhoreport feeling stiffandthosewhodonot.Rather,thosewhoreport feeling stiffexhibitself-protectiveresponses:theysignificantlyoverestimateforceappliedtotheirspine,yetarebetteratdetectingchangesinthisforcethanthosewhodonotreport feeling stiff.Thisperceptualerrorcanbemanipulated:providingauditoryinputinsynchronytoforcesappliedtothespinemodulatespredictionaccuracyinbothgroups,withoutalteringactualstiffness,demonstratingthatfeelingstiffisamultisensoryperceptualinferenceconsistentwithprotection.Together,thispresentsacompellingargumentagainsttheprevailingviewthat feeling stiffisanisomorphicmarkerofthebiomechanicalcharacteristicsoftheback. PublicationDetails DOI: 10.1038/s41598-017-09429-1 Copyright: Theauthors2017 Licensetype: CCBY AccessRightsType: open Volume: 7 Postdate: 31Aug2017 Addtofavourites Morelikethis Factsheet Backproblems:musculoskeletalfactsheet Report Impactsofchronicbackproblems Literaturereview Evidencecheck:Principlesofpublichealthinterventionstosupportinjuryrecoveryandreturntoproductivity Briefingpaper Powerthroughknowledge:patienteducationandself-managementkeystosuccessfullymanagingchronicpain Journalarticle Engagingyoungpeoplewithachronicillness Article Respondingmoreeffectivelytochronicpain Report Ascopingstudyondatasourcestoassesstheimpactofchronicrespiratoryandmusculoskeletalconditionsonworkplaceproductivity Report ThecostofpaininAustralia Strategy Nationalstrategicactionplanforpainmanagement Report AreviewofopioidprescribinginTasmania:ablueprintforthefuture ×



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