Search Results for: O'Connell

Can we use mobile devices for left/right judgement tasks?

The left/right judgment task (LRJT)[1] is enjoying popularity in clinical practices to assess and manage people with persistent pain. The LRJT has compelling theoretical underpinnings that have been tested in many painful [e.g. 2-5] and some non-painful conditions [e.g. 6-8]. LRJT software was initially created to be used on desktop computers, … [Read more...]

Vision and pain – evidence of safety or evidence of danger?

Pain emerges when we conclude the body is under threat and in need of protection.[1] This conclusion depends on the integration of the predicted state of the body with information from multiple sources, and has led to an interest in the role that multisensory integration might have in pain modulation. The most commonly investigated phenomenon is … [Read more...]

What about the clinimetric properties of sensorimotor measurement instruments?

That chronic low back pain (CLBP) is associated with functional and structural changes in the central nervous system is difficult to dispute and subject to wide-ranging ongoing research (Moseley and Flor, 2012, Omori et al., 2013, Vrana et al., 2016),  especially in the field of neuroimaging and neurophysiology (Henry et al., 2011). There are many … [Read more...]

How do pain and working memory interact? Can we decrease pain by improving working memory?

One of the main questions for us as pain researchers is how we can reduce pain.  We already know that painful stimuli such as electrical shocks involuntarily grab our attention because our body prioritizes them to protect us from harmful stimuli. Also, people who have chronic pain pay more attention to painful information and it is possible that … [Read more...]

Who responds well to psychologically-based treatments for chronic pain?

How do we know whether a patient is likely to do well in the psychologically-based treatment we offer them? The truth is, at least for the moment, we don’t. At least not in any way that is evidence-based or precise. If you work clinically and are anything like me, this might sit rather uncomfortably. I work with patients with chronic pain and … [Read more...]

Low back pain: A ride through the guidelines.

Our paper[1] in the latest special edition of Best Practice & Research Clinical Rheumatology on back pain aimed to compare, contrast and discuss 3 recent international guidelines for the management of low back pain. The clinical marketplace for low back pain treatments is flourishing. Lots of different professions have carved out their … [Read more...]

Special edition on Back Pain in Best Practice Clinical & Research Rheumatology

Best Practice Clinical & Research Rheumatology is one of the leading journals in the Rheumatology field, and it has a rather unusual format. Each edition is a collection of 10 articles on a particular theme or condition. A special edition on Back Pain comes up about every 4 years or so, and this time around we were invited to edit the … [Read more...]

Editor’s picks – Embodied Pain: negotiating action

Over this holiday season we are publishing our Editor’s picks of 2017 for you to read and enjoy again. — We determine our world through the actions we take. Whether from the inside or out, our bodies provide us with the means to actively investigate our environment. This investigation is vital to survival. Active investigation enables us to … [Read more...]

The (potential) impact of choosing words carefully……

It is common for people with low back pain (LBP) to see their local doctor for assessment and advice – especially when symptoms are severe or prolonged enough to be worrying. Doctors’ management approaches vary, but clinical guidelines consistently recommend some principles of ‘best practice’ care to follow when there is low suspicion of a serious … [Read more...]

Embodied Pain: negotiating action

We determine our world through the actions we take. Whether from the inside or out, our bodies provide us with the means to actively investigate our environment. This investigation is vital to survival. Active investigation enables us to reduce the uncertainty of the world, accommodate the unexpected, and better predict the consequences of our … [Read more...]