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Rheumatology Advance Access originally published online on April 12, 2005
Rheumatology 2005 44(9):1083-1085; doi:10.1093/rheumatology/keh631
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

EDITORIAL

Sensory–motor incongruence and reports of ‘pain’

G. L. Moseley and S. C. Gandevia1

School of Physiotherapy, The University of Sydney and 1 Prince of Wales Medical Research Institute and University of New South Wales, Sydney, Australia

Correspondence to: L. Moseley, School of Physiotherapy, The University of Sydney, P.O. Box 170 Lidcombe, 1825 Australia. E-mail: l.moseley@fhs.usyd.edu.au

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McCabe and colleagues [1] investigate the hypothesis that pain without obvious accompanying tissue damage might be caused by discordance between motor intent and movement [2]. According to that hypothesis, in the same way that motion sickness might result from discordant sensory input (from vestibular apparatus and proprioceptors), pain may result from changes in the cortical representation of somatic input, which falsely signals incongruence between motor intention and movement. That the central nervous system (CNS) detects such incongruence has long been established. The reafference principle [3], whereby an exact copy of the command for movement (the ‘efferent copy’) is subtracted from sensory input about the actual movement (‘reafference’) to yield an error signal (‘exafference’), and the corollary discharge model [4] are early examples. Since then, an impressive amount of research has been undertaken (see Gandevia [5] for review). However, much of . . . [Full Text of this Article]


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This article has been cited by other articles:


Home page
 Rheumatology (Oxford)Home page
C. S. McCabe, R. C. Haigh, P. W. Halligan, and D. R. Blake
Re: Sensory-motor incongruence and reports of 'pain', by G. L. Moseley and S. C. Gandevia. Rheumatology 2005;44:1083-1085
Rheumatology, May 1, 2006; 45(5): 644 - 645.
[Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
G. L. Moseley and S. C. Gandevia
Re: Sensory-motor incongruence and reports of 'pain', by G. L. Moseley and S. C. Gandevia. Rheumatology 2005;44:1083-1085: Reply
Rheumatology, May 1, 2006; 45(5): 645 - 645.
[Full Text] [PDF]