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Neurology 2002;59:775-777
© 2002 American Academy of Neurology
Brief Communications

Pain and the body schema: Effects of pain severity on mental representations of movement

J. Schwoebel, PhD, H. B. Coslett, MD, J. Bradt, PhD, MT-BC, R. Friedman, MD and C. Dileo, PhD, MT-BC

From Moss Rehabilitation Research Institute (Drs. Schwoebel and Coslett), Philadelphia, PA; Department of Neurology (Drs. Schwoebel and Coslett), University of Pennsylvania School of Medicine, Philadelphia, PA; Department of Music Therapy (Dr. Bradt), Montclair State University, Upper Montclair, NJ; Department of Anesthesiology (Dr. Friedman), Temple University School of Medicine; and Department of Music Therapy (Dr. Dileo), Temple University, Philadelphia, PA.

Address correspondence and reprint requests to Dr. H. Branch Coslett, University of Pennsylvania Medical Center, 3rd Floor Gates Building, 3400 Spruce Street, Philadelphia, PA 19104-4283; e-mail: hbc{at}mail.med.upenn.edu

Previous research suggests that response times for imagined movements provide a sensitive measure of the integrity of the motor system. In a group of 12 patients with chronic unilateral arm pain, the authors demonstrate that response times for imagined movements are influenced by the severity of pain. Simulated large-amplitude arm movements were slower for the painful as compared with the unaffected arms before, but not after, effective music therapy entrainment, suggesting that mental representations of movement are influenced by the current state of nociceptive feedback.




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