Trunk muscle activation in low-back pain patients, an analysis of the literature.

By J. V. van Dieën, Luc P. J. Selen, J. Cholewicki. Journal of Electromyography & Kinesiology, 2003

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Moving differently in pain: A new theory to explain the adaptation to pain (2011, background): “Here, we seek to consider the motor adaptation to pain from the micro (single motoneuron) to macro (coordination of whole-muscle behaviour) levels and to provide a basis for a new theory to explain the motor changes in pain.”
Deficits in Neuromuscular Control of the Trunk Predict Knee Injury Risk (2007, background): “Subjects with LBP were reported to demonstrate impaired postural control,(32) delayed muscle reflex latencies in response to sudden trunk unloading,(31,33) and abnormalities in trunk muscle recruitment patterns.(35) More specifically, athletes with a history of LBP, even after clinical recovery and ”
Pain and motor control of the lumbopelvic region: effect and possible mechanisms. (2003, background): “[11,70,95,113] ), and clinical[7,50] data suggest that the muscle tension model is too simplistic, and offer support for the pain adaptation model [63], however considerable debate exists[114].”