18 Questions
What is a critical role of physical therapists in managing chronic pain?
Restoring optimal physical function to promote quality of life
What is the primary goal of pain management, especially for chronic pain conditions?
Improving patient function and quality of life
What is the purpose of the conditioned pain modulation (CPM) paradigm?
To learn about the endogenous pain inhibition ability of the subject
What is emphasized in physical therapy treatments for chronic pain?
Improving patient function and quality of life
What is included in the multidisciplinary approach to managing pain?
Medical management, physical therapy, and psychological management
What is the basis for all treatment plans in managing pain?
Basic science and clinical evidence
What is the primary factor that influences the effectiveness of a treatment technique in physical therapy?
The delivery of the treatment technique by the therapist
What is the term for the phenomenon where patients experience greater pain relief when they are aware of receiving medication?
Placebo effect
What is the outcome of instructing patients with a negative expectation in terms of pain thresholds?
Decrease in pain thresholds
What is the purpose of the Open/Hidden design in studies on medication?
To test the effect of patient awareness on pain relief
What benefit can exercising provide to people with chronic pain?
Improved function and reduced pain
Why might some healthcare professionals recommend activity restriction for low back pain?
They have a biomedical treatment approach
What is the effect of a painful intervention in a safe therapeutic experience on a patient's perception of pain?
It changes the way the patient views their pain
What is an important consideration for people increasing their physical activity after experiencing pain?
Increasing activity level gradually
What is an example of a physical therapy intervention that can generate pain similar to that experienced in daily activities?
Mobilization of a painful spinal level
What can physical therapists do to create a personalized exercise program for people in pain?
Combine different forms of exercise
What can happen when people understand the concept that hurt does not equal harm?
They may be more likely to increase their physical activity
What is a potential reason why people discontinue exercising despite benefits?
The reason is not specified
Study Notes
Physical Therapy for Chronic Pain
- Restoration and promotion of optimal physical function to improve quality of life is a critical role for physical therapists in chronic pain management.
- Interventions include manual therapy, electrotherapy, heat and cold therapy, and activity promotion.
Multidisciplinary Approach to Pain Management
- Treatment of pain involves a multidisciplinary approach, including medical management, physical therapy, and psychological management.
- Goals for pain management include the patient as an active participant, emphasizing improved function rather than impairment.
Central Pain Modulation (CPM)
- CPM is a paradigm used to study the endogenous pain inhibition ability of a subject.
- The context is “pain inhibits pain”, but the purpose is not to inhibit pain per se, but to learn about the inhibition ability.
Expectation and Pain Relief
- Studies using the Open/Hidden design have shown that patients experience significantly greater pain relief when they are aware of receiving a medication than when it is provided in a hidden manner.
- Expectation may be additive to the specific effects of treatment, enhancing the magnitude of observed outcomes.
Contextual Pain Experience
- Generating similar pain in a safe therapeutic experience can change the way a patient views their pain.
- This can be achieved through interventions such as mobilization of a painful spinal level or performance of a stretching exercise.
Exercise and Pain Outcomes
- Participating in physical activity and incorporating specific exercises improves pain outcomes in many pain conditions.
- Exercise prescription varies with each pain condition, but increasing physical activity (e.g., walking) benefits the majority of people with chronic pain.
- Physical therapists may combine different forms of exercise to individualize a program to the person in pain.
Benefits and Challenges of Exercise
- Exercise can reduce pain and disability, improve function, prevent the recurrence of pain, and prevent the development of chronic pain.
- Many people discontinue exercise despite receiving benefits, highlighting the need for a biopsychosocial approach to exercise prescription.
- Understanding that hurt does not equal harm can help patients gradually increase their activity or exercise level.
This quiz covers the role of physical therapists in managing chronic pain, including restoration of physical function, manual therapy, and other interventions. It also explores the multidisciplinary approach to pain management, involving medical, physical, and psychological management.
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