Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education

Autor: Amarins J Wijma, C. Paul van Wilgen, Mira Meeus, Jo Nijs
Přispěvatelé: Faculty of Physical Education and Physical Therapy, Pain in Motion, Physiotherapy, Human Physiology and Anatomy, Human Physiology and Special Physiology of Physical Education, Motor Mind, Spine Research Group
Rok vydání: 2016
Předmět:
Biopsychosocial model
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Emotions
Physical Therapy
Sports Therapy and Rehabilitation
Models
Psychological
law.invention
03 medical and health sciences
Disability Evaluation
0302 clinical medicine
Physical medicine and rehabilitation
Cognition
Randomized controlled trial
Cost of Illness
Patient Education as Topic
law
Predictive Value of Tests
medicine
Chronic fatigue syndrome
Humans
Pain Management
030212 general & internal medicine
Physical Therapy Modalities
Pain Measurement
Motivation
Mechanism (biology)
business.industry
Chronic pain
Pain Perception
Fear-avoidance model
medicine.disease
Low back pain
Physical therapy
Quality of Life
Human medicine
medicine.symptom
Chronic Pain
business
Neuroscience
030217 neurology & neurosurgery
Zdroj: Physiotherapy: theory and practice
ISSN: 1532-5040
0959-3985
Popis: Pain neuroscience education (PNE) is increasingly used as part of a physical therapy treatment in patients with chronic pain. A thorough clinical biopsychosocial assessment is recommended prior to PNE to allow proper explanation of the neurophysiology of pain and the biopsychosocial interactions in an interactive and patient-centered manner. However, without clear guidelines, clinicians are left wondering how a biopsychosocial assessment should be administered. Therefore, we provided a practical guide, based on scientific research and clinical experience, for the biopsychosocial assessment of patients with chronic pain in physiotherapy practice. The purpose of this article is to describe the use of the Pain - Somatic factors - Cognitive factors - Emotional factors - Behavioral factors - Social factors - Motivation - model (PSCEBSM-model) during the intake, as well as a pain analysis sheet. This model attempts to clearly establish what the dominant pain mechanism is (predominant nociceptive, neuropathic, or non-neuropathic central sensitization pain), as well as to assess the provoking and perpetuating biopsychosocial factors in patients with chronic pain. Using this approach allows the clinician to specifically classify patients and tailor the plan of care, including PNE, to individual patients.
Databáze: OpenAIRE
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