Explaining pain following cancer
| Autor: | C. Paul van Wilgen, Jo Nijs, Ward Willaert, Roselien Pas, Amarins J Wijma, Wouter Hoelen, Laurence Leysen, Kelly Ickmans |
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| Přispěvatelé: | Faculty of Physical Education and Physical Therapy, Pain in Motion, Physiotherapy, Human Physiology and Anatomy, Physical Medicine and Rehabilitation, Motor Mind, Spine Research Group |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Biopsychosocial model
medicine.medical_specialty medicine.medical_treatment Pilot Projects Physical Therapy Sports Therapy and Rehabilitation law.invention Education rehabilitation Masterclass 03 medical and health sciences Prostate cancer Cognition 0302 clinical medicine Breast cancer breast cancer Randomized controlled trial law Neoplasms medicine Humans Orthopedics and Sports Medicine Rehabilitation Mechanism (biology) business.industry Communication Neurosciences Cancer medicine.disease 030220 oncology & carcinogenesis oncology Physical therapy Chronic Pain business 030217 neurology & neurosurgery |
| Popis: | Background Pain is one of the most prevalent and debilitating symptom following cancer treatment. Objectives This paper entails a practical guide for clinicians willing to apply pain neuroscience education (PNE) in this specific population, or clinical researchers willing to examine the effects of PNE in patients suffering from pain following cancer. Results Patient-specific information (i.e. beliefs, cognitions, pain memories, social factors) as well as identification of the dominant pain mechanism are needed to tailor the education to the specific needs and beliefs of the patient. Therapists require an in-depth understanding of pain mechanisms, the skills to explain to their patients various pain mechanisms, specific communication skills (e.g. Socratic-style dialogof education) and experience with current evidence-based biopsychosocially-driven pain management strategies for successful implementation of PNE in the clinic. Rather than purely focusing on the biomedical characteristics of pain following cancer (e.g., tissue damage due to past cancer treatment), PNE implies teaching patients about the underlying biopsychosocial mechanisms of pain. Its application is backed-up by mounting evidence supporting the effectiveness of PNE in non-cancer pain populations, and a pilot study in patients having pain following cancer. Conclusion PNE is a potential solution to improve pain outcome in cancer survivors. Further research using sufficiently powered and well-designed randomized clinical trials should be conducted to examine the potential of PNE in patients having pain following cancer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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