Pain Neuroscience Education Delivered by a Student Physical Therapist for a Patient with Persistent Musculoskeletal Pain

被引:3
|
作者
O'Connor, Michael [1 ,2 ]
Sillevis, Rob [1 ,2 ]
Erickson, Mark R. [2 ]
机构
[1] Florida Gulf Coast Univ, Phys Therapy Program, Ft Myers, FL 33965 USA
[2] Florida Gulf Coast Univ, Dept Rehabil Sci, Ft Myers, FL 33965 USA
来源
关键词
Chronic Pain; Physical Therapy Modalities; Teaching; MECHANISMS-BASED CLASSIFICATIONS; AVOIDANCE BELIEFS QUESTIONNAIRE; PSYCHOMETRIC PROPERTIES; CENTRAL SENSITIZATION; NERVOUS-SYSTEM; SYMPTOMS; DISABILITY; NEUROPHYSIOLOGY; RELIABILITY; MANAGEMENT;
D O I
10.12659/AJCR.932212
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Unusual or unexpected effect of treatment Background: Persistent pain is one of the most common reasons individuals seek healthcare in the United States, costing $635 billion annually. At present, the medical literature outlines many treatments for persistent pain. Pain neuroscience education (PNE) is described in the literature as an educational intervention for patients with persistent pain that can be applied by a physical therapist. There is limited research on the application of PNE by a student physical therapist; however, this case report offers a unique opportunity to examine outcomes for this intervention when applied by a student physical therapist in conjunction with manual therapy and therapeutic exercise. Case Report: This case report examined the outcomes of PNE for a 65-year-old patient with a long-standing history of low back, cervical, shoulder, knee, and foot pain. Interventions included 7 sessions of PNE over 4 weeks delivered by a student physical therapist, in combination with manual therapy and exercise prescribed by a licensed physical therapist. Outcomes measured were fear avoidance belief questionnaire, visual analog scale, Tampa scale of kinesiophobia, neurophysiology of pain questionnaire, neck disability index, and Oswestry disability index. Conclusions: Outcomes included clinically significant decreases in subjective pain level, and kinesiophobia; however, there was only a minimal decrease in fear avoidance and no decrease in perceived disability. This case report provides preliminary evidence that positive outcomes can be achieved when PNE is delivered by a student physical therapist combined with manual therapy and therapeutic exercise from an expert clinician for patients with persistent musculoskeletal pain.
引用
收藏
页数:10
相关论文
共 50 条
  • [1] The patient acceptability of a remotely delivered pain management programme for people with persistent musculoskeletal pain: A qualitative evaluation
    Booth, Gregory
    Zala, Sonia
    Mitchell, Chloe
    Zarnegar, Roxaneh
    Lucas, Andrew
    Gilbert, Anthony W.
    [J]. BRITISH JOURNAL OF PAIN, 2022, 16 (06) : 581 - 592
  • [2] The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature
    Louw, Adriaan
    Zimney, Kory
    Puentedura, Emilio J.
    Diener, Ina
    [J]. PHYSIOTHERAPY THEORY AND PRACTICE, 2016, 32 (05) : 332 - 355
  • [3] Pain neuroscience education in patients with chronic musculoskeletal pain: an umbrella review
    Cuenca-Martinez, Ferran
    Suso-Marti, Luis
    Calatayud, Joaquin
    Ferrer-Sargues, Francisco Jose
    Munoz-Alarcos, Vicente
    Alba-Quesada, Patricio
    Bivia-Roig, Gemma
    [J]. FRONTIERS IN NEUROSCIENCE, 2023, 17
  • [4] Pain Neuroscience Education in cancer survivors with persistent pain: A pilot study
    Pas, Roselien
    Leysen, Laurence
    De Goeij, Wanda
    Vossebeld, Leonieke
    Van Wilgen, Paul
    De Groef, An
    De Kooning, Margot
    [J]. JOURNAL OF BODYWORK AND MOVEMENT THERAPIES, 2020, 24 (04) : 239 - 244
  • [5] The Effect of Neuroscience Education on Pain, Disability, Anxiety, and Stress in Chronic Musculoskeletal Pain
    Louw, Adriaan
    Diener, Ina
    Butler, David S.
    Puentedura, Emilio J.
    [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2011, 92 (12): : 2041 - 2056
  • [6] Effectiveness of education based on neuroscience in the treatment of musculoskeletal chronic pain
    Cuenda-Gago, Juan D.
    Espejo-Antunez, Luis
    [J]. REVISTA DE NEUROLOGIA, 2017, 65 (01) : 1 - 12
  • [7] Patient Screening by a Physical Therapist for Nonmusculoskeletal Hip Pain
    VanWye, William R.
    [J]. PHYSICAL THERAPY, 2009, 89 (03): : 248 - 256
  • [8] What is the content of virtually delivered pain management programmes for people with persistent musculoskeletal pain? A systematic review
    Booth, Gregory
    Williams, Deborah
    Patel, Hasina
    Gilbert, Anthony W.
    [J]. BRITISH JOURNAL OF PAIN, 2022, 16 (01) : 84 - 95
  • [9] Pain Neuroscience Education for Acute Pain
    Louw, Adriaan
    Schuemann, Teresa
    Zimney, Kory
    Puentedura, Emilio J.
    [J]. INTERNATIONAL JOURNAL OF SPORTS PHYSICAL THERAPY, 2024, 19 (06): : 758 - 767
  • [10] Know Pain, Know Gain? A Perspective on Pain Neuroscience Education in Physical Therapy
    Louw, Adriaan
    Puentedura, Emilio J.
    Zimney, Kory
    Schmidt, Stephen
    [J]. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2016, 46 (03): : 131 - 134