A physical therapist's role in pain management: A biopsychosocial perspective

被引：8

作者：

Edgerton, Kara ^{[1
]}

Hall, Jarod ^{[2
]}

Bland, Michelle K. ^{[3
]}

Marshall, Blaine ^{[3
]}

Hulla, Ryan ^{[3
]}

Gatchel, Robert J. ^{[3
]}

机构：

[1] Riata Therapy Specialists, Bedford, TX USA

[2] Greater Therapy Ctr, Lewisville, TX USA

[3] Univ Texas Arlington, Dept Psychol, Arlington, TX 76019 USA

来源：

JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH | 2019年 / 24卷 / 02期

关键词：

biopsychosocial; chronic pain; physical function; physical therapy; program adherence; LOW-BACK-PAIN; RANDOMIZED CONTROLLED-TRIAL; LONG-TERM; EXERCISE THERAPY; MANUAL THERAPY; CENTRAL SENSITIZATION; GENERAL-PRACTITIONER; MUSCULOSKELETAL PAIN; CONCEPTUAL MODELS; NECK PAIN;

D O I：

10.1111/jabr.12170

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Aim People suffering with chronic pain have a decreased quality of life in both the physical and psychosocial dimensions. Popular treatment methods for a chronic pain patient are opioid prescriptions and surgery, which may not be beneficial to long-term outcomes in chronic pain patients, and may actually result in reducing a patient's overall health. Purpose This review will examine the role of the physical therapist in treating chronic pain patients in regard to the biopsychosocial model. Reviewing chronic pain through a biopsychosocial perspective, screening, evaluation, intervention selection, and problems with programs adherence in regard to chronic pain patients in physical therapy will be discussed. Psychosocial components of chronic pain including fear of movement and depression are also examined in how they can hinder or interfere with physical therapy treatment and evaluation. Conclusion When treating chronic pain patients, applying the biopsychosocial perspective to physical therapy with a focus on restoring physical function could provide the least invasive treatment for chronic pain patients with optimal outcomes.

引用

页数：17

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