“Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education” by Amarins J Wijma et al., 2016

Oostendorp, R.A.B.; Elvers, J.W.H.; Mikołajewska, Emilia; Laekeman, Marjan; Trijffel, Emiel van; Samwel, Han

doi:10.1080/09593985.2017.1290172

Cited by 5 publications

(2 citation statements)

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“… 84 85 The SCEBS method identifies: (1) the somatic or biological, (2) the psychological, and (3) the social dimension of pain. A set of questions traces impairments of movement-related function, catastrophic or helplessness cognition, fear of pain, lack of self-efficacy or unrealistic treatment expectations, depression or anxiety, avoidance behaviour or pain resistance behaviour and maladaptive social responses to pain behaviour (the detailed SCEBS can be seen in online supplementary appendix 1 86 ).…”

Section: Secondary Prevention Of Early Knee Oamentioning

confidence: 99%

Towards secondary prevention of early knee osteoarthritis

et al. 2018

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Osteoarthritis (OA) of the knee is the most common arthritic disease, yet a convincing drug treatment is not available. The current narrative review focuses on integration of scientific evidence and professional experience to illustrate which management approaches can be taken for prototypical individual patient profiles with early knee OA. Animal models suggest that: (1) OA can progress even in the presence of fully recovered movement kinetics, kinematics and muscle activation patterns; (2) muscle weakness is an independent risk factor for the onset and possibly the rate of progression of knee OA; (3) onset and progression of OA are not related to body weight but appear to depend on the percentage of body fat. From studies in the human model, one could postulate that risk factors associated with progression of knee OA include genetic traits, preceding traumatic events, obesity, intensity of pain at baseline, static and dynamic joint malalignment and reduced muscle strength. Taken this into account, an individual can be identified as early knee OA at high risk for disease progression. A holistic patient-tailored management including education, supportive medication, weight loss, exercise therapy (aerobic, strengthening and neuromuscular) and behavioural approaches to improve self-management of early knee OA is discussed in individual prototypic patients. Secondary prevention of early knee OA provides a window of opportunity to slow down or even reverse the disease process. Yet, as the sheer number of patients early in the OA disease process is probably large, a more structured approach is needed to provide appropriate care depending on the patient’s individual risk profile.

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Section: Secondary Prevention Of Early Knee Oamentioning

confidence: 99%

Towards secondary prevention of early knee osteoarthritis

et al. 2018

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“…History-taking is indeed the first, basic step in the planning of a treatment strategy and is very important to focus on the health problems faced by the patient. This may be concerning the type of pain, the duration of the pain (acute or chronic), impairments, activity limitations, sleep restrictions, restrictions in social participation and personal and environmental factors (Oostendorp et al 2017 ). For instance, psychosocial factors are an important indicator of prolonged disability, as they contribute to the transition of an acute condition to a chronic, disabling condition (Malfliet et al 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Determining the management of pain in people with spinal cord injury by physiotherapists in South Africa

James

Mashola²,

Mothabeng³

2022

S. Afr. j. physiother.

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Background: Pain after spinal cord injury (SCI) is common, and physiotherapy plays a pivotal role in alleviating pain for people with SCI.Objective: To determine the modalities that physiotherapists in South Africa use to treat SCI-related pain and the factors that guide the selection of treatment modalities.Method: A quantitative, cross-sectional design using a self-developed online survey was distributed to physiotherapists belonging to the South African Society of Physiotherapy and the Physiotherapy Association of South Africa. Data were analysed using SPSS v26, where descriptive data were analysed using frequency, percentages, means and standard deviations, and Fisher’s exact tests for inferential analyses. Open-ended questions underwent thematic analysis.Results: Forty-six responses were received. The most-used modalities were transcutaneous electrical nerve stimulation (29.8%), exercises (27.7%) and joint mobilisations (29.8%). Most physiotherapists used standardised measurements to objectively assess pain characteristics, with the visual analog scale being the most used (70.2%). Except for the cost of treatment, the factors that guided the selection of the modalities included the pain type, onset, duration, location and intensity, pain interference, duration of treatment, patient’s preferences, other treatments that the patient was receiving for pain and psychosocial factors (87.2%).Conclusions: Local physiotherapists use pain management modalities that are supported by the evidence to treat SCI-related pain.Clinical implications: This study highlights the common modalities used by physiotherapists to treat SCI-related pain, as well as the selection criteria for the modalities. Owing to the low response rate, we caution against generalising these findings across the SCI pain management field.

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