Physical Agents Used in the Management of Chronic Pain by Physical Therapists

2006 ◽  
Vol 17 (2) ◽  
pp. 315-345 ◽  
Author(s):  
Roger J. Allen
Keyword(s):  
Chronic Pain ◽  
Physical Therapists

scholarly journals Manual Physical Therapists’ Use of Biopsychosocial History Taking in the Management of Patients with Back or Neck Pain in Clinical Practice

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Rob A. B. Oostendorp ◽  
Hans Elvers ◽  
Emilia Mikołajewska ◽  
Marjan Laekeman ◽  
Emiel van Trijffel ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Neck Pain ◽  
Physical Therapists ◽  
Social Dimension ◽  
History Taking ◽  
Social Dimensions ◽  
Process Indicators ◽  
The Social ◽  
Audio Recordings ◽  
And Behavior

Objective.To develop and evaluate process indicators relevant to biopsychosocial history taking in patients with chronic back and neck pain.Methods.The SCEBS method, covering the Somatic, Psychological (Cognition, Emotion, and Behavior), and Social dimensions of chronic pain, was used to evaluate biopsychosocial history taking by manual physical therapists (MPTs). In Phase I, process indicators were developed while in Phase II indicators were tested in practice.Results.Literature-based recommendations were transformed into 51 process indicators. Twenty MTPs contributed 108 patient audio recordings. History taking was excellent (98.3%) for the Somatic dimension, very inadequate for Cognition (43.1%) and Behavior (38.3%), weak (27.8%) for Emotion, and low (18.2%) for the Social dimension. MTPs estimated their coverage of the Somatic dimension as excellent (100%), as adequate for Cognition, Emotion, and Behavior (60.1%), and as very inadequate for the Social dimension (39.8%).Conclusion.MTPs perform screening for musculoskeletal pain mainly through the use of somatic dimension of (chronic) pain. Psychological and social dimensions of chronic pain were inadequately covered by MPTs. Furthermore, a substantial discrepancy between actual and self-estimated use of biopsychosocial history taking was noted. We strongly recommend full implementation of the SCEBS method in educational programs in manual physical therapy.

The Attitudes of Physicians, Nurses, Physical Therapists, and Midwives Toward Complementary Medicine for Chronic Pain: A Survey at an Academic Hospital

EXPLORE ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. 341-346 ◽  
Author(s):  
Eléonore Aveni ◽  
Brent Bauer ◽  
Anne-Sylvie Ramelet ◽  
Yolande Kottelat ◽  
Isabelle Decosterd ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Complementary Medicine ◽  
Physical Therapists ◽  
Academic Hospital

Chronic Pain—Assessment of Orthopedic Physical Therapists' Knowledge and Attitudes

1991 ◽  
Vol 71 (3) ◽  
pp. 207-214 ◽  
Author(s):  
Melissa S Wolff ◽  
Theresa Hoskins Michel ◽  
David E Krebs ◽  
Nancy T Watts
Keyword(s):  
Chronic Pain ◽  
Pain Assessment ◽  
Physical Therapists ◽  
Knowledge And Attitudes

scholarly journals The Beliefs and Attitudes of Cypriot Physical Therapists Regarding the Use of Deep Friction Massage

Medicina ◽  
2019 ◽  
Vol 55 (8) ◽  
pp. 472
Author(s):  
Pitsillides ◽  
Stasinopoulos
Keyword(s):  
Chronic Pain ◽  
Clinical Practice ◽  
Pain Management ◽  
Chronic Conditions ◽  
Physical Therapists ◽  
Daily Practice ◽  
Chronic Pain Management ◽  
Multiple Choice Questions ◽  
Therapeutic Results ◽  
Beliefs And Attitudes

Background: Deep friction massage (DFM) is a widely used technique by physical therapists worldwide for chronic pain management. According to Dr. James Cyriax, compliance with the proposed guidelines is vital to obtain the desired therapeutic results. Objectives: This study explored the beliefs and attitudes of Cypriot physical therapists to DFM and their compliance with the suggested guidelines to identify any empirical-based application patterns and compare them to the suggestions of Cyriax. In addition, the prevalence of DFM use in clinical practice in Cyprus was investigated. Methods: Questionnaires, consisting of 18 multiple choice questions and a table of six sub-questions, were distributed to 90 local physical therapists. Results: A total of 70% of respondents declared that they perform DFM in their daily practice. The respondents answered 11 out of the 19 technical questions in compliance with the guidelines. Conclusion: The study revealed the DFM application pattern of Cypriot physical therapists. The compliance percentage of this pattern to Cyriax guidelines was 58% in general and 62.5% for patients with chronic conditions.

scholarly journals Physical Therapists' Use of Cognitive-Behavioral Therapy for Older Adults With Chronic Pain: A Nationwide Survey

2009 ◽  
Vol 89 (5) ◽  
pp. 456-469 ◽  
Author(s):  
Katherine Beissner ◽  
Charles R Henderson ◽  
Maria Papaleontiou ◽  
Yelena Olkhovskaya ◽  
Janet Wigglesworth ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Cognitive Behavioral Therapy ◽  
Older Patients ◽  
Physical Therapists ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Time Constraints ◽  
General Linear ◽  
Related Factors ◽  
Barriers To Use

Background Increasing evidence supports the use of cognitive-behavioral therapy (CBT) for patients with chronic pain. Objective This study determined whether physical therapists incorporate CBT techniques (eg, relaxation, activity pacing) when treating older patients with chronic pain, ascertained their interest in and barriers to using CBT, and identified participant-related factors associated with interest in CBT. Design This cross-sectional study used a telephone survey. Methods One hundred fifty-two members of the Geriatrics and Orthopaedics sections of the American Physical Therapy Association completed the survey. Associations between participant-related factors and interest in CBT were assessed in statistical general linear models. Results Commonly used CBT interventions included activity pacing and pleasurable activity scheduling, frequently used by 81% and 30% of the respondents, respectively. Non-CBT treatments included exercises focusing on joint stability (94%) and mobility (94%), and strengthening and stretching programs (91%). Respondents' overall interest in CBT techniques was 12.70 (SD=3.4, scale range=5–20). Barriers to use of CBT included lack of knowledge of and skill in the techniques, reimbursement concerns, and time constraints. Practice type and the interaction of percentage of patients with pain and educational degree of the physical therapist were independently associated with provider interest in CBT in a general linear model that also included 6 other variables specified a priori. Limitations Data are based on self-report without regard to treatment emphasis. Conclusions Although only a minority of physical therapists reported use of some CBT techniques when treating older patients with chronic pain, their interest in incorporating these techniques into practice is substantial. Concerns with their skill level using the techniques, time constraints, and reimbursement constitute barriers to use of the interventions.

scholarly journals Need-Based Holistic Treatments for Endometriosis in Women

2020 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Chronic Pain ◽  
Multidisciplinary Approach ◽  
Physical Therapists ◽  
Treatment Plan ◽  
Spiritual Healing ◽  
Pain Reduction ◽  
Medical Practitioners ◽  
Hormone Control

Endometriosis is a debilitating disease that affects approximately 200 million women across the globe [1]. There are numerous difficulties in assessing the number of women who suffer from this disease including insufficient diagnostics, under-reporting, and the lack of recognition of chronic pain in women. Although some mainstream treatments exist, which are considered to be “traditional” such as pharmaceuticals aimed at hormone control and pain reduction, there is no one-size-fits all approach that works for all women, and as of now, there is no known cure for the disease. This paper aims to share other potential treatments for endometriosis and similar female reproductive diseases which cause chronic pain. Further, the aim is to urge a multidisciplinary approach by medical practitioners, physical therapists, practitioners of Eastern, ancient, and spiritual healing and holistic medicines, and others who can combine their areas of expertise to create a wider encompassing treatment plan that considers both the physical and mental aspects of this disease.

scholarly journals THU0648-HPR STUDY OF PAIN ATTITUDES & BELIEFS BETWEEN RHEUMATOLOGISTS, PHYSICAL THERAPISTS AND PATIENTS FOR FIBROMYALGIA- A CROSS-SECTIONAL SURVEY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 568.1-569
Author(s):  
S. K. Paramasivam ◽  
C. S. Kumar
Keyword(s):  
Chronic Pain ◽  
Palliative Care ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Two Dimensions ◽  
Attitudes And Beliefs ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Painful Condition ◽  
Group Comparisons

Background:Attitudes and beliefs about pain determine the interpersonal interaction in evaluation and treatment of a chronic painful condition like fibromyalgia in a multidisciplinary healthcare system. Two distinct dimensions for pain attitudes and beliefs were identified as Biomedical and Behavioral. The former utilized a pathoanatomical model whereas the latter incorporated the psychosocial factors into clinical presentations.Objectives:The study aimed to evaluate the pain attitudes and beliefs amongst rhematologists, physical therapists and fibromyalgia patients and to compare the biomedical and behavioral dimensions between the three groups in study population of fibromyalgia syndrome (FMS).Methods:A nation-wide cross-sectional survey (online and direct interviews) was conducted between 2010-16 to identify first group- 18 (16 male, 2 female) rheumatologists (snowball sampling), and second group- 122 (44 male, 78 female) physical therapists (purposive sampling), both with previous experience of treating adults with fibromyalgia. Also 188 patients with FMS were also studied from outpatient departments of tertiary care hospitals as the third group. All participants filled the Pain Attitudes and Beliefs (PABS) scale and the scores were analysed to identify the two dimensions descriptively in percentiles, and their between-group comparisons were done using Chi-Square test at 95% confidence interval using SPSS version 22 for Windows software.Results:There was an overall predominance of biomedical dimension for FMS reported in all three groups, with rheumatologists being most prevalent (76.8%), followed by patients (65.6%) and then by physical therapists (54.12)%. Between-group comparisons were significant (p<.05) for all 6 analyses.Conclusion:Biomedical dimension was predominantly reported by rhematologists, physical therapists and patients for chronic pain in FMS and this necessitates further research on development and implementation of educational interventions in this part of the world.References:[1]Kumar SP, Jim A. Physical therapy in palliative care: from symptom control to quality of life: a critical review. Indian J Palliat Care. 2010;16(3):138-46.[2]Kumar SP, Jim A, Sisodia V. Effects of Palliative Care Training Program on Knowledge, Attitudes, Beliefs and Experiences Among Student Physiotherapists: A Preliminary Quasi-experimental Study. Indian J Palliat Care. 2011;17(1):47-53.[3]Kumar SP, Saha S. Mechanism-based Classification of Pain for Physical Therapy Management in Palliative care: A Clinical Commentary. Indian J Palliat Care. 2011;17(1):80-6.[4]Prem V, Karvannan H, Chakravarthy R, Binukumar B, Jaykumar S,Kumar SP. Attitudes and Beliefs About Chronic Pain Among Nurses-Biomedical or Behavioral? A Cross-sectional Survey. Indian J Palliat Care. 2011;17(3):227-34.[5]Kumar VK,Kumar SP, Baliga MR. Prevalence of work-related musculoskeletal complaints among dentists in India: a national cross-sectional survey. Indian J Dent Res. 2013;24(4):428-38.[6]Kumar SP, Kumar A. Evidence-based Practice in Chronic Pain: A Multidimensional Biopsychosocial Paradigm is the “Need of the Hour” in Palliative Care. Indian J Palliat Care. 2013;19(2):126-7.[7]Kumar SP, D’souza M, Sisodia V. Interpersonal communication skills and palliative care: “finding the story behind the story”. Indian J Palliat Care. 2014;20(1):62-4.Acknowledgments:Study participants for their whole-hearted participation and contribution.Disclosure of Interests:None declared

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