PHT 1261C Tests and Measurements Dr. Kane Pain PHT 1261C Tests and Measurements Dr. Kane

Definition An unpleasant sensory & emotional experience associated with actual or potential tissue damage Factors Intensity of stimulus Interpretation of Stimulus Other Factors Previous experience with pain Responses learned from others Perception of control over cause of pain

Theories of Pain Early Models – medical models Gate Control Theory Biopsychosocial Model

Clinical Presentation of Pain Acuity Tissue Source of Pain Mind Body Dualism

Psychosocial Factors Affecting Pain Fear Avoidance Coping, Catastrophizing, and Acceptance Depression Pain and Trauma Social Reinforcement

Problem Behaviors of Patients with Pain Passive-dependent Response Overanxious Response Hostile Response Passive Aggressive Response Help Rejecting Response

Approaches to Problematic Behaviors Communicate Well “I” Statements Reference to Standards & Rules Active Listening Reflecting Emotion Us of “we” or team building Limit Setting

Methods for Measuring Pain Visual Analog Scale FACES Body Diagrams – organic or nonorganic Pain Questionnaires – McGill Functional Impairment/Quality of Life Dallas Pain Oswestry

Examination by Physical Therapist The interview Tests and Measurements The POC

Physical Therapy for Pain Pain control Modalities Very passive Therapeutic Exercise Minimize fear avoidance Patient Education