Considering the Stress Pain Cycle in Assessment: Difference between revisions
Kim Jackson (talk | contribs) (Added Intro Picture) |
Kim Jackson (talk | contribs) (Headings) |
||
| Line 9: | Line 9: | ||
Physiotherapists are trained professionals who, on a daily basis, help clients deal with pain and movement dysfunction. As the profession has moved towards evidence based practice the way a client's therapy is delivered has also changed, we are moving away from didactic teaching and anecdotal practices, to provide the client with interventions that are based not only our clinical experiences but solid research<ref>Schreiber J, Stern P. A Review of the Literature on Evidence-Based Practice in Physical Therapy. The Internet Journal of Allied Health Sciences and Practice, 2005, 2005 Oct 01;3(4) Article 9</ref>. This has led to to changing from the biomedical based approach to a more client centred biopsychosocial approach. This has been largely influenced by the recognition that emotional factors such as fear, anxiety and stress can delay and impede the recovery of those suffering from pain. Fear and anxiety may be personality traits but they can also be a byproduct of stress and stress has now been recognised as a factor in pain. It is well known that short term stress can be beneficial, especially in a crisis, but persistent or long term (chronic stress) can be the cause of pain. It has also been determined that stress can be one of the symptoms of chronic pain. In order to fully understand the shift in assessment and treatment approaches it is important to understand stress and also how people’s behaviour and fears affects not only their pain but also their perception and approach to pain and participation recovery. | Physiotherapists are trained professionals who, on a daily basis, help clients deal with pain and movement dysfunction. As the profession has moved towards evidence based practice the way a client's therapy is delivered has also changed, we are moving away from didactic teaching and anecdotal practices, to provide the client with interventions that are based not only our clinical experiences but solid research<ref>Schreiber J, Stern P. A Review of the Literature on Evidence-Based Practice in Physical Therapy. The Internet Journal of Allied Health Sciences and Practice, 2005, 2005 Oct 01;3(4) Article 9</ref>. This has led to to changing from the biomedical based approach to a more client centred biopsychosocial approach. This has been largely influenced by the recognition that emotional factors such as fear, anxiety and stress can delay and impede the recovery of those suffering from pain. Fear and anxiety may be personality traits but they can also be a byproduct of stress and stress has now been recognised as a factor in pain. It is well known that short term stress can be beneficial, especially in a crisis, but persistent or long term (chronic stress) can be the cause of pain. It has also been determined that stress can be one of the symptoms of chronic pain. In order to fully understand the shift in assessment and treatment approaches it is important to understand stress and also how people’s behaviour and fears affects not only their pain but also their perception and approach to pain and participation recovery. | ||
== | == What is Stress? == | ||
Stress is an emotional (and physiological) response to either a known or perceived threat and it can be categorised as either acute or chronic. It is something until recently that did not receive a lot of attention but the WHO state that it is becoming a worldwide epidemic (source). So, what are the implications for physiotherapists? | |||
== | Acute stress is known to ?? which if not released can lead to ?? and as we now know | ||
==== Physiological Response to Stress ==== | |||
==== The Relationship between Chronic Pain and Stress ==== | |||
==== The Importance of Recognising and Understanding Symptoms of Stress ==== | |||
==== How Stress Can Influence Our Behaviour, Attitude and Responses ==== | |||
== BioMedical vs Biopsychosocial approaches to assessment and treatment == | |||
== New Approaches to Assessment and Treatment == | |||
== Barriers to Cognitive Functional Therapy == | |||
== Resources == | == Resources == | ||
Revision as of 15:12, 17 June 2018
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - Kim Jackson, Admin, George Prudden, Claire Knott, Lucinda hampton and Jess Bell
Introduction[edit | edit source]
Physiotherapists are trained professionals who, on a daily basis, help clients deal with pain and movement dysfunction. As the profession has moved towards evidence based practice the way a client's therapy is delivered has also changed, we are moving away from didactic teaching and anecdotal practices, to provide the client with interventions that are based not only our clinical experiences but solid research[1]. This has led to to changing from the biomedical based approach to a more client centred biopsychosocial approach. This has been largely influenced by the recognition that emotional factors such as fear, anxiety and stress can delay and impede the recovery of those suffering from pain. Fear and anxiety may be personality traits but they can also be a byproduct of stress and stress has now been recognised as a factor in pain. It is well known that short term stress can be beneficial, especially in a crisis, but persistent or long term (chronic stress) can be the cause of pain. It has also been determined that stress can be one of the symptoms of chronic pain. In order to fully understand the shift in assessment and treatment approaches it is important to understand stress and also how people’s behaviour and fears affects not only their pain but also their perception and approach to pain and participation recovery.
What is Stress?[edit | edit source]
Stress is an emotional (and physiological) response to either a known or perceived threat and it can be categorised as either acute or chronic. It is something until recently that did not receive a lot of attention but the WHO state that it is becoming a worldwide epidemic (source). So, what are the implications for physiotherapists?
Acute stress is known to ?? which if not released can lead to ?? and as we now know
Physiological Response to Stress[edit | edit source]
The Relationship between Chronic Pain and Stress[edit | edit source]
The Importance of Recognising and Understanding Symptoms of Stress[edit | edit source]
How Stress Can Influence Our Behaviour, Attitude and Responses[edit | edit source]
BioMedical vs Biopsychosocial approaches to assessment and treatment[edit | edit source]
New Approaches to Assessment and Treatment[edit | edit source]
Barriers to Cognitive Functional Therapy[edit | edit source]
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
References[edit | edit source]
- ↑ Schreiber J, Stern P. A Review of the Literature on Evidence-Based Practice in Physical Therapy. The Internet Journal of Allied Health Sciences and Practice, 2005, 2005 Oct 01;3(4) Article 9
