2 TNE

Question 1

Whats an example of a “bottom up” approach?

Answer 1

Alter environment

• orthotics, pool therapy
• MT, Tens/stim

Question 2

What is a “top down” approach?

Answer 2

Pain produced by the brain

Altering information the brain receives can alter the pain experience

Changing their idea of threat

Question 3

What are traditional biomedical models?

Answer 3

1. Anatomy
2. Biomechanics
3. Pathoanatomy

Question 4

What are problems of the biomedical models?

Answer 4

Increases fear in patients

People in pain want to know about pain, NOT anatomy, biomechanics, or patho-anatomy

Question 5

TNE Education delivery method tools

Answer 5

Prepared pics
Metaphors
Hand drawings
Workbook with reading Q&A
Neurophysiology Questionnaire

Question 6

What is the most effective TNE method and cost effective method?

Answer 6

1 on 1

Group sessions

Question 7

T or F It is best to not use TNE with other forms of treatment

Answer 7

False

Always incorporate TNE to physical treatment

MT, Exercise

Teach about pain while they are receiving therapy

Question 8

TNE Content

Answer 8

Neurophys

No anatomical models or patho models

No discussion of emotional or behavior (some is part of the discussion)

Nociception (possible tissue damage)

Neurons/synapses - neurons act as an alarm system

Spinal inhibition - wake up or calm down

Peripheral sensitization - being increased sensitive

Plasticity - this can change = HOPE

Question 9

How to turn down alarm system

Answer 9

TNE

Aerobic exercise

MT

Breathing, relaxation, meditation

Modalities

Question 10

After TNE reconceptualizing pain

Answer 10

Tissues heal, tissues sensitive, sore and reconditioned

Question 11

TNE chronic benefits

Answer 11

Changes in regards to pain beliefs

Changes in regards to attitudes

Improved cognition

Improved physical performance

Increased pain thresholds

Improved outcomes from exercise

Decreased Brain activation

Improved function

Patients able to take on complex pain issues