Chronic Pain 3 Flashcards
recovery in chronic pain =
facing TEMPORARY negative psychological states after a stressor
resilience in chronic pain =
individual is able to maintain stable equilibrium over long term despite adversity
What are the key characteristics in coping with chronic pain?
- resilience
- self-reliance
- social support
higher resilience is associated with the use of
- more active pain-coping strategies
- long term functional recovery
- more positive mood
- higher activity levels
This type of education may not be effective and may even increase the pt’s pain
biomedical model of education of anatomy and biomechanics
What does neuroeducation (NE) focus on?
- less on anatomy
- more on information about pain itself
preoperative NE: found to be effective in
- improving overall post-op opinions of their surgery
- decreasing HC expenditure
Goal of NE
decrease threat value associated with pain by increasing pt understanding
Why is NE so important?
- address psychosocial factors
- reduce threat
- decrease activity of pain neuromatrix (reducing its value)
What is neuroplasticity?
morphological and functional changes in neural properties
occurs throughout life
What are some examples of neuroplasticity
- reorganization of neural territories
- strength of internal connections
- altered representational patterns
Amount of cortical neuroplastic changes is correlated to
level of functional recovery following a peripheral, spinal, or cortical injury
How does neuroplasticity help to decrease LBP?
*performing tasks at the start of painful sx
performing novel tasks at the start of painful sx can reduce unwanted neuroplastic changes that occur due to pain
Which types of tasks are better for neuroplasticity?
skilled precision tasks better than strength training
neuroplasticity and exercise prescription: Novel functional tasks lead to
improvements in motor behavior and performance
What can impede neuroplastic changes? How does this impact tx?
- pain
- motor skill training should be performed in a pain free range
Slowly increasing the ________ of a novel task improves neuroplastic changes
complexity
neuroplasticity and exercise prescription: quality vs. quantity
- quality is more important than quantity
- helps reduce pain and fatigue
aerobic exercise =
- large muscle groups
- can be maintained continuously
- is rhythmic in nature
How does aerobic exercise play into pain mgmt?
endorphins are released » block pain and increase relaxation
recommended prescription for aerobic exercise
- 50-75% VO2max
- at least 30 mins
- 3-5x week
high intensity aerobic exercise and chronic pain
pain exacerbated when intensity was high or to exhaustion
What are the types of alternative interventions used for chronic pain?
- yoga
- pilates
- tai chi
novel tasks and brain
- changes organization of primary motor cortex
- decreases pain
- improves tx outcomes
Why should pts be exercised at submax intensities?
avoid hyperalgesic effects
