Chronic Pain 3 Flashcards

1
Q

recovery in chronic pain =

A

facing TEMPORARY negative psychological states after a stressor

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2
Q

resilience in chronic pain =

A

individual is able to maintain stable equilibrium over long term despite adversity

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3
Q

What are the key characteristics in coping with chronic pain?

A
  • resilience
  • self-reliance
  • social support
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4
Q

higher resilience is associated with the use of

A
  • more active pain-coping strategies
  • long term functional recovery
  • more positive mood
  • higher activity levels
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5
Q

This type of education may not be effective and may even increase the pt’s pain

A

biomedical model of education of anatomy and biomechanics

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6
Q

What does neuroeducation (NE) focus on?

A
  • less on anatomy

- more on information about pain itself

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7
Q

preoperative NE: found to be effective in

A
  • improving overall post-op opinions of their surgery

- decreasing HC expenditure

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8
Q

Goal of NE

A

decrease threat value associated with pain by increasing pt understanding

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9
Q

Why is NE so important?

A
  • address psychosocial factors
  • reduce threat
  • decrease activity of pain neuromatrix (reducing its value)
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10
Q

What is neuroplasticity?

A

morphological and functional changes in neural properties

occurs throughout life

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11
Q

What are some examples of neuroplasticity

A
  • reorganization of neural territories
  • strength of internal connections
  • altered representational patterns
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12
Q

Amount of cortical neuroplastic changes is correlated to

A

level of functional recovery following a peripheral, spinal, or cortical injury

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13
Q

How does neuroplasticity help to decrease LBP?

*performing tasks at the start of painful sx

A

performing novel tasks at the start of painful sx can reduce unwanted neuroplastic changes that occur due to pain

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14
Q

Which types of tasks are better for neuroplasticity?

A

skilled precision tasks better than strength training

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15
Q

neuroplasticity and exercise prescription: Novel functional tasks lead to

A

improvements in motor behavior and performance

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16
Q

What can impede neuroplastic changes? How does this impact tx?

A
  • pain

- motor skill training should be performed in a pain free range

17
Q

Slowly increasing the ________ of a novel task improves neuroplastic changes

A

complexity

18
Q

neuroplasticity and exercise prescription: quality vs. quantity

A
  • quality is more important than quantity

- helps reduce pain and fatigue

19
Q

aerobic exercise =

A
  • large muscle groups
  • can be maintained continuously
  • is rhythmic in nature
20
Q

How does aerobic exercise play into pain mgmt?

A

endorphins are released » block pain and increase relaxation

21
Q

recommended prescription for aerobic exercise

A
  • 50-75% VO2max
  • at least 30 mins
  • 3-5x week
22
Q

high intensity aerobic exercise and chronic pain

A

pain exacerbated when intensity was high or to exhaustion

23
Q

What are the types of alternative interventions used for chronic pain?

A
  • yoga
  • pilates
  • tai chi
24
Q

novel tasks and brain

A
  • changes organization of primary motor cortex
  • decreases pain
  • improves tx outcomes
25
Q

Why should pts be exercised at submax intensities?

A

avoid hyperalgesic effects