Cognitive functional approach to back pain Flashcards
Psychological predictions of disability
Negative beliefs about back pain
Fear of movement
Reduced self efficacy
Effect of fear
Can trigger fight or flight response
Which activates hypothalamus
Which influences HR, tissue sensitivity and the body’s reaction to pain
Widespread pain vs local pain
Localised pain with proportionate pain response to mechanical stress usually linked to posture, loading, movement etc
Poorly defined and widespread pain with widespread sensitivity and hyperalgesia is linked to increased anxiety, depression and catastrophizing stress
Effect of negative emotional response to pain
It can set up CNS processes which can amplify nociceptive input, cause reorganisation of sensory motor cortex and loss of grey matter
What do patients in pain value?
Listening, empathy, confidence, encouragement, non verbal communication
Exposure with control
Focussed body relaxation and awareness
Exposure to painful/feared activities
Extinguish protective behaviours
Normalise movement patterns
Individualised approach
Target valued activities
Consider lifestyle changes
