Key Info from Readings for Pain Final

Question 1

what are the three main components of TA

Answer 1

1. therapist patient agreement on goals
2. therapist and patient agreement on interventions
3. affective bond between patient and therapist

Question 2

TA was most strongly associated with

Answer 2

disability

Question 3

TF: TA was more strongly associates with global perceived effect and pain then final outcomes of disability and function

Answer 3

false, more strongly associated with final outcomes of disability and function

Question 4

what are some reasons TA may work

Answer 4

increased adherence and level of trust.

Question 5

why was the second session chosen

Answer 5

to allow for an initial interaction between them, but not allow for confounding variables from the time, or the treatment they got.

Question 6

TA was found to influence what more strongly? patients getting general exercise or patients getting motor control

Answer 6

general, because bio-psycho-social models

Question 7

TA was found to influence what more strongly? patients getting spinal manip exercise or patients getting motor control

Answer 7

spinal manip

Question 8

who wrote the TA article

Answer 8

Ferreira

Question 9

who wrote combining MT with PNE in treatment of LBP

Answer 9

flynn and Puentedura

Question 10

a review of the latest clinical practice guidelines for CLBP finds constant recommendations for what 5 things

Answer 10

supervised exercise 
cognitive behavioral therapy 
multidisciplinary treatment 
MT and manip (?)
drug treatment (?)

Question 11

chronic pain patients benefit from PNE in what ways

Answer 11

reduced pain
reduced catastophization
reduced disability
improved physical function

Question 12

briefly describe the biomedical model that PTs were taught, and what implications it means for treatment

Answer 12

that tissue damage and pain are linked. So, PTs treat the pathology, and the pain should go away. but with CLBP, when we treat the back with MT, there is often little reduction in symptoms.

Question 13

TF: PNE try to deemphasize the tires of the LB at the source of the problem

Answer 13

true

Question 14

hands on therapy should include a combination of what two things

Answer 14

PNE and supervised exercise

Question 15

prevailing thoughts on mechanisms of MT include what 3 things

Answer 15

biomechanics
neurophysiology
placebo effects.

Question 16

mobilization to the lumbar spine is a bottom up or top down type thing? why?

Answer 16

bottom up because the therapist is providing an input to the NS to change the output of the brain

Question 17

does expectation play a role in treatment? what is this called

Answer 17

yes! if you think something will work, is it more likely to work
placebo

Question 18

what kinds of things can contribute to the placebo effect

Answer 18

patient and therapist relationship, patients expectations and needs, their personality and psychological status, verbal instruction, enviro

Question 19

what are expert therapists

Answer 19

those what had a patient centered approach, and collaborative clinical thinking and reasoning, with the promotion of patient empowerment

Question 20

TF: the maps of the brain are not affected by neglect, disuse and pain

Answer 20

false, the somatosensory maps totally are

Question 21

TF: patients with chronic pain have a hard time differentiating right and left

Answer 21

true

Question 22

TF: tactile acuity is increased with chronic pain

Answer 22

false, decreased. can’t differentiate between points as well

Question 23

how can patients be helped with sharpening the map of their somatosensation?

Answer 23

they are touched on the back, then they point to the exact location on a piece of paper

Question 24

TF: patients are told that sharpening the maps in their brain can reduce pain

Answer 24

true

Question 25

what is the sweet spot for treatment. what two things

Answer 25

PNE and movement based approach

Question 26

health care can be deemed appropriate if what has been incorporated

Answer 26

patient preferences in the decision making process

Question 27

TF: modification of beliefs is associated with activation of key anatomical sites and pathways

Answer 27

true

Question 28

TF: pain catastrophizing might engage in exaggerated pain expression in order to elicit assistance or am empathetic response from people in their environment

Answer 28

true

Question 29

emotional imagers can lead to yellow and orange flags, true or false

Answer 29

true

Question 30

what is enmeshment

Answer 30

feel pessimism about the possibility of re-gaining control over pain or its impact

Question 31

TF: people who believe movement will cause them more pain seek healthcare people more often

Answer 31

true

Question 32

TF: those who have survived previous episodes of LBP with little trouble are at a reduced risk of future disability than those who present for the first time or those who have more severe episodes

Answer 32

true

Question 33

Chris J main wrote an article that talks about

Answer 33

how important are back pain beliefs and expectation for satisfactory recovery from back pain

Question 34

what is the core objective of explaining pain (EP)

Answer 34

shift ones conceptualization of pain from that of a marker of tissue damage or disease to that of a marker of the perceived need to protect body tissue.

Question 35

TF: TNE and PNE do not fall under EP

Answer 35

false, they do `

Question 36

does CBP treat or manage pain

Answer 36

manages it

Question 37

TF: EP includes instruction on strategies or skills with which to reduce the impact of pain on ones life.

Answer 37

false, it does not, It presents pain and ideas around it.

Question 38

TF: EP is advising people that pain messages are turned up and down at the spinal cord

Answer 38

false, danger messages