Management - Somatic Pain Problems Flashcards
1
Q
Psychological
A
Provide clear explanation of their problem
Provide clear and comprehensive treatment plan
2
Q
General Function
A
Acute Severe
- discouraging bed rest
- encourage general exercise with tolerance
- encourage gentle and graded increase in activity levels
- advice on how to temporarily reduce mechanical load
- postural and ergonomic advice
Mobility and Control
- advice on load management
- discourage excessive sedentary behaviour
- prescribe progressive general exercise program
- technique modification and manual handling advice
- sleep hygeine/lifestyle counselling if indicated
- consider HCP referral if indciated
3
Q
Local Function - Movement
A
Acute Severe
- promote mvmnt into the directional preference
- provide strategies to minimise peripheralising movements
- task modification, educate load management
Mobility
- promote mvmnt into the PD
- through manual therapy and HEP
Control
- promote mvmnt into non-PD
- through manual therapy and HEP
4
Q
Local Function - Musc Performance
A
Acute Severe FIND IT - precise movement into non-PD CONTROL IT - exercises under PD load - improve capacity of the muscles that prevent movement into PD
Mobility
FIND IT
- precise mvmnt into the PD
CONTROL IT
- exercises under non-PD load
- improve capacity of the muscles that produce PD
LOAD IT
- make sure specific, reflects functional problems
- address scapula and thoracic impairments
Control FIND IT - precise movement into non-PD CONTROL IT - exercises under PD load - improve capacity of muscles that prevent PD LOAD IT - reflect functional issues, target thoracic and scapula impairments
5
Q
Local Function - Sensorimotor
A
Balance Training
Joint position training
Oculomotor training
6
Q
Remote Function
A
Acute Severe
- optimise thoracic function
- promote movement into PD
- address scapula mechanics to optimise cervical loading
Mobility
- promote mvmnt into non-PD
- address scapula mechanics
Control
- promote mvmnt into PD
- address scapular mechanics
