MOD 2 Psychosocial Considerations of MSK Conditions

Question 1

How do psychosocial factors influence pain?

Answer 1

• modify the perception and modulate the experience of pain

Question 2

What are the challenges of pain?

Answer 2

thoughts lead to behaviors that can be detrimental to pain

Question 3

What is catastrophization?

Answer 3

inability to foresee anything other than the worst possible outcome, however unlikely, or experiencing a situation as unbearable or impossible when it is just uncomfortable

Question 4

What are some impaired beliefs about pain?

Answer 4

• pain is always bad
• all pain must be gone before engaging in normal activity
• passive treatment is the answer
• I am fragile

Question 5

What are some yellow flags of pain?

Answer 5

• LBP is potentially serious
• pain must be abolished prior to returning to activity
• activity will increase pain
• avoidance of movement believed to be harmful

Question 6

What are yellow flag behaviors associated with pain?

Answer 6

• extended rest
• reduced activity level
• extreme pain rating (25/10)
• excessive reliance on aids
• sleep disturbance
• self medication

Question 7

What are the expected responses of pain?

Answer 7

avoid: high fear, maladaptive
confrontation: low fear, adaptive

Question 8

Which response to pain leads to more disability?

Answer 8

avoidance

Question 9

What are the physical consequences of being an avoider?

Answer 9

• decreased ROM
• decreased strength
• decreased aerobic capacity
• weight gain
  disuse syndrome

Question 10

What are some psychological consequences of being an avoider?

Answer 10

• misinterpretation of pain
• passive coping strategy
• exaggerated perception
• increased choric disability

Question 11

What are the steps in the bio psychosocial management model to address pain?

Answer 11

A: screen
B: educate
C: prescribe

Question 12

How does the bio psychosocial model have influence on pain?

Answer 12

• de emphasize anatomical structures
• encourage the patient to take active role in their recovery

Question 13

How do you apply interventions for patients with psychosocial aspects influencing pain?

Answer 13

stage 1
- apply evidence based treatment
- modify education
do not label

stage 2
- graded exercise and exposure

Question 14

What is graded exercise?

Answer 14

increase in generic functional capacity (operant conditioning)

improve activity tolerance

positive reinforcement when quotas are met

progress

Question 15

What is graded exposure?

Answer 15

increase in activities that are fearful

educate about causes and mechanisms of pain

encourage to engage in activity they previously would have avoided