Pain Flashcards

1
Q

Stimulation of peripheral pain nerve endings which transmit a signal to the CNS

A

Nocioception

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2
Q

Sensory & emotional experience associated with actual or potential tissue damage

A

Pain

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3
Q

Acute pain signals two things

A
  1. Real or impending tissue damage

2. Biological damage

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4
Q

Appears concurrent with either tissue damage or stress

A

Acute pain

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5
Q

Pain that persists after healing is complete

A

Chronic/persistent pain

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6
Q

What is the arbitrary time of chronic pain?

A

3 mo

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7
Q

OLDCARTS

A
Onset
Location
Duration
Characteristics (type of pain)
Aggravating factors
Relieving factors
Temporal 
Severity (VAS)
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8
Q

Goals should be _____________ oriented, not dependent on the _______________________

A

Functionally; cessation of pain

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9
Q

5 components of pain assessment interview

A
  1. Past treatments
  2. Describe original pain
  3. Stress factors
  4. Perception of cause of continued pain
  5. Ask how pt will know when he/she will be better
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10
Q

4 body diagrams for pain assessment

A
  1. Specific anatomical location of pain
  2. Referred pain
  3. Trigger points
  4. Myofascial pain
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11
Q

5 parts of physical exam

A
  1. Movement patterns
  2. Neuro exam
  3. AROM
  4. MMT
  5. Posture
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12
Q

What does active movement exam test?

A

Contractile movement

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13
Q

What does active movement exam provide info about?(3)

A
  1. Pts ability to move
  2. Painful range
  3. Location of originating pain
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14
Q

What does a passive movement exam test?

A

Inert structures - capsule, lig, bursa, fascia

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15
Q

What does passive movement exam provide info on?

A

Gross assessment of the length of extra-articular + periarticular soft tissue

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16
Q

If A + P motion are restricted in same direction…

A

Problem with capsule or bone

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17
Q

If A + P motion are restricted in opposite directions……

A

Contractile lesion (muscle strain, pull)

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18
Q

Define resistive motion

A

Isolation of contractile tissue by isometric contraction in midrange of joint motion

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19
Q

2 exceptions to resistive motion

A
  1. Fracture close to muscle insertion causing shifting of fractured ends
  2. Inflamed structure underlying muscle
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20
Q

Strength/pain pattern

Painless + strong

A

WNL or referred pain from another area

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21
Q

Strength/pain pattern

Painful + strong

A

Minor lesion of muscle or tendon

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22
Q

Strength/pain pattern

Painless + weak

A

Disorder of nervous system
Total rupture of myotendinous unit
Disuse atrophy

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23
Q

Strength/pain pattern

Painful + weak

A

Major lesion (fracture)
Acute inflammation
Partial rupture of myotendinous unit

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24
Q

Strength/pain pattern

Painful arc

A

Tender structure pinched between two bony surfaces

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25
Q

Strength/pain pattern

Pain with repetition of movements

A

Intermittent claudication

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26
Q

Putting a joint in its resting position results in _________________

A

Least amount of pain

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27
Q

Resting position is usually where joint capsule is ____________

A

Most lax

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28
Q

Resting position of hip

A

30 degrees flexion

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29
Q

Resting position of knee

A

30-45 degrees flexion

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30
Q

Resting position of ankle

A

15 degrees plantarflexion

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31
Q

Pain that is coming from the brain

A

Central pain

32
Q

Continuous central pain is usually…

A

Thalamic pain

33
Q

Thalamic pain is caused by

A

A lesion in the thalamus

34
Q

CRPS

A

Complex regional pain syndromes

35
Q

2 CRPS

A

RSD + causalgia

36
Q

RSD

A

Reflex sympathetic dystrophy

37
Q

2 stages of RSD and what is happening

A
  1. Early stage - pain with slight increase in temp, edema, muscle spasm
  2. Dystrophic stage - pain with lowered skin temp, hyperhidrosis, muscle atrophy
38
Q

Hyperhidrosis

A

Excessive sweating

39
Q

Burning sensation after partial peripheral nerve injury, trophic changes

A

Causalgia

40
Q

Screening for nonorganic, psych and social elements to the client’s pain syndrom

A

Waddell’s test for LBP

41
Q

5 types of Waddell’s test

A
I tenderness
II simulation
III distraction
IV regional disturbances
V overreaction
42
Q

Waddell’s test does not signify ________________

A

Malingering

43
Q

Score of _______ indicative only of symptom magnification or possible illness behavior on Waddell’s test

A

> 3

44
Q

3 intensity pain tools

A
  1. VAS
  2. McGill
  3. Behavioral
45
Q

2 quality pain tools

A
  1. McGill

2. MSPQ

46
Q

3 effect on daily life pain tools

A
  1. PAIRS
  2. Modified Oswestry
  3. PDI
47
Q

3 fear belief pain tools

A
  1. FABQ
  2. FADQ
  3. FCS
48
Q

VAS/NRS

A

Visual analogue scale/numeric rating scale

49
Q

Is the VAS subjective or objective?

A

Subjective

50
Q

VAS can be used especially when trying to determine changes in pain due to (4)

A
  1. Position
  2. Weight bearing
  3. Movement
  4. Activity
51
Q

MPQ

A

McGill Pain Questionnaire

52
Q

Developed to provide a quantitative profile of a person’s perception of their pain

A

MPQ

53
Q

3 categories of MPQ

A
  1. Sensory
  2. Affective
  3. Evaluative descriptors
54
Q

MPQ includes (2)

A

Body diagram + VAS scale

55
Q

MSPQ

A

Modified Somatic Perception Questionnaire

56
Q

MSPQ developed to measure _____ and _______ perception

A

Somatic and automatic

57
Q

PCS

A

Pain Catastrophizing Scale

58
Q

Measures thoughts and feelings pt has while they are in pain

A

PCS

59
Q

difference between women/men on PCS

A

Women have higher numbers

60
Q

PAIRS

A

Pain & Impairment Relationship Scale

61
Q

Designed to measure extent that chronic pain prohibits people from participating in normal events

A

PAIRS

62
Q

High score on PAIRS indicates that the pt has linked __________ with ___________

A

Pain; impairment

63
Q

Measures how pain has affected ability to manage daily life

A

Revised Oswestry Disability Index

64
Q

How long does it take to administer revised Oswestry Disability Index?

A

1-2 min

65
Q

PDI

A

Pain disability index

66
Q

Composed of VASs that rate a subset of ADLs/IADLs

A

PDI

67
Q

Cognitive beliefs about the role of the pain on ability to perform physical and work activities

A

FABQ

68
Q

FADQ

A

Fear of daily activities questionnaire

69
Q

PAINE

A

pain assessment in non-communicative elderly persons

70
Q

pain scale for 18-24 mo

A

locate and ID that there is pain

71
Q

pain scale for 3 y/o

A

intensity of pain

72
Q

pain scale for 4-7 years

A

concrete measures

ex: poker chips “pieces of hurt”

73
Q

pain scale for 5-7 years

A

VAS especially color versions

74
Q

pain scale for 10-12 years

A

verbal scales

75
Q

NCPPV

A

non-communicating children’s pain checklist

76
Q

5 parts of NCPPV

A
  1. vocal
  2. social
  3. facial
  4. activity
  5. physiological