Theme 6 - Principles of Physiotherapy in the treatment of pain Flashcards

1
Q

What is acute pain?

A

Pain with recent onset + limited duration

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2
Q

What is subacute pain?

A

Pain that lasts 6 weeks – 3 months

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3
Q

What is chronic pain?

A

Pain that lasts longer than 3 months

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4
Q

Name 2 examples of acute pain

A

Locked facet joint and muscular tear

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5
Q

Name an example of subacute pain

A

Sprained ankle

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6
Q

Name an example of chronic pain

A

Fibromyalgia

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7
Q

What is the response to acute pain?

A

Normal tissue response, Clear cause

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8
Q

What is the response to subacute pain?

A

Normal tissue healing response, Clear cause

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9
Q

What is the response to chronic pain?

A

Beyond normal healing time, driving tissue pathology, pain amplification, central/peripheral sensitization

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10
Q

What are the 3 pain classifications according to the IASP?

A

-Nociceptive pain
-Neuropathic pain
• Peripheral
• Central
-Pain amplification/sensitization

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11
Q

What are the 2 types of nociceptive pain?

A

Somatic

Visceral

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12
Q

What is neuropathic pain?

A

Lesion in nervous system

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13
Q

What is pain amplification/sensitization?

A

Neurophysiological changes in central

/peripheral nervous system

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14
Q

Name 2 examples of nociceptive pain

A

muscle inflammation and mechanical muscle imbalance

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15
Q

Name 3 examples of neuropathic pain

A

Diabetic neuropathy, Radiculopathy, Post-herpetic

neuralgia

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16
Q

Name 2 examples of pain amplification/sensitization

A

Fibromyalgia and CRPS

17
Q

Name the 4 physiotherapy modalities in the handling of pain

A
Movement/ manual therapy
Exercise
Electro-physical therapy
Other: dry needling, Educate
& Counsel, Cognitive behavioural therapy, relaxation
18
Q

What are the 5 mechanisms on which the physiotherapy modalities are based?

A
Biomechanical
Physiological
Neurological
Cognitive and affective
Neuro physiological
19
Q

Explain biomechanical mechanism

A

Alignment of joint, Correcting the incorrect movement of the joint

20
Q

Explain Physiological mechanism

A

Swelling, Movement of tissue and joint to mobilize the body fluid

21
Q

Explain neurological mechanism

A

Movement of nerve tissue and surrounding structures, Mobilization of nervous system (neurodynamics)

22
Q

Explain Cognitive and affective mechanism

A

Patient education

23
Q

Explain neuro physical mechanism

A

Pain gate theory