Week 3- Person centered hypothesis and radar plot Flashcards
pain mechanisms
Nociceptive
peripheral neuropathic
central (nociplastic)
nociceptive pain description
-localized to the area of injury (tendons, joints, facets)
-Clear proportionate mechanical and anatomical symptoms
-Can be intermittent and sharp with movement and dull ache at rest
Peripheral neuropathic pain mechanism
-pain referred in a dermatomal/ peripheral nerve / cutaneous nerve distribution
-history of nerve injury
-pain provocation with movement or load of neural tissue (ex’s ULTT, phalen’s tinel’s)
Central nociplastic symptoms
-usually more chronic
-disproportionate non mechanical unpredictable pain pattern (ex’s allodynia)
-diffuse non-anatomic areas of pain and tenderness
-strong association with psychosocial factors- poor self efficacy, maladaptive beliefs and pain behaviors
person centered hypothesis
mechanical pain classification
-traditional diagnosis (pathoanatomic)
-competing diagnosis
-complicating factors
complicating factors on the radar plot
emotional/affective
cognitive/belief
socioenvironmental
lifestyle behaviors
Cognitive complicating factors
-catastrophizing (PCS x>20)
-kinesiophobia (TSK x>29)
-sense of being a victim
-firm belief of pathoanatomic diagnosis
-pt has poor expectation of recovery
affective/emotional complicating factors
-depression/anxiety (PROMISdepression x>7(raw))
PROMIS anxiety x>9 (raw)
-post traumatic stress
-stress in life
-mental health disorders
Socioenvironmental complicating factors
-family responses to condition
-job satisfaction
-equity gaps
-cultural norms
-location of residence
level of education
Lifestyle behaviors complicating factors
-lifestyle medicine assessment score of x<20
- lifestyle medicine assessment domain score of x<7
-not feeling well rested
-substance abuse or smoker
-poor diet
-minimal activity/exercise
