A physical therapist’s role in pain management: A biopsychosocial perspective

Edgerton Kara; Hall Jarod; Bland Michelle K.; Marshall Blaine; Hulla Ryan; Gatchel Robert J.

摘要

Abstract <section numbered="no" xml:id="jabr12170-sec-0001"> <title type="main">Aim >People suffering with chronic pain have a decreased quality of life in both the physical and psychosocial dimensions. Popular treatment methods for a chronic pain patient are opioid prescriptions and surgery, which may not be beneficial to long‐term outcomes in chronic pain patients, and may actually result in reducing a patient's overall health. </section> <section numbered="no" xml:id="jabr12170-sec-0002"> <title type="main">Purpose >This review will examine the role of the physical therapist in treating chronic pain patients in regard to the biopsychosocial model. Reviewing chronic pain through a biopsychosocial perspective, screening, evaluation, intervention selection, and problems with programs adherence in regard to chronic pain patients in physical therapy will be discussed. Psychosocial components of chronic pain including fear of movement and depression are also examined in?how they can hinder or interfere with physical therapy treatment and evaluation. </section> <section numbered="no" xml:id="jabr12170-sec-0003"> <title type="main">Conclusion >When treating chronic pain patients, applying the biopsychosocial perspective to physical therapy with a focus on restoring physical function could provide the least invasive treatment for chronic pain patients with optimal outcomes. </section> </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract Type =“Main”XML：ID =“Jabr12170-Abs-Abs-0001”XML：Lang =“en”> <标题类型=“main”>抽象</ title> <secto numbyed =“no”xml：id =“jabr12170-sec-0001”> <标题类型=“main”> AIM </ TITL> >患有慢性疼痛的人在身体和心理社会方面的生活质量下降。慢性疼痛患者的流行治疗方法是阿片类药物处方和手术，这可能对慢性疼痛患者的长期结果没有有益，并且实际上可能导致患者的整体健康状况降低。</ p> </部分> <secto numbyed =“no”xml：id =“jabr12170-sec-0002”> <标题类型=“main”>目的</ title> >本综述将审查物理治疗师在治疗活检的慢性疼痛患者方面的作用。讨论了通过生物心的视角，筛选，评价，干预选择以及在物理治疗中慢性疼痛患者遵守慢性疼痛患者的慢性疼痛患者的慢性疼痛。还研究了包括运动和抑郁症的慢性疼痛的心理社会组分？它们如何阻碍或干扰物理治疗和评估。</ p> </部分> <sec numbyed =“no”xml：id =“jabr12170-sec-0003”> <标题类型=“main”>结论</ title> >当治疗慢性疼痛患者时，将活检性能视角施加到物理疗法，重点恢复物理功能可以为慢性疼痛患者提供最不侵入性的患者。</ p> </部分> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-33563/'>《Journal of applied biobehavioral research》</a> <b style="margin: 0 2px;">|</b><span>2019年第2期</span><b style="margin: 0 2px;">|</b><span>共17页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Edgerton Kara&option=202" target="_blank" rel="nofollow">Edgerton Kara;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hall Jarod&option=202" target="_blank" rel="nofollow">Hall Jarod;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Bland Michelle K.&option=202" target="_blank" rel="nofollow">Bland Michelle K.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Marshall Blaine&option=202" target="_blank" rel="nofollow">Marshall Blaine;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hulla Ryan&option=202" target="_blank" rel="nofollow">Hulla Ryan;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Gatchel Robert J.&option=202" target="_blank" rel="nofollow">Gatchel Robert J.;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Riata Therapy SpecialistsBedford Texas;</p> <p>Greater Therapy CentersLewisville Texas;</p> <p>Department of PsychologyUniversity of Texas at ArlingtonArlington Texas;</p> <p>Department of PsychologyUniversity of Texas at ArlingtonArlington Texas;</p> <p>Department of PsychologyUniversity of Texas at ArlingtonArlington Texas;</p> <p>Department of PsychologyUniversity of Texas at ArlingtonArlington Texas;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/5893.html" title="医学心理学">医学心理学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=biopsychosocial&option=203" rel="nofollow">biopsychosocial;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=chronic pain&option=203" rel="nofollow">chronic pain;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=physical function&option=203" rel="nofollow">physical function;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=physical therapy&option=203" rel="nofollow">physical therapy;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=program adherence&option=203" rel="nofollow">program adherence;</a> </p> <div class="translation"> 机译：生物学生理学;慢性疼痛;物理功能;物理疗法;程序遵守; 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