1. PHT 1261C Tests and Measurements Dr. Kane
Pain
PHT 1261C Tests and Measurements
Dr. Kane

2. Definition
An unpleasant sensory & emotional experience associated with actual or potential tissue damage
Factors
Intensity of stimulus
Interpretation of Stimulus
Other Factors
Previous experience with pain
Responses learned from others
Perception of control over cause of pain

3. Theories of Pain Early Models – medical models Gate Control Theory
Biopsychosocial Model

4. Clinical Presentation of Pain
Acuity
Tissue Source of Pain
Mind Body Dualism

5. Psychosocial Factors Affecting Pain
Fear Avoidance
Coping, Catastrophizing, and Acceptance
Depression
Pain and Trauma
Social Reinforcement

6. Problem Behaviors of Patients with Pain
Passive-dependent Response
Overanxious Response
Hostile Response
Passive Aggressive Response
Help Rejecting Response

7. Approaches to Problematic Behaviors
Communicate Well
“I” Statements
Reference to Standards & Rules
Active Listening
Reflecting Emotion
Us of “we” or team building
Limit Setting

8. Methods for Measuring Pain
Visual Analog Scale
FACES
Body Diagrams – organic or nonorganic
Pain Questionnaires – McGill
Functional Impairment/Quality of Life
Dallas Pain
Oswestry

9. Examination by Physical Therapist
The interview
Tests and Measurements
The POC

10. Physical Therapy for Pain
Pain control Modalities
Very passive
Therapeutic Exercise
Minimize fear avoidance
Patient Education