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Education is the first approach in evidence-based MS care
But l, education is poorly understood acc to Moseley which is why we do the Teach Back of which I’ve posted dozens online @PainRevolution
Evidence based reasurance & reactivation from Rehab of the Spine
Beliefs shape behavior. @PeteOSullivanPT
The steps to shed the “fix it” mindset - education, reassurance/reactivation & cognitive-behaviorial strategies. @PeteOSullivanPT @Prof_Littlewood @benedsmith @kieranosull @JanHartvigsen Rehab of the Spine patient. Outcomes based. Give a positive experience w/ movement
“The overall outcome goal when treating patients with chronic pain conditions is improving functional capacity, which correlates with better physical strength and mobility, together with an improved affective state and self-esteem.”…
“..In general, the psychological factors.... correspond to alleviating any anxiety or fear associated with the occurrence of pain. At this phase, it is important to educate the patient about....following the prescribed exercise protocol in order to expedite the healing process.”
...a comprehensive plan to help the patient not only regain mobility and function, but also to teach the patient stress management techniques and coping skills necessary for dealing with any lifestyle or work issues that develop as a result of the pain and impairment.”
“Following sufficient assessment measures and the resultant tailored treatment regimen, it is necessary to routinely evaluate the progress of the patient and amend or modify the program when deemed appropriate.”
“It is through effective communication—not only within the medical team, but also with the patient—that the biopsychosocial approach to pain management is successful.”
“It is through this BPS approach to pain management that patients experiencing chronic pain are able to regain mobility and function, improve psychological conditions such as depression and anxiety, and allows a return to normal life activities.” @MattLowPT @_Tyson_Beach
Mayer TG and Gatchel RJ. Functional Restoration for Spinal Disorders: The Sports Medicine Approach. Lea & Febiger. Philadelphia. 1988.
@kieranosull beliefs are created by us
@OsteloR HCP behavior influences the danger & safety messages given. Beware of vested interests. @jeubanksMD @PainRevolution… @Tash_Stanton “this presents a compelling argument against the prevailing view that feeling stiff is an isomorphic marker of the biomechanical characteristics of the back.”
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