Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 25511
  Title Patient disability: A case for the detrimental effects of patient education [case report]
URL https://journal.parker.edu/index.php/jcc/article/view/15
Journal J Contemp Chiropr. 2018 ;1(1):Online access only p 9-13
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Pain treatment often includes education about the pathoanatomical model which emphasizes pain resulting from tissue pathology. The model can be accurate in cases of acute pain, but it impedes progress, elevates anxiety, and increases fear of movement in the chronic pain population; therefore, methods of education that de-emphasize tissue damage need to be implemented. This case illustrates both disability driven by fear of movement resulting from a pathoanatomical explanation of pain and return to function following 9 treatments over 6 months. Treatment included manual therapy and incorporation of Therapeutic Neuroscience Education (TNE). Quantified improvements of 16 points in the Oswestry Disability Index (ODI), 19 points on the Fear Avoidance Belief Questionnaire Physical Assessment(FABQ-PA), and 25 points on the Neck Disability Index (NDI) occurred following treatment. Implementing TNE in conjunction with manual therapy in this case resulted in a significant decrease in disability related to the low back and neck pain and fear related to movement.

Author keywords: Chronic Pain; Therapeutic Neuroscience Education, Low Back Pain

Author affiliations: NH: VA Central Iowa Healthcare System, Des Moines, Iowa; JP: Palmer College of Chiropractic (Student), Davenport, Iowa

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. PDF version


 

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