It's quite common these days to see advocates of a more 'holistic' healthcare practice championing the Biopsychosocial (BPS) Model. In areas where healthcare has become increasingly complex - where people's individual values and beliefs can't be avoided, and where people's social context affects their lives so palpably that a biomechanical approach to assessment and treatment is simply inadequate - the BPS model is promoted as a way forward. But is it as sound as people seem to think? The BPS model was initially proposed by George Engel as a ‘unified concept of health and disability’ (Engel 1960) and was based on a very particular form of positivist psychology called General Systems … [Read more...] about Is the Biopsychosocial Model all it’s cracked up to be?
In this post, CPN Exec member Simon Kirkegaard, writes about the problem of stubborn (chronic) pain. Many bright minds have contemplated on the complexity of pain for millennia yet even in 2016 we are still looking for a really effective and efficient way to alleviate stubborn (chronic) pain. There is a tendency to rely heavily on passive treatments and medication for pain which produce great results for short term pain and injury but dependency and more pain for the more stubborn pain that approximately 1/5 of population of the western world live with. A new exciting systematic review by Adriaan Louw et al. (2016) provides strong evidence for pain biology education as part of … [Read more...] about Simon Kirkegaard – Pain neuroscience education – 30DoS #25
The contents of this post were originally distributed by our friends at ISCHP If you are interested in how an invisible condition can be made visible through creativity, please visit one of the Exhibiting Pain Galleries. In this PhD project, creative representations of living with long-term physical pain are being exhibited to share the creators' experience of their condition. Please see the sites for further information and for the exhibitions: WordPress Blog site, where comments can be given via a Visitor Feedback Form. Or on our Facebook page. Further information about the research can be found on the exhibition sites but you are also welcome to contact me … [Read more...] about Exhibiting Pain: Interpretations of creative representations of life with persistent physical pain
Por qué el dolor , por qué ahora? He estado desconcertado durante algún tiempo con por qué es que el dolor crónico parece estar tanto en el enfoque de los fisioterapeutas en este momento. Durante muchos años, el dolor crónico residía junto con la depresión, la enfermedad reumatoide y la parálisis cerebral como uno de los muchos desordenes y síndromes llamados “cenicienta” que los fisioterapeutas en el sistema público soportaron (aunque con poco remedio para ellos), y aquellos que están en el sistema privado consintieron, cada vez que alguien podía permitirse el lujo de pagar por el tratamiento que era largo y, a lo mejor ligeramente efectivo. Luego, hace unos años, la gente como David … [Read more...] about Por qué el dolor , por qué ahora?
I've been puzzling for some time why it is that chronic pain seems to be so much in focus for physiotherapists at the moment. For many years, chronic pain resided along with depression, rheumatoid disease and cerebral palsy as one of the many 'Cinderella' disorders and syndromes that physiotherapists in the public system endured (though had little remedy for), and those in the private system indulged, whenever someone could afford to pay for the treatment which was lengthy and, at best, marginally effective. Then, a few years ago, people like David Butler, Louis Gifford and Lorimer Moseley began writing about the neuroscience of pain and it seemed practitioners began to … [Read more...] about Why pain? Why now?
Physiotherapists, like all orthodox western health professionals, love endings. Think about it. Every time we begin a new patient assessment, we have got one eye on the patient's discharge. We love goals and outcome measures so that we can measure when milestones have been reached and end-points achieved. It seems every opening to a new episode of care comes with an implicit expiration date. Naturally, funders are eager that packages of care are limited and treatments don't extend on into days, weeks and months, and we seem to have accepted the inherent logic that care must have term limits. Time-limited care suits acute illnesses and injuries that are, by definition, … [Read more...] about New: Openings
A few interesting new research studies have come out this week that I thought might be of interest. Each of these has some interesting connections with critical physiotherapy. Click on the links in the title of each article for more information. Characteristics of lifelong physically active older adults Sheryl L. Chatfield Abstract Most adults in developed countries fail to accrue enough regular physical activity to prevent or decrease the impact of chronic diseases associated with aging. I conducted semistructured interviews with 16 purposely selected older adults ranging in age from 53 to 70 years to explore the practices of successful lifelong adherents to physical activity. I … [Read more...] about Research update: Lifelong activity, chronic pain, therapatients, children’s embodiment, prostheses and body image