Article

This article reviews the role of psychological factors in the development of
persistent pain and disability, with a focus on how basic psychological processes
have been incorporated into theoretical models that have implications for
physical therapy. To this end, the key psychological factors associated with the experience of pain are summarized, and an overview of how they have been
integrated into the major models of pain and disability in the scientific
literature is presented. Pain has clear emotional and behavioral consequences
that influence the development of persistent problems and the outcome of
treatment. Yet, these psychological factors are not routinely assessed in
physical therapy clinics, nor are they sufficiently utilized to enhance
treatment. Based on a review of the scientific evidence, a set of 10 principles
that have likely implications for clinical practice is offered. Because
psychological processes have an influence on both the experience of pain and the
treatment outcome, the integration of psychological principles into physical therapy treatment would seem to have potential to enhance outcomes.

Langue : ANGLAIS