Article

Pain neuroscience education (PNE) is increasingly used as part of a physical
therapy treatment in patients with chronic pain. A thorough clinical
biopsychosocial assessment is recommended prior to PNE to allow proper
explanation of the neurophysiology of pain and the biopsychosocial interactions
in an interactive and patient-centered manner. However, without clear guidelines,
clinicians are left wondering how a biopsychosocial assessment should be
administered. Therefore, we provided a practical guide, based on scientific
research and clinical experience, for the biopsychosocial assessment of patients
with chronic pain in physiotherapy practice. The purpose of this article is to
describe the use of the Pain - Somatic factors - Cognitive factors - Emotional
factors - Behavioral factors - Social factors - Motivation - model
(PSCEBSM-model) during the intake, as well as a pain analysis sheet. This model
attempts to clearly establish what the dominant pain mechanism is (predominant
nociceptive, neuropathic, or non-neuropathic central sensitization pain), as well
as to assess the provoking and perpetuating biopsychosocial factors in patients
with chronic pain. Using this approach allows the clinician to specifically
classify patients and tailor the plan of care, including PNE, to individual
patients.

Langue : ANGLAIS