Non-Pharmacological Treatment of Pain

Recommended Prerequisites

Not applicable.

Teaching Methods

Lectures. Discussion of case studies.
Final written examination-100%.

Learning Outcomes

To know and learn the alternative and / or complementary therapeutics possibilities to the pharmacological treatment of pain.

Work Placement(s)

No

Syllabus

Pain and rehabilitation. Exercise/mobilization as an approach to pain treatment/control. Prescription of physical exercise and muscle, ligament, tendon and bone strengthening.

Increased activity and functionality

Different types of exercise

Heat and cold, Electrotherapy, TENS, Ultrasound; Iontophoresis. Laser for pain therapy, indications and applications.

Synesiological techniques. 

Psychological Approach: Biopsychosocial model of pain. Influence of cognitive and emotional factors

Positive psychological factors and pain. Personality – neuroticism and negative affectivity; Optimism.

Coping Mechanisms Psychological treatment of chronic pain: Self-regulatory therapies, Biofeedback; relaxation training; Hypnotherapy; mindfulness

Behavioral, cognitive-behavioral and acceptance/commitment therapies

Acupuncture in the therapeutic approach. Effectiveness in treating different pain situations and controversies.

Indications and contraindications.

Head Lecturer(s)

Marilia Assunção Rodrigues Ferreira Dourado

Assessment Methods

Assessment
Exam: 100.0%

Bibliography

Han JS. Opioid and anti-opioid peptides: a model of Yin-Yang balance in acupuncture mechanisms of pain modulation. In: Stux G, Hammerschlag R Clinical Acupuncture, Scientific Basis. Berlin:Springer,2001.

Hennig J, Lacour M, Hui KK, et al. Acupuncture modulates the limbic system and subcortical gray structures of the human brain: evidence from fMRI studies in normal subjects. Hum Brain Mapp 2000;9:13–25.

Pinheiro, JP. Medicina de Reabilitação em Traumatologia do Desporto, Editorial Caminho, 1998

Cameron MH. Physical Agents in Rehabilitation. New York: WB Saunders, 2003.

Arena JG, Blanchard EB. Biofeedback for chronic pain disorders: a primer. In: Turk DC, Gatchel RJ. Psychological Approaches to Pain Management: A Practitioner’s Handbook. New York: Guilford Press,2002

Flor H, Knost B, Birbaumer N. The role of operant conditioning in chronic pain: an experimental investigation. Pain 2002; 95:111–118.