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Pain management by occupational therapists.

G L McCormack1

  • 1San Jose State University, California.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|September 1, 1988
PubMed
Summary

Chronic pain in physical disabilities can hinder therapy. Occupational therapists can help manage pain by activating natural pain-reducing mechanisms using noninvasive methods, activities, and self-therapy.

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Area of Science:

  • Rehabilitation Medicine
  • Pain Management
  • Occupational Therapy

Background:

  • Chronic pain frequently affects individuals with physical disabilities, often leading to therapy non-adherence.
  • Patient uncooperativeness and reluctance to move are common challenges in managing chronic pain during rehabilitation.
  • Pain can manifest as projected discomfort, impacting the patient-therapist relationship.

Purpose of the Study:

  • To review the physiological mechanisms underlying natural pain reduction.
  • To explore how occupational therapists can facilitate these pain-reducing mechanisms.

Main Methods:

  • Literature review of physiological pain modulation.
  • Analysis of occupational therapy interventions for chronic pain.

Main Results:

  • Identification of natural physiological pathways for pain perception reduction.
  • Occupational therapy strategies can activate these endogenous pain control systems.

Conclusions:

  • Occupational therapists play a key role in managing chronic pain in individuals with physical disabilities.
  • Facilitating natural pain mechanisms through noninvasive modalities, functional activities, and therapeutic use of self is effective.
  • Improved pain management can enhance patient cooperation and therapeutic outcomes.

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