PRISM-Pain Recovery and Integrative Systems Model: A Process-Based Cognitive-Behavioral Approach for Physical Therapy

Area of Science:

• Pain Management
• Physical Therapy Education
• Cognitive Behavioral Therapy

Background:

• The Academy of Orthopedic Physical Therapy Pain Education Manual advocates for modern pain management strategies.
• The National Institutes of Health Federal Pain Research Strategy emphasizes the need for novel pain management models.
• Current pain management approaches require enhancement to address the multidimensional nature of pain.

Purpose of the Study:

• To propose the Pain Recovery and Integrative Systems Model (PRISM) as a new framework for pain management.
• To provide a model for physical therapist education and practice that addresses the complexity of pain.
• To align with national and international efforts to improve pain understanding and treatment, potentially mitigating the opioid crisis.

Main Methods:

• This perspective paper introduces the PRISM model.
• PRISM is conceptualized as a salutogenic, integrative, process-based cognitive-behavioral model.
• The model is designed for application within physical therapist education and clinical practice.

Main Results:

• PRISM offers a structured approach to understanding and managing the multidimensional aspects of pain.
• The model is designed to foster resilience, personal growth, and facilitate recovery in individuals experiencing pain.
• Implementation of PRISM can support broader initiatives aimed at improving pain management and addressing the opioid crisis.

Conclusions:

• PRISM is a salutogenic, integrative, process-based cognitive-behavioral model.
• It is designed to guide physical therapists in managing the multidimensional nature of pain.
• The model aims to enhance pain recovery and patient outcomes.