The interpretation of experience and its relationship to body movement: a clinical reasoning perspective.
In this paper, we present findings from literature which suggests an intrinsic relationship in patients with chronic pain between the development of rigid and limited perspectives based on the interpretation of experience and the development of decreased repertoires of movement patterns. We present a research-based clinical reasoning model for conceptualising the teaching of movement for patients with chronic pain and contend that therapists can intentionally teach movement using fundamentally different reasoning and learning processes. We propose that these different kinds of learning will assist clinicians to translate the findings of diverse and complex pain research to clinical practice and, in particular, the teaching of these patients both new perspectives and movement patterns.
Edwards
Ian
I
School of Health Sciences, University of South Australia, Australia. ian.edwards@unisa.edu.au
Jones
Mark
M
Hillier
Susan
S
D002908:Chronic Disease; D002983:Clinical Competence; D004185:Disability Evaluation; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009043:Motor Activity / Q000502:physiology*; D026201:Musculoskeletal Manipulations / Q000458:organization & administration*; D010146:Pain / Q000503:physiopathology* / Q000534:rehabilitation*; D011369:Professional-Patient Relations