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Chronic Pain-related Disability: Current Scientific Rationale and Recommendations for Practice

Published online by Cambridge University Press:  27 August 2015

Lorimer Moseley*
Affiliation:
University of Sydney, Australia
*
PO Box 250, Thornleigh NSW 2120, Australia. Email: [email protected]
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Abstract

The present paper concerns the prevention and management of disability due to chronic pain. The problem of disabling chronic pain is presented and the impact on the community is highlighted. The scientific rationale for current approaches to management is discussed and the available empirical evidence reviewed. In particular, the present paper advocates application of the biopsychosocial model for the prevention and management of chronic pain-related disability. As such, the components of the biopsychosocial model are reviewed and recommendations for rehabilitation counselling practice are presented.

Type
Articles
Copyright
Copyright © Cambridge University Press 1999

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References

Barnsley, L. & Bogduk, N. (1992). Medial branch blocks are specific for the diagnosis of cervical zygapophyseal joint pain (Abstract). Australia and New Zealand Journal of Medicine, 22, 736.Google Scholar
Blake, C. (1995). Effects of a multidisciplinary pain management program on the functional status of patients with chronic low back pain. In Shacklock, M., (Ed.), Proceedings of the moving in on pain conference (pp. 204213). Melbourne: Butterworth-Heineman.Google Scholar
Bogduk, N. & Marsland, A. (1986). The cervical zygapophyseal joints as a source of neck pain. Journal of Neurology Neurosurgery and Psychiatry, 49, 775780.CrossRefGoogle Scholar
Bortz, W.M. (1984) The disuse syndrome. Western Journal of Medicine 141, 691–4.Google ScholarPubMed
Murphy, G.C., Young, A.E., Vo., K, (1995). Using locus of control to predict the return-to-work achievements of back-injured occupational rehabilitation clients. The Australian Journal of Rehabilitation Counselling 1, 2, 8392.CrossRefGoogle Scholar
Burton, A.K., Tilotson, M., Main, C.J. & Hollis, S. (1995). Psychosocial predictors of outcome in acute and subacute low back trouble. Spine 20, 6, 723728.Google Scholar
Cats-Baril, W. & Frymoyer, J.W. (1991). Identifying patients at risk of becoming disabled because of low back pain – the Vermont rehabilitation engineering center predictive model. Spine 16, 6, 605–7.CrossRefGoogle Scholar
Chavannes, A.W.Gubbles, J., Pot, K., Rutten, G. & Thomas, S. (1986). Acute low back pain: patients' perceptions of pain four weeks after initial diagnosis and treatment in general practice. Journal of the Royal College of General Practitioners, 36, 271–3.Google ScholarPubMed
Cherkin, D., Deyo, R.A., Street, J.H., Hunt, M. & Barlow, W. (1996). Predicting poor outcomes for back pain seen in primary care using patients own criteria. Spine 21, 24, 29002907.CrossRefGoogle Scholar
Cohen, M.L. (1995). The clinical challenge of secondary hyperalgesia. In Shacklock, M., (Ed.) Moving in on Pain (pp. 2126). Butterworth Heinemann: Melbourne.Google Scholar
Coste, J., Delecoeuillerie, G., Lara, A., Le Parc, J.M. & Paolaggi, J.B. (1994) Clinical course and prognostic factors in acute low back pain: an inception cohort in primary care patients. British Medical Journal 306, 26, 577580.CrossRefGoogle Scholar
Crook, JRideout, E. & Browne, G. (1984). The prevalence of pain complaints in a general population. Pain, 18, 299314.CrossRefGoogle ScholarPubMed
Dolce, J.J., Crocker, M.F., Moletteire, C. & Doleys, D.M. (1986). Exercise quotas, anticipatory concern and self-efficacy expectancies in chronic pain: a preliminary report. Pain 24, 365–72.CrossRefGoogle ScholarPubMed
Flor, H., Fydrich, T. & Turk, D.C. (1992). Efficacy of multidisciplinary pain treatment centers: a meta analytic review. Pain, 49, 221230.CrossRefGoogle Scholar
Fordyce, W.E. (1976). Behavioural methods for chronic pain and illness. CV Mosby St Louis. MO.Google Scholar
Fordyce, W.E., Shelton, J.L. & Dundare, D.E. (1982). The modification of avoidance learning pain behaviours. Journal of Behaviour Modification, 5, 4, 405414.Google Scholar
Fordyce, W.E., Lancky, D., Calsyn, D.A, Shelton, J.I., Stolov, W.C. & Rock, D.L. (1984). Pain measurement and pain behavior. Pain, 18, 5369.CrossRefGoogle ScholarPubMed
Frymoyer, J.W. (1992). Can low back pain disability be prevented? Baillere's clinical Rheumatology, 6, 3, 595606.CrossRefGoogle Scholar
Gallagher, R.M., Williams, R.A., Kelly, G., Haugh, L.D., Rauh, V., Milhous, R. & Frymoyer, J. (1995). Workers compensation and return to work in low back pain. Pain, 61, 299307.CrossRefGoogle ScholarPubMed
Gatchell, R.J. (1996). Psychological disorders and chronic pain; Cause and effect relationships. In Turk, D.C., & Gatchel, R.J., (Eds.). Psychological approaches to pain management A practitioner's handbook. The Guildford press. London.Google Scholar
Gatchel, R.J., Polatin, P.B. & Kinney, R.K. (1995). Predicting outcome of chronic back pain using predictors of psychopathology – a predictive analysis. Health Psychology 14, 5, 415420.CrossRefGoogle Scholar
Greenough, C.G. (1993). Recovery from low back pain: 1–5 year follow up of 287 injury related cases. Acta orthopaedica scandinavica supplementum 254, 64, 134.CrossRefGoogle Scholar
Gross, P. (1986). The cost of chronic pain in Australia. Abstracts, Australian Pain Society Meeting, 11. Melbourne.Google Scholar
Harding, V.R., Williams, A.C., Richardson, P.H., Nicholas, M.K., Jackson, J.L., & Richardson, I.H. (1994). The development of a battery of measures for assessing physical functioning of chronic pain patients. Pain, 58, 367–75.CrossRefGoogle ScholarPubMed
Hazard, R.G., Haugh, L.D., Reid, S., Prebe, J.B., Macdonald, L. (1996). Early prediction of chronic disability after occupational low back pain. Spine 21, 8, 945–51.CrossRefGoogle Scholar
Indahl, A., Velund, L. & Reikeraas, O. (1995). Good prognosis for low back pain when left untampered. Spine 20, 4, 473477.CrossRefGoogle Scholar
Jensen, M.C., Brant-Zwadaski, M.N., Obuchowski, N., Modic, M.Y., Malkasian, D. & Ross, J.S. (1994). Magnetic resonance imaging of the lumbar spine in people without back pain. New England Journal of Medicine 331, 6973.CrossRefGoogle ScholarPubMed
Johnson, M., Gilbert, P., Partridge, C. & Collins, J. (1992). Changing perceived control in patients with physical disabilities: An intervention study with patients receiving rehabilitation. British Journal of Clinical Psychology 31, 8994.CrossRefGoogle Scholar
Keefe, F.J., Dunsmore, J. & Burnett, R. (1992). Behavioural and cognitive-behavioural approaches to chronic pain: recent advances and future directions. Journal of Consulting and Clinical Psychology, 60, 528–36.CrossRefGoogle Scholar
Klenerman, L., Slade, P.D., Stanley, I.M., Pennie, B., Reily, J.P., Atchison, L.E., & Troup, J.D.G. (1995). The prediction of chronicity in patients with an acute attack of low back pain in a general practice setting. Spine 20, 4, 478–84.CrossRefGoogle Scholar
Kori, S.H., Miller, R.P., & Todd, D.D. (1990). Kinesiphobia: a new view of chronic pain behaviour. Pain Management Jan/Feb 3543.Google Scholar
Lamacraft, G. & Cousins, M.J. (1997). Neural blockade in chronic and cancer pain. Clinics in Anaesiology 35, 2, 131153.Google Scholar
Lanier, T.R., Spratt, K.F. & Lehmann, K.K. (1993). Clinical predictors of outcome of acute episodes of low back pain. Journal of Family Practice 27, 5, 483–9.Google Scholar
Lehmann, T.R., Spratt, K.F. & Lehmann, K.K. (1993). Predicting long-term disability in low back injured workers presenting to a spine consultant. Spine 18, 8, 11031112.CrossRefGoogle Scholar
Lethem, J., Slade, D., Troup, J.D.G. & Bentley, G. (1983). Outline of a fear-avoidance model of exaggerated pain perception – I. Behaviour Research and Therapy 21, 4, 401–8.CrossRefGoogle Scholar
Lord, S.L., Barnsley, L. & Bogduk, N. (1993). Cervical zygapophyseal joint pain in whiplash. Spine 215, 546–72.Google Scholar
Main, C.J. & Watson, J. (1995). Screening of patients at risk of developing chronic incapacity. Journal of Occupational Rehabilitation 5, 4, 207–17.CrossRefGoogle Scholar
Mayer, T.G. & Gatchel, R.J. (1988). Functional restoration for spinal disorders: the sports approach. Lea and Febiger. PhiladelphiaGoogle Scholar
McQuay, H.J., Moore, R.A., Eccleston, C., Morley, S. & de Williams, A.C. (1997). Systematic review of oupatient services for chronic patient control. Health Technology Assessment, 1, 6.CrossRefGoogle Scholar
Mitchell, R.I. & Carmen, G.M. (1994). The functional restoration approack to the treatment of chronic pain in patients with soft tissue and back injuries. Spine, 19, 633642.CrossRefGoogle Scholar
Morris, D.B. (1991). The culture of pain. University of California Press. Berkeley.CrossRefGoogle Scholar
Moseley, G.L. (1997). Peripheral neural taping for anterior shoulder pain. Manuscript under review.Google Scholar
Murphy, K.A. & Cornish, R.D. (1984). Prediction of chronicity in acute low back pain Archives of Physical Medicine and Rehabilitation 65, 334337.Google ScholarPubMed
Murphy, G.C., Young, A.E. & Vo, K. (1995). Using locus of control to predict the return-to-work achievements of back-injured occupational rehabilitation clients. The Australian Journal of Rehabilitation Counselling 1, 2, 8392.CrossRefGoogle Scholar
Nicholas, M.K. (1988). Personal communication.Google Scholar
Nicholas, M.K., Wilson, P.H. & Goyen, J. (1992). Comparison of cognitive-behavioural group treatment and an alternative non-psychological treatment for chronic low back pain. Pain, 48, 339–47.CrossRefGoogle Scholar
North, R.B., Kidd, D.H., Zahurak, M. & Piantadosi, S. (1996). Specificity of diagnostic nerve blocks: a prospective randomized study of sciatica due to lumbrosacral disease. Pain, 65, 7785.CrossRefGoogle Scholar
Philips, H.C. (1987). Avoidance behaviour and it's role in sustaining chronic pain. Behavioural Research and Therapy 25, 4, 273279.CrossRefGoogle Scholar
Pope, M., Frymoyer, J.W. & Andersson, G. (1984). Occupational low back pain. New York, Praeger.Google Scholar
Roberts, A. (1989). All cats are not grey; all pain programs are not alike. Pain, 39, 368–9.CrossRefGoogle Scholar
Roland, M. & Morris, R. (1983). A study of the natural history of back pain. Spine 8, 141150.CrossRefGoogle ScholarPubMed
Rose, M.J., Reilly, J.P., Slade, P.D. & Dewey, M. (1995). A comparative analysis of psychological and physical models of low back pain experience. Physiotherapy 81, 12, 710–16.CrossRefGoogle Scholar
Sanders, S.H. (1983). Automated versus self-monitoring of ‘uptime’ in chronic low back pain patients: a comparative study. Pain, 15, 399405.CrossRefGoogle ScholarPubMed
Sharpe, T. (1998) Unpublished Masters thesis, Pain management and Research Centre, University of Sydney.Google Scholar
Shors, T. & Servatius, R. (1997). The contribution of stressor intensity duration and context to the stress induced facilitation of associative learning. Journal of Neurobiology of Learning and Memory, 67, 9296.CrossRefGoogle Scholar
Siddall, P.J. & Cousins, M.J. (1997). Neurobiology of Pain. International Anaesthiology Clinics 35, 2, 127.Google Scholar
Slade, D.Troup, J.D.G., Lethem, J., & Bentley, G. (1983). Outline of a fear avoidance model of exaggerated pain perception – II. Behaviour research and therapy 21, 4, 409–16.CrossRefGoogle Scholar
St George, F. (1996). Unpublished Masters thesis. The Faculty of Medicine, University of Sydney, Australia.Google Scholar
Stein, C. (1993). Peripheral mechanisms of opioid analgesia. Anaesthology and analgesia, 76, 182–91.Google ScholarPubMed
Stein, C., Millan, M.J. & Shippenburg, T.S. (1989). Peripheral opioid receptors mediate antinociception in inflammation: evidence for involvement of mu, delta and kappa receptors. Journal of Pharmacological Experiments and therapy, 248, 1269–75.Google ScholarPubMed
Tan, S.Y. (1982). Cognitive and cognitive behavioural methods for pain control. Pain, 12, 201228.CrossRefGoogle ScholarPubMed
Turk, D.C. (1996). The biopsychosocial conceptual model of pain. In Turk, D.C., & Gatchel, R.J., (Eds.). Psychological approaches to pain management A practitioner's handbook. The Guildford press. London.Google Scholar
Turner, J.A. & Chapman, C.R. (1982). Psychological interventions for chronic pain: a critical review. Pain, 12, 146.CrossRefGoogle ScholarPubMed
Turner, J.A., Clancy, S., McQuade, K.J. & Cardenas, T. (1990). Effectiveness of behavioural therapy for chronic low back pain: a component analysis. Journal of Consulting and clinical psychology 58, 5, 573579.CrossRefGoogle Scholar
Vlaayen, J.W., Kole-Snijders, A.M., Boeren, R.G.B. & van Eek, H. (1995). Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain 62, 363372.CrossRefGoogle Scholar
Vlaayen, J.W., Kole-Snijders, A.M., Rotteveel, M., Ruesink, R. & Heuts, P.HT.G. (1995). The role of fear of movement/(re)injury in pain disability. Journal of Occupational Rehabilitation 5, 4, 235251CrossRefGoogle Scholar
Vlaayen, J.W., Kole-Snijders, A.M., Boeren, R.G.B. & van Eek, H. (1995) Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain 62, 363372.CrossRefGoogle Scholar
Vo, K. (1995). Using locus of control to predict the return-to-work achievements of back-injured occupational rehabilitation clients. The Australian Journal of Rehabilitation Counselling 1, 2, 8392.Google Scholar
Waddell, G. (1996). Low back pain: A twentieth-century health care enigma. In Jensen, T.S., Turner, J.A., & Wiesenfeld-Hallin, Z., (Eds.). Proceedings of the 8th world congress on pain. IASP Press. Seattle.Google Scholar
Waddell, G., Newton, M., Henderson, I., Somerville, D. & Main, C.J. (1993). A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain 52, 157168.CrossRefGoogle ScholarPubMed
Wales, C.R., Crappis, F. & Foreshaw, N. (1997). Chronic pain in the third party claims. Paper presented at Training Conference for Mercantile Mutual, 07, Sydney.Google Scholar
Wall, P.D. (1995). Overview of pain and it's mechanisms. In Shacklock, M. (Ed.) Moving in on pain. Melbourne; Butterworth-Heineman.Google Scholar
Williams, A.C. de., Richardson, P.H., Nicholas, M.K., Pither, C.E., Harding, V.R., & Rideout, K.L. (1996). Inpatient vs. outpatient pain management: results of a randomised controlled trial. Pain, 66, 1322.CrossRefGoogle ScholarPubMed
Woolf, C., Shortland, P. & Coggeshall, R.E. (1992). Peripheral nerve injury triggers central sprouting on myelinated afferents. Nature 355, 7578.CrossRefGoogle ScholarPubMed
Woolf, C. and Chong, M. (1993). Pre-emptive analgesia. Treating postoperative pain by preventing the establishment of central sensitisation. Anaesthesia and Analgesia, 77, 362379CrossRefGoogle Scholar
World Health Organisation (1975). International classification of diseases ICD-9 World Health Organisation.Google Scholar
Zeidman, S.M. and North, R.B. (1994). General neurosurgical procedures for management of chronic pain (pp. 103115). In Raj, P.P. (Ed.) Current review of pain. Current Medicine, Philadelphia.Google Scholar