von Baeyer Carl L, Tupper Susan M
Susan M. Tupper, BScPT: PhD Candidate in Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan.
Physiother Can. 2010 Fall;62(4):327-37. doi: 10.3138/physio.62.4.327. Epub 2010 Oct 18.
This article provides an overview of literature relevant to the prevention and relief of pain and distress during physiotherapy procedures, with guidance for physiotherapists treating children.
Physiotherapists are generally well trained in assessing and managing pain as a symptom of injury or disease, but there is a need to improve the identification and management of pain produced by physiotherapy procedures such as stretching and splinting. In contrast to physiotherapy, other health care disciplines, such as dentistry, nursing, paediatrics, emergency medicine, and paediatric psychology, produce extensive literature on painful procedures. Procedural pain in children is particularly important because it can lead to later fear and avoidance of necessary medical care.
We emphasize the need for physiotherapists to recognize procedural pain and fear in the course of treatment using verbal, nonverbal, and contextual cues. We present many methods that physiotherapists can use to prevent or relieve procedural pain and fear in paediatric patients and provide an example of a simple, integrated plan for prevention and relief of distress induced by painful procedures.
本文概述了与物理治疗过程中疼痛和痛苦的预防及缓解相关的文献，并为治疗儿童的物理治疗师提供指导。
物理治疗师通常在评估和处理作为损伤或疾病症状的疼痛方面接受过良好培训，但有必要改进对拉伸和夹板固定等物理治疗程序所产生疼痛的识别和管理。与物理治疗不同，牙科、护理、儿科、急诊医学和儿童心理学等其他医疗保健学科针对疼痛程序发表了大量文献。儿童的程序性疼痛尤为重要，因为它可能导致日后对必要医疗护理的恐惧和回避。
我们强调物理治疗师需要利用言语、非言语和情境线索在治疗过程中识别程序性疼痛和恐惧。我们介绍了许多物理治疗师可用于预防或缓解儿科患者程序性疼痛和恐惧的方法，并提供了一个预防和缓解疼痛程序引起的痛苦的简单综合计划示例。
