Terapia De Resiliencia Al Dolor En Línea: Una Serie De Casos
Palabras clave:
dolor crónico, resiliencia, PRISM, dolor musculoesquelético, salutogénesis
Resumen
Aquí tienes la traducción al español del título y el texto proporcionado:
Terapia de Resiliencia al Dolor en Línea: Una Serie de Casos Multisujeto
Objetivo
El dolor es un fenómeno multifacético; por lo tanto, se recomiendan enfoques innovadores y multisistémicos como vía para la recuperación del dolor. La Terapia de Resiliencia al Dolor (PRT, por sus siglas en inglés) se desarrolló como un enfoque novedoso enfocado en la resiliencia para el manejo del dolor.
Métodos
Tres personas con dolor crónico recibieron fisioterapia a distancia utilizando PRT. El objetivo principal de la PRT fue facilitar el desarrollo de la resiliencia al dolor. Abordar la vulnerabilidad fue un objetivo secundario. Los resultados del tratamiento se evaluaron mediante medidas validadas de autoinforme sobre la intensidad del dolor, la resiliencia, la vulnerabilidad, la interferencia, las expectativas de los resultados del paciente y las perspectivas.
Resultados
Todos los pacientes demostraron una reducción en la intensidad del dolor y la interferencia del dolor (PROMIS®), con mejoras asociadas en la actividad, el sueño, el estado de ánimo y el estrés, medidos por la Escala de Calificación del Dolor de Defensa y Veteranos (DVPRS 2.0). La resiliencia (afecto positivo/capacidad de afrontamiento) y la autoeficacia aumentaron, según lo medido por el Cuestionario de Autoeficacia para el Dolor (PSEQ), la Autoeficacia para la Rehabilitación (SER), el Cuestionario de Aceptación del Dolor Crónico (CPAQ) y la Escala de Resiliencia al Dolor (PRS). Algunas medidas relacionadas con la vulnerabilidad (estado de ánimo negativo y evitación por miedo) también mejoraron. La intervención de PRT se entregó de forma segura y los pacientes informaron una gran mejoría en su salud, medida por la encuesta de Impresión Global del Cambio del Paciente (PGIC).
Conclusión
Esta serie de casos respalda la aplicación del enfoque de PRT centrado en la resiliencia para atenuar el dolor y la vulnerabilidad, mejorando el bienestar físico y psicológico. Aunque se necesita más investigación para aclarar los mecanismos de cambio, ayudar a los pacientes/clientes a acceder a recursos que faciliten la resiliencia es un camino válido hacia la recuperación del dolor. Esta serie de casos es un paso hacia la integración de la comprensión de la resiliencia en el contexto más amplio del dolor y la discapacidad.
Biografía del autor/a
Joe Tatta, Integrative Pain Science Institute & Arcadia University
Joe Tatta, PT, DPT is the CEO of the Integrative Pain Science Institute and an adjunct professor at the Arcadia University Doctor of Physical Therapy Program. With a career spanning over 25 years, Dr. Tatta has been unwavering in his support for individuals suffering from pain, while also equipping healthcare professionals and stakeholders to enhance their pain management capabilities. His body of pain science research includes 10 peer-reviewed papers and three books including a textbook on Integrative and Lifestyle Medicine in Physical Therapy: A Guide for Primary Care, Health Promotion, and Disease Prevention. He is passionate about implementation science and strategies that facilitate the uptake of evidence-based practice into regular use by practitioners and stakeholders. The culmination of his work is PRISM: Pain Recovery and Integrative Systems Model – a cognitive behavioral approach for pain management and physical therapy.
Rose Pignataro, Emory and Henry University
Dr. Rose Pignataro is the Assistant Chair and an Associate Professor in the Physical Therapy Program. She has 30 years of clinical experience as a physical therapist and 20 years of experience in physical therapy education.
EDUCATION
- Hunter College: City University of New York; BS Physical Therapy
- Stony Brook University, Stony Brook, New York; M.S. Health Science Education; post-professional DPT
- West Virginia University, Morgantown, West Virginia; PhD in Public Health
TEACHING
Dr. Pignataro’s primary areas of teaching are health promotion, pain, integumentary practice/ wound management, cardiopulmonary, professional issues, and research.
RESEARCH
Dr. Pignataro’s research agenda focuses on prevention, wellness, and health behavior change, with a special interest in reducing health disparities, particularly among people with disabilities. She has published articles on the use of motivational interviewing in physical therapist practice and clinical practice guidelines for tobacco cessation interventions.
PROFESSIONAL EXPERIENCE
Prior to joining the faculty at Emory & Henry, Dr. Pignataro was the Chair of Physical Therapy at AdventHealth University in Orlando. She has also served as a full-time or adjunct faculty member at University of South Florida, Florida Gulf Coast University, Gannon University, and Stony Brook University.
Her clinical background includes board certification in wound management and health education, with direct patient experience in acute care, wound care, cardiopulmonary, and geriatric physical therapy.
Janet Bezner, Texas State University
Dr. Bezner is Chair of the Department of Physical Therapy at Texas State University. She received her bachelor’s degree in physical therapy at the University of Texas Medical Branch, her master’s degree from Texas Woman’s University, a PhD in health education from the University of Texas, a DPT degree from Rocky Mountain University of Health Professions, and she is a National Board Certified Health and Wellness Coach. She was Vice President of Education, Governance and Administration at the American Physical Therapy Association (APTA) for 9 years. Bezner has practiced in a variety of health care settings, including hospitals, home health, long-term care, and corporate wellness. Bezner’s research has resulted in 10 book chapters, 25 published articles, 7 grants, and numerous conference presentations on health and wellness-related topics. Bezner served on APTA’s Board of Directors prior to joining its staff and is a recipient of the Lucy Blair Service Award and is a Catherine Worthingham Fellow of the APTA. She is an experienced speaker on topics related to health promotion and wellness, leadership, personal development, and strategic planning. Dr. Bezner has been facilitating strategic planning meetings and providing leadership training for non-profit organizations, academic units, and others for over 20 years.
Research Interests
Physical activity
Behavior change and health coaching
Culture of health
Carey Rothschild, University of Central Florida
Carey Rothschild PT, DPT, OCS, SCS, CSCS is a Clinical Assistant Professor in the Doctor of Physical Therapy Program at the University of Central Florida. She received her Bachelor of Health Science degree from the University of Florida in 1999. She went on to earn her Doctorate in Physical Therapy in 2005 from Boston University. Rothschild is a dual board-certified clinical specialist in both Orthopaedic and Sports Physical Therapy. Rothschild has recently applied for her Certificate of Achievement in Pelvic Physical Therapy. She currently serves on the American Board of Physical Therapy Specialties Sports Specialty Council. Her research related to running and the female athlete has been published in the Strength and Conditioning Journal, the Journal of Strength and Conditioning Research, Sports Health, and the Journal of Women’s Health Physical Therapy. In 2019, Rothschild received the award for Excellence in Academic Teaching from the Florida Physical Therapy Association.
Credentials
- BS, Bachelor of Science, Physical Therapy, University of Florida
- PT, Licensed Physical Therapist, University of Florida
- DPT, Doctor of Physical Therapy, Boston University
- SCS, Board-Certified Clinical Specialist in Sports Physical Therapy, American Board of Physical Therapy Specialties
- OCS, Board-Certified Clinical Specialist in Orthopedic Physical Therapy, American Board of Physical Therapy Specialties
- CSCS, Certified Strength and Conditioning Specialist, National Strength and Conditioning Association
Cómo citar
Tatta, J., Pignataro, R., Bezner, J., & Rothschild, C. (2024). Terapia De Resiliencia Al Dolor En Línea: Una Serie De Casos. Revista De Fisioterapia En Salud Mental, 1(1), 55–79. https://doi.org/10.70205/jptmh.v1i1.9277
