QUESTIONS WITH SOLUTIONS GRADED
A+
>> Acute pain
Answer: seconds to days, biological function, warns of potential injury,
tissue damage, or something is wrong, has clear cause, predictable course
and resolves as body heals
>> Chronic Pain
Answer: intervals beyond healing stage, without biological urgency and is
associated with psycho-social components such as distress, anxiety, and
depression, no longer has productive function
>> reffered pain
Answer: perceived in areas other than stimulated nociceptors due to
convergence of sensory neurons from different body regions onto shared
pain pathway in spinal cord
>> two main pain pathways
Answer: gate control & opioid mediated
>> Gate control theory
Answer: Developed in 1965, proposes that there is a "gate" within the spinal
cord's dorsal horn that modulates pain signals before they reach the brain
>> Gate control theory is the basis for ______________
Answer: use of electrical stimulation to improve pain because activating
large diameter sensory A-fibers to effectively "close the gate" and reduce
, pain signal transmission
>> Gate control theory and C-fibers
Answer: says smaller C-fibers (carrying pain signals) open the gate and
allow pain to be perceived
>> Gate Control theory demonstrates...
Answer: that pain is not directly transmitted to the brain but is significantly
modulated at the spinal cord level. This explains why rubbing an area that
was injured for pain relief works (it activates A-beta fibers), thus is the basis
for efficacy of many PAMs.
>> Opioid mediated theory
These natural opioids bind to receptors and inhibit the release of pain
neurotransmitters thus reducing pain signal transmission throughout the nervous
system
Answer: Our bodies naturally produce pain modulating chemicals called
endogenous opioids that act on the CNS and PNS
>> three kinds of endogenous opioids
Endorphins
Beta-endorphin
Answer: Enkephalins
>> Opioid mediated theory demonstrates...
Answer: the body's intrinsic pain control mechanism, supports clinical idea
that production of natural opioids can be stimulated through PAMs such as
exercise and acupuncture.
>> OT approach to pain
Answer: biopsychosocial approach