Carta a la editora
Published on 10 de junio de 2024 | http://doi.org/10.5867/medwave.2024.05.2907
Letter to the editor on “education on pain disciplines in physical therapy in Chile: In need of change”
| First-year | 1 | 1 | International Classification of Functionality | Domain 2, Competency 2.1 | |||
| Person-centered biopsychosocial reasoning | Domain 2, Competency 2.1 | ||||||
| 2 | 0 | NA | NA | ||||
| 3 | 1 | Pain perception | Domain 1, Competency 1.2 | ||||
| Second-year | 1 | 3 | Types of nociceptors. | Domain 1, Competency 1.2 | |||
| Nociceptive pathways | Domain 1, Competency 1.2 | ||||||
| Painful perception | Domain 1, Competency 1.2 | ||||||
| Neurosciences of human movement | Domain 1, Competency 1.2 | ||||||
| Neurophysiology of sensorimotor learning. | Domain 1, Competency 1.2 | ||||||
| Pathophysiology of nociception and pain. | Domain 1, Competency 1.2 | ||||||
| Types of sensorimotor learning. | Domain 1, Competency 1.2 | ||||||
| Acute and chronic pain. | Domain 2, Competency 2.2 | ||||||
| Nociceptive, neuropathic, and neuroplastic pain. | Domain 1, Competency 1.2 | ||||||
| Assessment of pain experience. | Domain 2, Competency 2.1 | ||||||
| Pain and sensorimotor control. | Domain 1, Competency 1.2 | ||||||
| 2 | 0 | NA | NA | ||||
| 3 | 3 | Concepts in pain and nociceptive receptors | Domain 1, Competency 1.2 | ||||
| Cellular and molecular mechanisms of pain | Domain 1, Competency 1.2 | ||||||
| Mechanisms of activation of nociceptive pathways | Domain 1, Competency 1.2 | ||||||
| Clinical interviews of people with pain | Domain 2, Competency 2.1 | ||||||
| Assessment of pain as a symptom | Domain 2, Competency 2.1 | ||||||
| Pain assessment maneuvers and instruments | Domain 2, Competency 2.1 | ||||||
| Type, origin, and character of pain | Domain 1, Competency 1.1 | ||||||
| Third-year | 1 | 1 | Clinical rationale for therapeutic exercise. | Domain 3, Competency 3.4 | |||
| 2 | 2 | Neurophysiology of pain | Domain 1, Competency 1.2 | ||||
| Pain as a protective system | Domain 1, Competency 1.2 | ||||||
| Classification of pain according to IASP and ICD-11 | Domain 2, Competency 2.1 | ||||||
| Contributing factors to chronic pain | Domain 2, Competency 2.2 | ||||||
| Clinical rationale and musculoskeletal assessment | Domain 2, Competency 2.1 | ||||||
| Central sensitization | Domain 1, Competency 1.2 | ||||||
| Anamnesis in people with pain | Domain 2, Competency 2.1 | ||||||
| Clinical and psychosocial assessment questionnaires | Domain 2, Competency 2.1 | ||||||
| Physical examination in people with pain | Domain 2, Competency 2.1 | ||||||
| Functional assessment with a biopsychosocial approach | Domain 2, Competency 2.1 | ||||||
| Psychometry of pain assessment instruments | Domain 2, Competency 2.1 | ||||||
| 3 | 1 | Prescription of physiotherapy with analgesic effect | Domain 3, Competency 3.4 | ||||
| Exercise programming with hypoalgesic effect | Domain 3, Competency 3.4 | ||||||
| Fourth-year | 1 | 2 | Electrotherapy for musculoskeletal pain. | Domain 3, Competency 3.4 | |||
| Neuroscience-based pain education. | Domain 3, Competency 3.1 | ||||||
| Contextual factors modulating pain. | Domain 2, Competency 2.2 | ||||||
| 2 | 3 | Therapeutic alliance in people with pain | Domain 3, Competency 3.1 | ||||
| Musculoskeletal pain assessment clusters. | Domain 2, Competency 2.1 | ||||||
| Flag system in kinesiological rehabilitation. | Domain 2, Competency 2.2 | ||||||
| Intervention strategies in people with pain | Domain 3, Competency 3.2 | ||||||
| Use of physical agents in people with pain | Domain 3, Competency 3.4 | ||||||
| Education of people with pain | Domain 3, Competency 3.1 | ||||||
| Exercise-induced hypoalgesia | Domain 3, Competency 3.2 | ||||||
| 3 | 2 | Pain and wound management | Domain 4, Competency 4.1 | ||||
| Kinesiologic approach to musculoskeletal pathology | Domain 4, Competency 4.4 | ||||||
| University 1 | 7 | Domain 1 = 9 (53%) | Domain 2 = 5 (29%) | Domain 3 = 3 (18%) | Domain 4 = 0 | ||
| University 2 | 5 | Domain 1 = 3 (16%) | Domain 2 = 10 (56%) | Domain 3 = 5 (28%) | Domain 4 = 0 | ||
| University 3 | 7 | Domain 1 = 5 (42%) | Domain 2 = 3 (24%) | Domain 3 = 2 (17%) | Domain 4 = 2 (17%) | ||
Domain 1,Basic concepts and mechanisms of pain..Domain 2, Pain assessment and measurement. Domain 3, Pain management. Domain 4, Clinical conditions. NA, Not applicable. IASP, International Association for the Study of Pain. ICD-11, International Classification of Diseases, 11th edition. Competency 1.1, Nature of pain. Competency 1.2, Theories and science for understanding pain. Competency 2.1, Tools and outcomes for measuring pain. Competency 2.2 , Patient, provider, and system factors. Competency 3.1, Patient inclusion in pain care. Competency 3.2, Comprehensive pain-management plan. Competency 3.4, Pain treatment plans based on the risk-benefit assessment of available treatments. Competency 4.1, Unique pain assessment and management of special population needs. Competency 4.4, Individualized pain management plan.
Source: Prepared by the authors.