Persistent Pain in the Pediatric Athlete
Presented by Jeffrey Fernandez
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Persistent pain, or pain that exceeds typical tissue healing time, is said to be prevalent in the pediatric population and may be underreported. There is limited knowledge of conservative management in the treatment of pediatric patients with persistent pain. This course will review nonmechanical factors that may affect a child’s expression of pain. Additionally, this course will review how to appropriately assess pain in a pediatric patient and will discuss different treatment approaches, including graded motor imagery, graded exposure, and graded exercises. This course intends to increase the practitioner’s clinical reasoning when working with a pediatric patient with persistent pain.
Meet your instructor
Jeffrey Fernandez
Jeffrey Fernandez is a board-certified clinical specialist in orthopedic physical therapy at Nicklaus Children’s Hospital in Miami, Florida. Following graduation from Florida International University with a doctorate in physical therapy in 2013, Jeffrey completed an orthopedic residency at the University of Florida. In…
Chapters & learning objectives
1. Considerations for the Pediatric Patient With Pain
Differences exist in the understanding and assessment of pain in the pediatric population. This chapter will discuss potential barriers to pediatric research, administration of age-appropriate pain scales, and application of modern pain models in the understanding of a pediatric patient’s pain.
2. Promoting an Optimal Environment to Ensure Success
Psychosocial factors may affect one’s recovery. Additionally, changes in the central nervous system may influence the efficacy of activities performed in the rehabilitation setting. This chapter will review some of these psychosocial factors, their role in recovery, and interventions to improve outcomes associated with therapeutic exercises.
3. Graded Exposure and Graded Exercise
The prescription of exercises for patients with persistent pain requires special considerations. Two common approaches in the prescription of exercises are graded exposure and graded exercises. This chapter will describe the differences between the two approaches and provide examples of each.
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