ID:
508856
Duration (hours):
8
CFU:
1
SSD:
SCIENZE INFERMIERISTICHE E TECNICHE NEURO-PSICHIATRICHE E RIABILITATIVE
Year:
2025
Overview
Date/time interval
Primo Semestre (01/10/2025 - 16/01/2026)
Syllabus
Course Objectives
Educational Objectives:
The primary goal of the course is to provide physiotherapy students with an in-depth understanding of pain management techniques in the context of rehabilitation. The course aims to:
1. Provide knowledge on pain physiology, with a specific focus on pain management methods applicable in rehabilitation.
2. Develop clinical skills to assess and treat pain in patients undergoing rehabilitation programs.
3. Integrate a biopsychosocial approach to pain management, considering the interaction between biological, psychological, and social factors.
4. Promote the use of both non-pharmacological and pharmacological treatments for pain control, in line with current scientific evidence.
5. Encourage the understanding of commonly used analgesic techniques, their indications, contraindications, and side effects.
Learning Outcomes:
By the end of the course, the student will be able to:
1. Understand the physiological mechanisms underlying acute and chronic pain and apply this knowledge to clinical rehabilitation practice.
2. Assess pain using appropriate tools, recognizing different types of pain (nociceptive, neuropathic, nociplastic).
3. Develop individualized therapeutic plans for pain management, in collaboration with the patient, based on the available scientific evidence.
4. Use effective communication techniques to educate patients about the nature of their pain and the therapeutic options available.
5. Apply behavioural therapy techniques and movement strategies for pain treatment, integrating physical exercise and educational approaches in rehabilitation.
6. Recognize the importance of an interdisciplinary approach to pain management, collaborating with other healthcare professionals when necessary.
These objectives and outcomes are aligned with European guidelines on pain education for physiotherapy programs
https://europeanpainfederation.eu/education/pain-curricula/
The primary goal of the course is to provide physiotherapy students with an in-depth understanding of pain management techniques in the context of rehabilitation. The course aims to:
1. Provide knowledge on pain physiology, with a specific focus on pain management methods applicable in rehabilitation.
2. Develop clinical skills to assess and treat pain in patients undergoing rehabilitation programs.
3. Integrate a biopsychosocial approach to pain management, considering the interaction between biological, psychological, and social factors.
4. Promote the use of both non-pharmacological and pharmacological treatments for pain control, in line with current scientific evidence.
5. Encourage the understanding of commonly used analgesic techniques, their indications, contraindications, and side effects.
Learning Outcomes:
By the end of the course, the student will be able to:
1. Understand the physiological mechanisms underlying acute and chronic pain and apply this knowledge to clinical rehabilitation practice.
2. Assess pain using appropriate tools, recognizing different types of pain (nociceptive, neuropathic, nociplastic).
3. Develop individualized therapeutic plans for pain management, in collaboration with the patient, based on the available scientific evidence.
4. Use effective communication techniques to educate patients about the nature of their pain and the therapeutic options available.
5. Apply behavioural therapy techniques and movement strategies for pain treatment, integrating physical exercise and educational approaches in rehabilitation.
6. Recognize the importance of an interdisciplinary approach to pain management, collaborating with other healthcare professionals when necessary.
These objectives and outcomes are aligned with European guidelines on pain education for physiotherapy programs
https://europeanpainfederation.eu/education/pain-curricula/
Teaching Methods
• Lectures.
• Clinical cases discussion.
• Clinical cases discussion.
Assessment Methods
• Assessment of active participation in classroom activities.
Texts
• Acute Pain Management: Scientific Evidence (4th edition) (https://airr.anzca.edu.au/anzcacrisjspui/handle/11055/927)
• Melzack and Wall’s Textbook of Pain by S McMahon, M Koltzenburg, I Tracey and D C. Turk, 6th Edition
• Mechanisms and management of pain for the physical therapist. (Sluka ed) IASP press. ISBN 9781496343239
• Louis Gifford Aches and Pains
CNS Press Falmouth UK
ISBN 9780953342358
• Anna Battaglia - An Introduction to Pain and Its Relation to Nervous System disorders. (2016). Print ISBN:9781118455913 |Online ISBN:9781118455968 DOI:10.1002/9781118455968
• Simon van Rysewyk - Meanings of Pain (2016). DOI: https://doi.org/10.1007/978-3-319-49022-9
Hardcover ISBN 978-3-319-49021-2
Softcover ISBN 978-3-319-84069-7
eBook ISBN 978-3-319-49022-9
• Melzack and Wall’s Textbook of Pain by S McMahon, M Koltzenburg, I Tracey and D C. Turk, 6th Edition
• Mechanisms and management of pain for the physical therapist. (Sluka ed) IASP press. ISBN 9781496343239
• Louis Gifford Aches and Pains
CNS Press Falmouth UK
ISBN 9780953342358
• Anna Battaglia - An Introduction to Pain and Its Relation to Nervous System disorders. (2016). Print ISBN:9781118455913 |Online ISBN:9781118455968 DOI:10.1002/9781118455968
• Simon van Rysewyk - Meanings of Pain (2016). DOI: https://doi.org/10.1007/978-3-319-49022-9
Hardcover ISBN 978-3-319-49021-2
Softcover ISBN 978-3-319-84069-7
eBook ISBN 978-3-319-49022-9
Contents
1. Pain Science and Notions
1.1. Mechanisms of pain
1.1.1. Background
1.1.2. Difference Between Nociception and Pain
1.1.3. Modern theories of pain
1.1.4. Mechanisms of nociception transduction, transmission and modulation
1.1.5. Anatomy and physiology of ascending and descending pathways
1.1.6. The somatosensory system
1.2. The International Association for the Study of Pain (IASP) and definitions of pain
1.2.1. Taxonomy and terminology of pain according to IASP
1.3. The complex and multidimensional nature of pain
1.3.1. Alterations to brain structures and effects on their function (e.g. cognitive processes)
1.3.2. Cognitive-behavioral factors of pain (catastrophizing, classical and operant conditioning)
1.3.3. Neurophysiological overlaps between chronic pain and other comorbidities (stress, anxiety, disturbed sleep)
1.4. The impact of pain
1.4.1. Epidemiology of pain and socio-economic impact
2. Principles of evaluation and measurement
2.1. Evaluation
2.1.1. Biopsychosocial assessment from an ICF perspective and the flag system
2.1.2. Classification of the various mechanisms of pain: nociceptive, neuropathic, nociplastic
2.1.3. Influence of contextual factors (clinician-related factors, family-related factors)
2.1.4. Prognostic tools
2.1.5. Using a person-centered approach
2.1.6. Referral of the patient to other healthcare professionals
2.2. Measuring instruments
2.2.1. Functional measuring instruments and questionnaires
3. Treatment principles
3.1. Communication
3.1.1. Development and negotiation of the personalized treatment plan for the patient
3.1.2. Understanding exercise prescription and physical activity in pain management
3.1.3. Exercise prescription incorporating patient education (graded activity, graded exposure)
3.2. Education
3.2.1. Explanations of the neurophysiology of pain (explain pain)
3.3. Cognitive-behavioral therapies
3.3.1. Principles of psychologically informed physiotherapy
3.4. Processing methods
3.4.1. Indications, efficacy and barriers of physiotherapy treatment modalities
3.4.2. Principles and clinical repercussions of placebo and nocebo in physiotherapy
4. Specific populations and subgroups
5. Specific painful conditions (chronic low back pain, whiplash, fibromyalgia).
1.1. Mechanisms of pain
1.1.1. Background
1.1.2. Difference Between Nociception and Pain
1.1.3. Modern theories of pain
1.1.4. Mechanisms of nociception transduction, transmission and modulation
1.1.5. Anatomy and physiology of ascending and descending pathways
1.1.6. The somatosensory system
1.2. The International Association for the Study of Pain (IASP) and definitions of pain
1.2.1. Taxonomy and terminology of pain according to IASP
1.3. The complex and multidimensional nature of pain
1.3.1. Alterations to brain structures and effects on their function (e.g. cognitive processes)
1.3.2. Cognitive-behavioral factors of pain (catastrophizing, classical and operant conditioning)
1.3.3. Neurophysiological overlaps between chronic pain and other comorbidities (stress, anxiety, disturbed sleep)
1.4. The impact of pain
1.4.1. Epidemiology of pain and socio-economic impact
2. Principles of evaluation and measurement
2.1. Evaluation
2.1.1. Biopsychosocial assessment from an ICF perspective and the flag system
2.1.2. Classification of the various mechanisms of pain: nociceptive, neuropathic, nociplastic
2.1.3. Influence of contextual factors (clinician-related factors, family-related factors)
2.1.4. Prognostic tools
2.1.5. Using a person-centered approach
2.1.6. Referral of the patient to other healthcare professionals
2.2. Measuring instruments
2.2.1. Functional measuring instruments and questionnaires
3. Treatment principles
3.1. Communication
3.1.1. Development and negotiation of the personalized treatment plan for the patient
3.1.2. Understanding exercise prescription and physical activity in pain management
3.1.3. Exercise prescription incorporating patient education (graded activity, graded exposure)
3.2. Education
3.2.1. Explanations of the neurophysiology of pain (explain pain)
3.3. Cognitive-behavioral therapies
3.3.1. Principles of psychologically informed physiotherapy
3.4. Processing methods
3.4.1. Indications, efficacy and barriers of physiotherapy treatment modalities
3.4.2. Principles and clinical repercussions of placebo and nocebo in physiotherapy
4. Specific populations and subgroups
5. Specific painful conditions (chronic low back pain, whiplash, fibromyalgia).
Course Language
Italian
Degrees
Degrees
PHYSIOTHERAPY
Bachelor’s Degree
3 years
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People
People
Teaching staff
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