Multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain: a case report
Chronic upper limb pain is rather common among people in general and is characterized by a complex diagnosis due to the wide variety of factors that are involved in its development. In terms of treatment, pharmacology and manual therapy have classically been the most used options. However, based on...
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| Format: | Article |
| Language: | English |
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Open Exploration Publishing Inc.
2025-04-01
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| Series: | Exploration of Neuroprotective Therapy |
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| Online Access: | https://www.explorationpub.com/uploads/Article/A1004102/1004102.pdf |
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| author | Fernando-Balbino Blanco-Fernández Carlos Forner-Álvarez Celia Vidal-Quevedo Ferran Cuenca-Martínez Mónica Grande-Alonso |
| author_facet | Fernando-Balbino Blanco-Fernández Carlos Forner-Álvarez Celia Vidal-Quevedo Ferran Cuenca-Martínez Mónica Grande-Alonso |
| author_sort | Fernando-Balbino Blanco-Fernández |
| collection | DOAJ |
| description | Chronic upper limb pain is rather common among people in general and is characterized by a complex diagnosis due to the wide variety of factors that are involved in its development. In terms of treatment, pharmacology and manual therapy have classically been the most used options. However, based on current evidence, recommendations are more inclined to apply multimodal treatments, mainly with exercise therapy and pain education, based on the patient-centered care model. This case report details the evaluation and treatment of a 23-year-old woman with chronic upper limb pain using a multimodal physical therapy with a biobehavioral approach. The intervention lasted 12 weeks with a total of 9 sessions, in which manual therapy, therapeutic exercise, pain neuroscience education, motion representation methods, and sensory retraining were applied. The treatment resulted in a substantial improvement in the patient’s health condition. This case report indicates that a multimodal physical therapy treatment based on a biobehavioral approach may offer benefits in reducing pain symptoms and enhancing somatosensory, motor-functional, and affective-cognitive abilities in patients with chronic upper limb pain, as observed in the described case. Accordingly, this treatment can be a therapeutic option for patients with chronic upper limb pain. |
| format | Article |
| id | doaj-art-7516468af18c452da36e3b96fcb537f8 |
| institution | OA Journals |
| issn | 2769-6510 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Open Exploration Publishing Inc. |
| record_format | Article |
| series | Exploration of Neuroprotective Therapy |
| spelling | doaj-art-7516468af18c452da36e3b96fcb537f82025-08-20T02:19:15ZengOpen Exploration Publishing Inc.Exploration of Neuroprotective Therapy2769-65102025-04-015100410210.37349/ent.2025.1004102Multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain: a case reportFernando-Balbino Blanco-Fernández0Carlos Forner-Álvarez1https://orcid.org/0009-0006-1575-1589Celia Vidal-Quevedo2Ferran Cuenca-Martínez3https://orcid.org/0000-0003-4644-3758Mónica Grande-Alonso4https://orcid.org/0000-0002-1056-7305Programa de Doctorado en Investigación Clínica, Instituto de Investigación Sanitaria del Principado de Asturias,Universidad de Oviedo, 33011 Oviedo, SpainFaculty of Physiotherapy, University of Valencia, 46010 Valencia, SpainServicio de Rehabilitación, Instituto de Investigación Sanitaria Fundación Jiménez Diaz (IIS-FJD, UAM), Hospital Universitario Rey Juan Carlos, 28040 Madrid, SpainDepartment of Physiotherapy, University of Valencia, 46010 Valencia, SpainDepartamento de Cirugía, Ciencias Médicas y Sociales, Facultad de Medicina, Universidad de Alcalá, 28871 Alcalá de Henares, Spain; Grupo de Investigación Clínico-Docente sobre Ciencias de la Rehabilitación (INDOCLIN), Centro Superior de Estudios Universitarios La Salle, 28023 Madrid, SpainChronic upper limb pain is rather common among people in general and is characterized by a complex diagnosis due to the wide variety of factors that are involved in its development. In terms of treatment, pharmacology and manual therapy have classically been the most used options. However, based on current evidence, recommendations are more inclined to apply multimodal treatments, mainly with exercise therapy and pain education, based on the patient-centered care model. This case report details the evaluation and treatment of a 23-year-old woman with chronic upper limb pain using a multimodal physical therapy with a biobehavioral approach. The intervention lasted 12 weeks with a total of 9 sessions, in which manual therapy, therapeutic exercise, pain neuroscience education, motion representation methods, and sensory retraining were applied. The treatment resulted in a substantial improvement in the patient’s health condition. This case report indicates that a multimodal physical therapy treatment based on a biobehavioral approach may offer benefits in reducing pain symptoms and enhancing somatosensory, motor-functional, and affective-cognitive abilities in patients with chronic upper limb pain, as observed in the described case. Accordingly, this treatment can be a therapeutic option for patients with chronic upper limb pain.https://www.explorationpub.com/uploads/Article/A1004102/1004102.pdfchronic painphysiotherapymultimodal approachchronic upper limb painbiobehavioral approach |
| spellingShingle | Fernando-Balbino Blanco-Fernández Carlos Forner-Álvarez Celia Vidal-Quevedo Ferran Cuenca-Martínez Mónica Grande-Alonso Multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain: a case report Exploration of Neuroprotective Therapy chronic pain physiotherapy multimodal approach chronic upper limb pain biobehavioral approach |
| title | Multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain: a case report |
| title_full | Multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain: a case report |
| title_fullStr | Multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain: a case report |
| title_full_unstemmed | Multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain: a case report |
| title_short | Multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain: a case report |
| title_sort | multimodal physical therapy intervention based on a biobehavioral approach in a patient with chronic upper limb pain a case report |
| topic | chronic pain physiotherapy multimodal approach chronic upper limb pain biobehavioral approach |
| url | https://www.explorationpub.com/uploads/Article/A1004102/1004102.pdf |
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