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Physical therapy interventions for pain in childhood and adolescence 

Physical therapy interventions for pain in childhood and adolescence
Physical therapy interventions for pain in childhood and adolescence

Susan M. Tupper

, Mary S. Swiggum

, Deborah O’Rourke

, and Michael L. Sangster

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date: 24 July 2021

This chapter is divided into four sections. The first section provides an overview of the theoretical foundations that can be used as a framework for possible mechanisms of effect for physical therapy (PT) interventions and identification of PT interventions oriented towards maximizing participation of children with pain in valued roles and life activities. The second reviews the literature on active therapies as interventions for children with pain. The third section reviews the literature on passive therapies and safety and efficacy for manual therapy or therapeutic modalities for pain. The importance of the therapeutic relationship and pain education will also be discussed. The final section reviews the literature on procedural pain from a PT perspective and provides recommendations on procedural pain management. Although PT practice settings and the treatment needs of infants, children and adolescents with pain vary widely, this chapter provides a structure for development of a theoretical and evidence-based physical therapeutic approach for all children with pain.

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