Orthopaedic Physical Therapy Practice
Background and Purpose: Pain-related activity avoidance is a phenomenon that causes substantial annual patient morbidity. Therefore, it has been the subject of many recent studies related to physical therapist practice. The purposes of this review are: (1) to provide a rationale for considering cognition and affect in physical therapist practice, and (2) to propose the CAB Model for patient education in physical therapist management of pain-related activity avoidance.
Method: Narrative review. Findings: 'CAB' is an acronym that emphasizes _Cognition and Affect in designing patient education programs that facilitate change in avoidant Behavior.
Clinical Relevance: This review synthesizes literature that suggests pain-related cognitions and affect may be important targets for patient education by physical therapists, because they may serve as progenitors of pain-related activity avoidance. This narrative review provides a model for physical therapists to use in considering these features of clinical presentation and to guide future research.
Davenport TE, Austin A, Yamada KA, Peterson CA. The CAB model of pain-related activity avoidance: description and implications for research and practice in physical therapy. Orthopaedic Physical Therapy Practice. 2009;21(4):127-134. © 2009, Orthopaedic Section, APTA, Inc.