Principles of motivational interviewing in the physical therapy management of a patient with neck pain: a case report
Todd E. Davenport: 0000-0001-5772-7727
Orthopaedic Physical Therapy Practice
Background: This case study demonstrates how motivational interviewing (MI) may be used in the physical therapy management of a patient with persistent neck pain. Case Description: The patient was a 57-year-old female with activity limitations of walking >1 mile and riding her stationary bicycle. Motivational interview-based patient education was provided, focused on supporting self-efficacy with symptom self-management and exercise. Outcomes: The patient was discharged after 3 in-person visits and 2 additional follow-ups via secure email over 12 weeks. The Fear Avoidance Belief Questionnaire score was reduced by 33% and numeric pain rating scale decreased from 5/10 to 0/10 at rest. In addition to her home program, the patient also reported performing regular aerobic exercise 3 to 4 times per week. Discussion: Improvements in activity avoidance beliefs and self-efficacy beliefs related to exercise appeared to be associated with improvement in disability. Clinical Relevance: Motivational interview is both clinically feasible and evidencebased to promote beneficial health behavior changes in a patient with persistent neck pain.
Cabebe, S. R.,
McBreen, C. D.,
Davenport, T. E.
Principles of motivational interviewing in the physical therapy management of a patient with neck pain: a case report.
Orthopaedic Physical Therapy Practice, 35(1), 13–16.