Educação

em dor

Ft. Ms. Leandro Fukusawa

Não assustar
o paciente
Mesclar perguntas Mostre
Clarear Resumir
abertas e fechadas Interessado

Evitação Sentimentos

Reflexões Examinar Observar ações

não-verbais
Evitar interrupções
e distrações
 Não usar termos que fragilizem o paciente
Instabilidade

Alterações anatômicas

Comparativo com idade

Trocar regras por principios

Culpar ações (mecanismo de lesão)

 Explicações Simples

Origem da dor Tratamento

Evitar explicações biomédicas
Não usar regras de certo/errado
 Não julgar
The Journal of Pain, Vol 13, No 12 (December), 2012: pp 1198-1205
Available online at www.jpain.org and www.sciencedirect.com

We Discount the Pain of Others When Pain Has No Medical

Explanation
Lies De Ruddere,* Liesbet Goubert,* Tine Vervoort,* Kenneth Martin Prkachin,y
and Geert Crombez*
*Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.
y
Department of Psychology, University of Northern British Columbia, Prince George, British Columbia, Canada.

Abstract: The present studies investigated the impact of medical and psychosocial information on the
The present studies
observer’s estimations indicate
of pain, that observers
emotional responses, take the
and behavioral tendencies toward another person
PAINin OF OTHERS LESS SERIOUSLY in the absence of
pain. Participants were recruited from the community (study 1: N = 39 women, 10 men; study 2: N = 41
women, 12 men) and viewed videos of 4 patients expressing pain, paired with vignettes describing ab-
clearsence
medical
or presence evidence for for
of 1) medical evidence the pain.
the pain and 2)These findings
psychosocial influences on the pain expe-

are important to further UNDERSTAND SOCIAL

rience. A similar methodology was used for studies 1 and 2, except for the explicit manipulation of the
presence/absence of psychosocial influences in study 2. For each patient video, participant estimations
CONTEXT in which
of each patient’s pain andpain for
their own which
distress, there
sympathy, is NO toCLEAR
and inclination help were assessed. In both
studies, results indicated lower ratings on all measures when medical evidence for pain was absent.
MEDICAL
Overall, no effect ofEXPLANATION
psychosocial influences wasis found,
experienced.
except in study 2 where participants indicated
feeling less distress when psychosocial influences were present. The findings suggest that pain is taken
less seriously when there is no medical evidence for the pain. The findings are discussed in terms of po-
tential mechanisms underlying pain estimations as well as implications for caregiving behavior.
Perspective: The present studies indicate that observers take the pain of others less seriously in the
Empatia
1.Queixas não verbais barulhentas: suspiros, engasgos, gemidos, grunidos ou gritos

2. Expressões faciais: caretas, testa franzida, olhos apertados, dentes cerrados, lábios
apertados, expressões distorcidas ou queixo caído

3. Uso de órteses protetoras sem necessidade

4. Inquietação: movimentos excessivos do corpo, incapaz de ficar parado

5. Cutucar a área dolorida (Eu caçaDor de mim)

6. Queixas verbais barulhentas: desconforto, dor, “já chega de dor”, “pare com isso”,
“isso dói”.

Evitar competições
Combinar com o paciente
Fisioterapeuta será o único a conversar sobre a dor
Empatia
ann. behav. med.
DOI 10.1007/s12160-016-9844-2

ORIGINAL ARTICLE

Mindfulness Meditation for Chronic Pain: Systematic

Review and Meta-analysis
1 1 1
Lara Hilton, MPH & Susanne Hempel, PhD & Brett A. Ewing, MS &
Eric Apaydin, MPP 1 & Lea Xenakis, MPA 1 & Sydne Newberry, PhD 1 &
1 1 1
Ben Colaiaco, MA & Alicia Ruelaz Maher, MD & Roberta M. Shanman, MS &
Melony E. Sorbero, PhD 1 & Margaret A. Maglione, MPP 1

Annals of Internal Medicine

# The Author(s) 2016. This article is published with open access at Springerlink.com
REVIEW
Mindfulness-Based
Abstract Stress ReductionKeywords
for Treating Low
Chronic pain Back. Pain
. Mindfulness Meditation .
A Systematic
Background Review
Chronic and Meta-analysis
pain patients increasingly seek treat- Systematic review
ment through
Dennis mindfulness
Anheyer, meditation.
MA; Heidemarie Haller, MSc; Jürgen Barth, PhD; Romy Lauche, PhD; Gustav Dobos, MD; and
PurposeCramer,
Holger This study
PhD aims to synthesize evidence on efficacy
and safety of mindfulness meditation interventions for the
Background: Mindfulness-based
treatment of chronic stress reduction (MBSR) is fre-
pain in adults. mean difference [SMD], !0.48 point [CI, !0.82 to !0.14 point])
Introduction
quently used to treat pain-related conditions, but its effects on and physical functioning (2 RCTs; MD, 2.50 [CI, 0.90 to 4.10
 Figure 1. Meta-analysis of pain intensity.

Study, Year MBSR Control

(Reference) Mean (SD) Total Mean (SD) Total SMD (95% CI)

Short-term effects
MBSR vs. usual care
Cherkin et al, 2016 (32) −1.0 (1.5) 116 −0.3 (1.3) 113 −0.44 (−0.70 to −0.18)
Esmer et al, 2010 (33) −6.9 (6.9) 15 −0.2 (6.0) 10 −0.99 (−1.83 to −0.14)
Morone et al, 2008 (35) 13.7 (7.9) 19 15.7 (9.1) 18 −0.23 (−0.88 to 0.42)
Zgierska et al, 2016 (38) −0.5 (1.1) 21 0.4 (1.2) 14 −0.77 (−1.47 to −0.07)

Test for overall effect: P = 0.020; heterogeneity: I2 = 0% (P = 0.44) −0.48 (−0.82 to −0.14)

MBSR vs. active comparator

Cherkin et al, 2016 (32) −1.0 (1.5) 116 −0.9 (1.4) 112 −0.10 (−0.36 to 0.16)
Morone et al, 2009 (36) 11.7 (6.5) 16 11.3 (6.7) 19 0.06 (−0.61 to 0.72)
Morone et al, 2016 (34) 9.6 (4.4) 140 9.7 (4.2) 142 −0.02 (−0.26 to 0.21)

Test for overall effect: P = 0.27; heterogeneity: I2 = 0% (P = 0.87) −0.05 (−0.18 to 0.09)

Long-term effects
MBSR vs. usual care
Cherkin et al, 2016 (32) −1.1 (1.7) 116 −0.7 (1.6) 113 −0.27 (−0.53 to −0.01)
Zgierska et al, 2016 (38) −0.5 (1.1) 21 0.5 (1.2) 14 −0.83 (−1.54 to −0.13)

Test for overall effect: P = 0.34; heterogeneity: I2 = 54% (P = 0.139) −0.45 (−3.83 to 2.93)

MBSR vs. active comparator

Cherkin et al, 2016 (32) −1.1 (1.7) 116 −1.2 (1.5) 112 0.03 (−0.23 to 0.29)
Morone et al, 2009 (36) 12.6 (8.5) 16 12.0 (8.1) 19 0.06 (−0.60 to 0.73)
Morone et al, 2016 (34) 9.5 (5.1) 140 10.6 (4.7) 142 −0.22 (−0.46 to 0.01)

Test for overall effect: P = 0.44; heterogeneity: I2 = 29% (P = 0.32) −0.09 (−0.48 to 0.31)

Favors MBSR

−4 −3 −2 −1 0 1 2 3
SMD

The Knapp–Hartung small-sample correction was used to provide a more adequate accounting of uncertainty. MBSR = mindfulness-based stress
reduction; SMD = standardized mean difference.
 Figure 2. Meta-analysis of pain-related disability.

Study, Year MBSR Control

(Reference) Mean (SD) Total Mean (SD) Total SMD (95% CI)

Short-term effects
MBSR vs. usual care
Cherkin et al, 2016 (32) −3.4 (4.5) 116 −1.8 (4.1) 113 −0.37 (−0.63 to −0.10)
Esmer et al, 2010 (33) −3.6 (3.4) 15 0.1 (1.9) 10 −1.23 (−2.10 to −0.36)
Morone et al, 2008 (35) 9.4 (5.1) 19 10.6 (5.3) 18 −0.23 (−0.87 to 0.42)
Zgierska et al, 2016 (38) −2.4 (10.5) 21 −0.6 (9.7) 14 −0.17 (−0.85 to 0.51)

Test for overall effect: P = 0.064; heterogeneity: I2 = 0% (P = 0.23) −0.38 (−0.81 to 0.04)

MBSR vs. active comparator

Cherkin et al, 2016 (32) −3.4 (4.5) 116 −3.4 (4.1) 112 −0.01 (−0.27 to 0.25)
Morone et al, 2009 (36) 7.5 (5.2) 16 9.0 (5.1) 19 −0.29 (−0.96 to 0.38)
Morone et al, 2016 (34) 12.1 (4.8) 140 13.1 (4.4) 42 −0.22 (−0.45 to 0.02)

Test for overall effect: P = 0.23; heterogeneity: I2 = 9% (P = 0.45) −0.13 (−0.47 to 0.20)

Long-term effects
MBSR vs. usual care
Cherkin et al, 2016 (32) −4.3 (4.5) 116 −3.0 (4.5) 113 −0.30 (−0.57 to −0.04)
Zgierska et al, 2016 (38) −5.0 (10.3) 21 1.6 (10.2) 14 −0.63 (−1.32 to 0.06)

Test for overall effect: P = 0.191; heterogeneity: I2 = 0% (P = 0.39) −0.34 (−1.70 to 1.01)

MBSR vs. active comparator

Cherkin et al, 2016 (32) −4.3 (4.5) 116 −4.4 (4.9) 112 0.01 (−0.25 to 0.27)
Morone et al, 2009 (36) 7.5 (5.0) 16 10.0 (5.4) 19 −0.46 (−1.13 to 0.21)
Morone et al, 2016 (34) 12.2 (5.1) 140 12.6 (5.0) 142 −0.08 (−0.31 to 0.15)

Test for overall effect: P = 0.49; heterogeneity: I2 = 0% (P = 0.44) −0.07 (−0.40 to 0.27)

Favors MBSR

−3 −2 −1 0 1 2
SMD

The Knapp–Hartung small-sample correction was used to provide a more adequate accounting of uncertainty. MBSR = mindfulness-based stress
reduction; SMD = standardized mean difference.
 ann. behav. med.

Fig. 2 Mindfulness meditation

effects on chronic pain

Melhora estatística
- Depressão
- Qualidade de vida
- Qualidade mental

Evidência forte
- Depressão

Evidência Moderada
- Saúde mental

Evidência pequena
- Qualidade de vida
Fig. 1 | Integrated translational framework illustrating the neurobiological and behavioral mechanisms whereby mindfulness
meditation could affect self-regulation outcomes ACC - Cortex Cingulado Anterior
PFC = Cortex Pré-Frontal
PCC = Cortex Cingulado Posterior
ADHD - Déficit de atenção/ hiperatividade
to emotion regulation, and insula, medial PFC the ACC, the adjacent PFC, and the striatum/basal
Has the science of mindfulness lost its mind?
1 2
Miguel Farias, Catherine Wikholm

BJPsych Bulletin (2016), 40, 329-332, doi: 10.1192/pb.bp.116.053686

1
2
Coventry University, Coventry, UK; Summary The excitement about the application of mindfulness meditation in
National Health Service, UK
mental health settings has led to the proliferation of a literature pervaded by a lack of
Correspondence to Miguel Farias conceptual and methodological self-criticism. In this article we raise two major
(miguel.farias@coventry.ac.uk)
concerns. First, we consider the range of individual differences within the experience
First received 13 Jan 2016, final revision
of meditation; although some people may benefit from its practice, others will not be
22 Mar 2016, accepted 21 Apr 2016
affected in any substantive way, and a number of individuals may suffer moderate to
B 2016 The Authors. This is an open-
access article published by the Royal
serious adverse effects. Second, we address the insufficient or inconclusive evidence
College of Psychiatrists and distributed for its benefits, particularly when mindfulness-based interventions are compared with
under the terms of the Creative other activities or treatments. We end with suggestions on how to improve the quality
Commons Attribution License (http:// of research into mindfulness interventions and outline key issues for clinicians
creativecommons.org/licenses/by/
considering referring patients for these interventions.
4.0), which permits unrestricted use,
distribution, and reproduction in any Declaration of interest None.
medium, provided the original work
is properly cited.

‘I therefore recommend meditation, just as I recommend the

 The Brazilian version of STarT Back Screening Tool –
translation, cross-cultural adaptation and reliability*
Versão brasileira do STarT Back Screening Tool – tradução,
adaptação transcultural e confiabilidade
Bruna Pilz1,2, Rodrigo A. Vasconcelos1,2, Freddy B. Marcondes1,3,
Samuel S. Lodovichi4, Wilson Mello1, Débora B. Grossi2

TRACT | Background: Psychosocial factors are not routinely identified in physical therapy assessments, although
can influence the prognosis of patients with low back pain. The “STarT Back Screening Tool” (SBST) questionnaire
 para a Língua Inglesa por outros dois tradutores Versão brasileira do SBST
bilíngues (RT1 e RT2), que não tinham conhecimento Propriedade
Anexo 1. STarT Back Screening Tool- Brasil (SBST-Brasil).
Pensando nas duas últimas semanas, assinale sua resposta para as seguintes perguntas:
Confiabilidad
Discordo (0) Concordo (1)
1. A minha dor nas costas se espalhou pelas pernas nas duas últimas semanas. ( ) Todas as pro
( )
2. Eu tive dor no ombro e/ou na nuca pelo menos uma vez nas últimas duas semanas. ( ) ( )
foram testada
3. Eu evito andar longas distâncias por causa da minha dor nas costas. ( ) ( )
avaliador, con
4. Nas duas últimas semanas, tenho me vestido mais devagar por causa da minha dor nas costas. ( ) ( ) 21
medida . A c
5. A atividade física não é realmente segura para uma pessoa com um problema como o meu. ( ) ( )
6. Tenho ficado preocupado por muito tempo por causa da minha dor nas costas. ( )
testada
( )
por ser
7. Eu sinto que minha dor nas costas é terrível e que nunca vai melhorar. ( ) interferência
( ) d
8. Em geral, eu não tenho gostado de todas as coisas como eu costumava gostar. ( ) ( )
9. Em geral, quanto a sua dor nas costas o incomodou nas duas últimas semanas ( ) Nada (0) ( ) Pouco (0) ( Confiabilidad
) Moderado (0)
( ) Muito(1) ( ) Extremamente(1)
Pontuação total (9 itens): _________________ Subescala psicossocial (5-9 itens):_________________
A análise d
questionário S
Figura 1. Fluxo de pontuação do questionário SBST .
12,14,18 entrevistas em
 [ VIEWPOINT ]
ADRIAAN LOUW, PT, PhD1 • EMILIO J. PUENTEDURA, PT, DPT, PhD, OCS, FAAOMPT1,2
KORY ZIMNEY, PT, DPT1,3 • STEPHEN SCHMIDT, PT, MPhysio, OCS, FAAOMPT1,4

Know Pain, Know Gain?

n March 1, 2016. For personal use only. No other uses without permission.

A Perspective on Pain
Neuroscience Education
in Physical Therapy
. All rights reserved.

J Orthop Sports Phys Ther 2016;46(3):131-134. doi:10.2519/jospt.2016.0602

hronic pain is incredibly complex, and so are decisions as to tion of receptors, which in turn propa-
PHYSIOTHERAPY THEORY AND PRACTICE
2016, VOL. 32, NO. 5, 328–331
http://dx.doi.org/10.1080/09593985.2016.1194669

EDITORIAL

Teaching patients about pain: It works, but what should we call it?
Adriaan Louw, PT, PhDa, Emilio “Louie” J. Puentedura, PT, DPT, PhDb, and Kory Zimney, PT, DPTc
a
International Spine and Pain Institute, Story City, IA, USA; bDepartment of Physical Therapy, University of Nevada, Las Vegas, Las Vegas, NV,
USA; cDepartment of Physical Therapy, School of Health Sciences, University of South Dakota, Vermillion, SD, USA

• “Explaining Pain to Patients” (Gifford and Muncey, 1999);

•It“Explain
is now Pain”
well established that people
(Butler and Moseley, 2013);in pain, espe- showed us that teaching patients with chronic muscu-
cially persistent pain, have a strong desire to know loskeletal pain more about pain from a biological and
• “Pain Neurobiology Education” (Moseley, Hodges, and Nicholas, 2004);
more about why they continue to hurt (Louw, Louw, physiological perspective has a positive effect on pain,
“Pain
•and Neurophysiology
Crous, 2009). Using Education” (Clarke,educational
the traditional Ryan, and Martin, 2011; Moseley,
function, physical Hodges,
movement, andand
Nicholas, 2004; Nijs et
pain catastrophiza-
al., 2014;a Pires,
models, Cruz,would
clinician and Caeiro,
likely 2015;
teach Van Ittersum,
a patient van Wilgen,
pre- Groothoff,
tion (Louw, and Van
Diener, der Schans,
Butler, 2011; Van 2011).
and Puentedura,
Oosterwijck
senting withet “shoulder
al., 2011); pain” more about their Since then, there have been dozens of new articles
•shoulder,
“Therapeuticnot about pain. Although
Neuroscience such(Louw,
Education” an anatomi- published
Diener, Butler, on this 2011;
and Puentedura, topic, Louw
exploring various research
and Puentedura, 2013);
cally driven educational model might have value for questions. While the exponential growth in research
• “Pain Neuroscience Education” (Louw, Diener, Landers, and Puentedura, 2014; Nijs et al., 2015).
the patient with an acute or perioperative condition, activity on this topic is gratifying, we would argue
it has been shown to be of little to no value in the that translation of the evidence into the clinic is still
obinson, 2009; Mintken, Cleland, Whitman, & George, 2010; Waddell, Newton,
to group
enderson, allocation.
Somerville, Outcome
& Main, 1993). dataquote,
In a famous fromit49
hassubjects
been stated(86%)
that showed a significant
treatment effect. The four-week combined physiotherapy and education program
“the fear of pain is worse than pain itself”
reduced pain and disability by a mean of 1.5/10 points on a numerical rating scale
(Arntz & Peters, 1995).
and 3.9 points on the 18-point Roland Morris Disability Questionnaire respectively.
The number needed to treat in order to gain a clinically meaningful change was 3
his statement is underscored by the fact that numerous studies evaluating LBP
for pain and 2 for disability. A treatment effect was maintained at one-year follow-
up. The
uestionnaire findings
(FABQ) (Fritz &support
George, the efficacy
2002; Patients in pain want to know more
clude the use of scales addressing fear, such as the Fear Avoidance Beliefs
of combined
Fritz, George, & Delitto,physiotherapy
2001; and education
eorge, program
ithin the
in producing
Fritz, Bialosky,
general with
patients population
symptomatic
& Donald, 2003;
is often
chronic
George, Fritz,
lowassociated
back pain.withWhat about pain, not anatomy.
and&functional
McNeil, 2006).
the belief
change
Fear in moderately disabled
that increased
exactly did they do for education?
ctivity, movement or exercise will not only increase pain, but further damage
ssues. Patients with LBP deal with the unknown, Patients
including in painhowwant
diagnosis, long to
know more about pain (Louw, Louw
“Each subject participated in a 2009). Healthcareone-hourunderestimate
ain may/may not influence income, etc. The clinical manifestation of these educationpatients’ ability to understa
he injury will take to heal, how long before they return to function, how the back
providers
session, once per week for four weeks. The
nknowns may present itself as increased fear.(Moseley, 2003).

education
is clear that session
therapists need to not was
only take the patient’s in
fear a
into one-to-one
consideration,
ut also find a way to quantify it. The most commonly used measure is the FABQ.
seminar
See Table format,
1.1). The FABQ is conducted bythatan
a 16-item questionnaire independent
was designed to quantify therapist,
ar and avoidance beliefs in individuals with LBP. The FABQ has two subscales:
and
) a four-item scalefocused on thebeliefs
to measure fear avoidance neurophysiology
about physical activity and of pain with
scored fromno 0 to 6particular 2.2: Neuroscience
reference between 0to and the 0 andEducation
24 and lumbar
) a seven-item scale to measure fear-avoidance beliefs about work. Each item
with possible scores ranging spine.”
2 for the physical activity and work subscales, respectively, with higher scores
 , out needs
PHYSIOTHERAPY THEORYa needAND PRACTICE to explore sub-grouping of patients? Both
http://dx.doi.org/10.1080/09593985.2016.1194646
so highlight groups made meaningful changes in regards to various
REVIEW
e efficacy of outcome measures. Apart from PNE alone not being
The efficacy
the authors of pain in
effective neuroscience
reducing education
pain ratings, on musculoskeletal
the current pain: review
A systematic review of the literature
g beyond 1 does not show any meaningful trends beyond this and
Adriaan Louw, PT, PhD , Kory Zimney, PT, DPT , Emilio J. Puentedura, PT, DPT, PhD , and Ina Diener, PT, PhD
a b c d

nders, and warrants further investigation.

International Spine and Pain Institute, Story City, IA, USA; Department of Physical Therapy, School of Health Sciences, University of South
a b

utcomesNV, of
Dakota, Vermillion, SD, USA; Department of Physical Therapy, School of Allied Health Sciences, University of Nevada, Las Vegas, Las Vegas,
c

USA; Department of Physiotherapy, Stellenbosch University, Stellenbosch, South Africa

d

surgery for
ABSTRACT Conclusion ARTICLE HISTORY
Objective: Systematic review of randomized control trials (RCTs) for the effectiveness of pain Received 12 November 2015
neuroscience education (PNE) on pain, function, disability, psychosocial factors, movement, and health- Revised 19 December 2015
ssible differ- Strong evidence supports the use of PNE for MSK
care utilization in individuals with chronic musculoskeletal (MSK) pain. Data Sources: Systematic
searches were conducted on 11 databases. Secondary searching (PEARLing) was undertaken, whereby
Accepted 26 January 2016

KEYWORDS
PNE versus disorders in reducing pain ratings, limited knowledge of
reference lists of the selected articles were reviewed for additional references not identified in the
Chronic pain; explain pain;
primary search. Study Selection: All experimental RCTs evaluating the effect of PNE on chronic MSK pain
pain neuroscience
tegy such as pain, disability, pain catastrophization, fear-avoidance,
were considered for inclusion. Additional Limitations: Studies published in English, published within
education; therapeutic
neuroscience education
the last 20 years, and patients older than 18 years. No limitations were set on specific outcome measures.
ies, patients unhealthy attitudes and behaviors regarding pain, limited
Data Extraction: Data were extracted using the participants, interventions, comparison, and outcomes
(PICO) approach. Data Synthesis: Study quality of the 13 RCTs used in this review was assessed by
8 28 June 2016

2 reviewers using the PEDro scale. Narrative summary of results is provided for each study in relation to
(Gallagher, physical movement and healthcare utilization (Ezzo et al.,
outcomes measurements and effectiveness. Conclusions: Current evidence supports the use of PNE
for chronic MSK disorders in reducing pain and improving patient knowledge of pain, improving
t al., 2014; 2000; Fernández-de-las-Peñas et al., 2006).
function and lowering disability, reducing psychosocial factors, enhancing movement, and minimizing
healthcare utilization.
ura, 2014;
 Journal of Physiotherapy 62 (2016) 165

Journal of
PHYSIOTHERAPY
journal homepage: www.elsevier.com/locate/jphys

Appraisal Trial Protocol

Back school or brain school for patients undergoing surgery for lumbar
radiculopathy? Protocol for a randomised, controlled trial
a,b,1 c,d e,f e,f c,d,1
Kelly Ickmans , Maarten Moens , Koen Putman , Ronald Buyl , Lisa Goudman ,
a,e,1 g h i a,b,1
Eva Huysmans , Ina Diener , Tine Logghe , Adriaan Louw , Jo Nijs
a
Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy (KIMA), Vrije Universiteit Brussel; b Department of Physical Medicine
and Physiotherapy, University Hospital Brussels; c Department of Neurosurgery, University Hospital Brussels; d Department of Manual Therapy (MANU), Faculty of Medicine and
Pharmacy, Vrije Universiteit Brussel; e Department of Public Health (GEWE), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel; f Inter University Centre for Health
Economics Research (I-CHER), Vrije Universiteit Brussels, Brussels, Belgium; g Division of Physiotherapy, Faculty of Medicine and Health Sciences, University of Stellenbosch,
Stellenbosch, South Africa; h Department of Physical Medicine and Rehabilitation, Sint-Dimpna Ziekenhuis, Geel, Belgium; i International Spine and Pain Institute, Story City, USA

Abstract
 !
!
Teaching)People)About)Pain)
Adriaan'Louw,'PT,'PhD,'CSMT'

'
Course'Materials'
Domingo 2a Feira 3a Feira 4a Feira 5a Feira 6a Feira Sábado
 Explique sobre a Recomendações sobre
doença a condição dele

Espondilolistese Ruptura do Manguito Rotador

Bursite Troncantérica Entorse Crônico de Tornozelo

Sd da Dor Patelofemoral com

valgo estático Acentuado

Postura Exercícios Joelheira

ft.leandrof@gmail.com

Leandro Fukusawa