Biopsychosocial approach in therapy and rehabilitation

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1. Treatment of patients from the perspective of biomedical model and biopsychosocial model of health and disease: implications for therapy and rehabilitation. The concept of an integrated / holistic treatment.
2. Psychological and social (non-physiological) effects on treatment and rehabilitation of patients: (I) sociocultural factors, (Ii) cognitive factors (III) affective factors, (III) personality; (IV) the impact of psychological factors on sympathetic nervous system and on muscle tension.
3. The implications of psychological and social factors for therapy and rehabilitation: (i) clinical (i.e. red flags) and psychosocial markers (yellow flags); (II) psychosocial markers and musculoskeletal disorders (III) how psychosocial markers influence the course of the recovery and rehabilitation; (III) the process of psychological markers identification: observing patients, therapeutic interviews, utilisation of instruments.
4. Selected behavioural and cognitive behavioural approaches in therapy and rehabilitation. (I) Background of behaviour and cognitive behavioural therapy. (II) Implementation of the two therapeutic approaches to physiotherapy and clinical evidence of their efficacy. (III) Selected models of behaviour modification and their application in the prevention, treatment and rehabilitation (especially in the field of pain management): instrumental conditioning; integrative model; theory of goal setting.
5. Therapeutic communication as a tool to develop a holistic approach to patients: (i) the process of establishing trust in patient-physiotherapist relation (Calgary Cambridge model of clinical communication). (II) Therapeutic communication in changing patients’ behaviour and lifestyle (informing; giving instructions and advices, consulting, supporting patients in changing existing patterns of thoughts and actions; motivational interview).
6. Modern multidimensional approaches in the treatment of pain: Classification-based cognitive functional therapy.

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