Individual expectation: an overlooked, but pertinent, factor in the treatment of individuals experiencing musculoskeletal pain

Phys Ther. 2010 Sep;90(9):1345-55. doi: 10.2522/ptj.20090306. Epub 2010 Jun 30.

Abstract

Physical therapists consider many factors in the treatment of patients with musculoskeletal pain. The current literature suggests expectation is an influential component of clinical outcomes related to musculoskeletal pain for which physical therapists frequently do not account. The purpose of this clinical perspective is to highlight the potential role of expectation in the clinical outcomes associated with the rehabilitation of individuals experiencing musculoskeletal pain. The discussion focuses on the definition and measurement of expectation, the relationship between expectation and outcomes related to musculoskeletal pain conditions, the mechanisms through which expectation may alter musculoskeletal pain conditions, and suggested ways in which clinicians may integrate the current literature regarding expectation into clinical practice.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Biomechanical Phenomena
  • Humans
  • Musculoskeletal Diseases / physiopathology*
  • Musculoskeletal Diseases / psychology
  • Musculoskeletal Diseases / rehabilitation*
  • Pain / physiopathology*
  • Pain / psychology
  • Pain / rehabilitation*
  • Pain Measurement
  • Patient Satisfaction*
  • Physical Therapy Modalities*
  • Recovery of Function