Pain Theory and Physiotherapy

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      Part 1 presents a view of pain theory and pain gate control theory which has been abstracted from the literature for clinical physiotherapy reference. Part 2 applies the framework of ideas presented in part 1 to the use of physiotherapy in pain relief. The central concept is that ‘physiotherapy’ consists of two components, namely ‘applied treatments or modalities’ with their consequent physiological effects and ‘applied physiotherapist’ with consequent pyschological effect. Textbooks and training tend to emphasise ‘applied treatment’ whereas ‘applied physiotherapist’ may be the more potent medicine.

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      Biography: Robert A Charman qualified from the former Field and Morris School of Physiotherapy in 1956. He then held a succession of clinical posts in London, Worthing, and Firbeck before becoming group superintendent at King's Lynn (1966–69). He obtained his physiotherapy teaching diploma at Cardiff School of Physiotherapy in 1971 and is now a senior teacher at the same school.