Occupational Therapy Interventions for Chronic Pain

Functional Assessments
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Canadian Occupational Performance Measure (COPM) - Client-centered assessment identifying pain-affected activities and satisfaction levels
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Pain Disability Index (PDI) - Evaluation of pain interference across major life domains
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Activity Configuration Assessment - Analysis of daily routine and activity patterns influenced by pain
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Functional Capacity Evaluation (FCE) - Standardized testing of physical abilities and limitations related to work tasks
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Brief Pain Inventory (BPI) - Assessment of pain severity and functional interference
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Pain Catastrophizing Scale (PCS) - Measuring negative thought patterns about pain that affect function
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Pain Self-Efficacy Questionnaire (PSEQ) - Evaluating confidence in performing activities despite pain
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Tampa Scale for Kinesiophobia (TSK) - Assessing fear of movement and activity avoidance
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Occupational Performance Inventory of Pain (OPIP) - Measuring impact of pain on specific daily activities
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Functional Reach Test - Assessing balance and stability during functional movements
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Jebsen-Taylor Hand Function Test - Evaluating fine motor function for hand-related tasks
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Assessment of Motor and Process Skills (AMPS) - Observational assessment of functional performance quality
Functional Interventions
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Activity Pacing - Structured approach to balance activity and rest to optimize function
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Energy Conservation Techniques - Methods to accomplish tasks with reduced physical strain
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Ergonomic Modifications - Workplace and home adaptations to reduce pain-provoking positions
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Body Mechanics Training - Education on proper positioning for daily tasks to minimize pain
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Assistive Device Prescription - Recommending and training in tools that reduce physical strain
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Compensatory Strategy Training - Alternative methods to complete meaningful activities
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Graded Activity Programs - Systematically increasing activity tolerance through progressive challenges
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Cognitive-Behavioral Approaches - Addressing thought patterns that limit functional engagement
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Routine Restructuring - Reorganizing daily schedules to prioritize meaningful activities with pain management
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Environmental Modifications - Adapting home and work environments to support function
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Sleep Hygiene Training - Establishing healthy sleep routines to improve pain management and daytime function
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Desensitization Programs - Gradually reintroducing avoided activities to reduce fear-based limitations
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Adaptive Equipment Training - Instruction in using tools that facilitate independence
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Sensory Modulation Techniques - Strategies to manage pain through sensory-based approaches
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Joint Protection Principles - Methods to perform activities while minimizing joint stress
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Mindfulness-Based Activity - Integrating present-moment awareness into daily tasks
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Return-to-Work Planning - Structured approach to resume employment with accommodations
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Leisure Adaptation - Modifying recreational activities to enable continued participation
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Role Reestablishment - Supporting reengagement in valued life roles affected by chronic pain