The Professional Development Tool

Brought to you by the CPA Pain Science Division

Outcome 4

I can describe, assess and/or measure the biological, psychological, and social factors that contribute to pain, physical dysfunction, and disability using valid and reliable measurement tools.

Want some more help with this learning outcome? Here are some sample resources to get you started.

Sub – Outcomes
  1. I am able to describe and identify pain mechanisms through a focused history, screening questionnaires and sensory testing that could influence pain and disability
  2. I am able to describe and identify potential psychological factors through a focused history, screening questionnaires and functional/behavioural measures that could influence pain and disability
  3. I use valid and reliable tools for measuring pain, associated symptoms, and function/disability to assess and reassess clinically-relevant outcomes as appropriate for the clinical context and population.
  4. I can explain how comorbidities (medical and psychiatric) contribute to pain, physical dysfunction and disability
  5. I can describe social determinants of health and their effects on pain and disability
Journal Articles

Fear-avoidance beliefs as measured by the fear-avoidance beliefs questionnaire: change in fear-avoidance beliefs questionnaire is predictive of change in self-report of disability and pain intensity for patients with acute low back pain. By George SZ, Fritz JM, McNeil DW.

How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. By Lee H, Hübscher M, Moseley GL, et al.

The role of pain acceptance on function in individuals with disabilities: a longitudinal study. By Jensen MP, Smith AE, Alschuler KN, et al.

A systematic review of posture and psychosocial factors as contributors to upper quadrant musculoskeletal pain in children and adolescents. By Prins Y, Crous L, Louw Q.

Quantitative sensory testing in painful osteoarthritis: a systematic review and meta-analysis. By Suokas AK, Walsh DA, McWilliams DF, et al.

Risk factors for persistent problems following acute whiplash injury: update of a systematic review and meta-analysis. By Walton DM, MacDermid JC, Giorgianni AA, Mascarenhas JC, West SC, Zammit CA

Predictors of persistent pain after total knee arthroplasty: A systematic review and meta-analysis. By Lewis GN, Rice DA, McNair PJ, Kluger M.

Predictors of Persistent Neuropathic Pain–A Systematic Review. By Boogaard S, Heymans MW, de Vet HCW, Peters ML, Loer SA, Zuurmond WWA, et al.

Psychological factors associated with development of TMD: The OPPERA prospective cohort study. By Fillingim RB, Ohrbach R, Greenspan JD, et al.

Mechanisms- based classifications of musculoskeletal pain: Part 1 of 3: Symptoms and signs of central sensitisation in patients with low back (+/-leg) pain. By Smart KM, Blake C, Staines A, Thacker M, Doody C

Applying modern pain neuroscience in clinical practice: criteria for the classification of central sensitization pain. Nijs J, Torres-Cueco R, van Wilgen CP, Girbes EL, Struyf F, Roussel N, et al.

Impact of Psychological Factors in the Experience of Pain. By Linton SJ, Shaw WS.

Listening is therapy: Patient interviewing from a pain science perspective. Diener I, Kargela M, Louw A.

Cognitive Functional Therapy: An Integrated Behavioral Approach for the Targeted Management of Disabling Low Back Pain. O’Sullivan PB, Caneiro JP, O’Keeffe M, Smith A, Dankaerts W, Fersum K, et al.

A new clinical model for facilitating the development of pattern recognition skills in clinical pain assessment. By Walton DM, Elliot James M

Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education. By Wijma AJ, van Wilgen CP, Meeus M, Nijs J.

Videos & Webinars
Online Publications

Ignite Physio Episode 29: Laying the Foundation for Integration Pain Neuroscience Education into Clinical Practice



This list is meant to provide you with some options. It is not meant to be fully comprehensive, nor should you feel like you need to access everything. Explore what works for your learning style and context