PRISM-Pain Recovery and Integrative Systems Model: A Process-Based Cognitive-Behavioral Approach for Physical Therapy

Joe Tatta; Rose M Pignataro; Janet R Bezner; Steven Z George; Carey E Rothschild

doi:10.1093/ptj/pzad077

PRISM-Pain Recovery and Integrative Systems Model: A Process-Based Cognitive-Behavioral Approach for Physical Therapy

Phys Ther. 2023 Oct 3;103(10):pzad077. doi: 10.1093/ptj/pzad077.

Authors

Joe Tatta^{1

2}, Rose M Pignataro³, Janet R Bezner⁴, Steven Z George^{5

6}, Carey E Rothschild⁷

Affiliations

¹ Integrative Pain Science Institute, New York, New York, USA.
² Department of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
³ Program in Physical Therapy, Marion, Emory and Henry College, Emory, Virginia, USA.
⁴ Department of Physical Therapy, Texas State University, Round Rock, Texas, USA.
⁵ Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA.
⁶ Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
⁷ Program in Physical Therapy, University of Central Florida, Orlando, Florida, USA.

PMID: 37369058
DOI: 10.1093/ptj/pzad077

Abstract

The Academy of Orthopedic Physical Therapy Pain Education Manual supports the advancement of modern pain content, and the National Institutes of Health Federal Pain Research Strategy has called for new models for pain management. This Perspective proposes the Pain Recovery and Integrative Systems Model (PRISM) as a new model that addresses the multidimensional nature of pain. PRISM is a salutogenic, integrative, process-based cognitive-behavioral model designed for physical therapist education and practice. PRISM aligns with national and international initiatives to better understand and manage pain, thereby mitigating the global opioid crisis. PRISM aims to address the multidimensional nature of pain while building resilience, nurturing growth, and facilitating pain recovery.

Impact: PRISM is a salutogenic, integrative, process-based cognitive-behavioral model to guide physical therapists in managing the multidimensional nature of pain.

Keywords: Chronic Pain; Cognitive Behavioral Therapy; Education: Competency-Based; Integrative Pain Management; Mental Health; Musculoskeletal Pain; Pain Education; Pain Management; Pain Science; Process-Based Therapy; Whole Health.