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Studies show that physical therapy students and professionals have limited knowledge about various aspects of the subject “pain”. This may result in inadequate approach and increases the patients’ suffering. Thus, it was aimed to review studies that investigated the physiotherapy students’ and professionals’ knowledge about pain, as well as to propose strategies for changing it. This is a systematic review in which EBSCOhost, LILACS, PubMed, REDALYC and SciELO databases were consulted by crossing the following keywords and its matching terms in Portuguese: “pain”, “knowledge”, “education”, “curriculum”, “physical therapy specialty”. Crosssectional or experimental studies addressing knowledge about pain clinical and pathophysiological aspects, and management were eligible. Studies that tested strategies to modify knowledge about pain were also qualified. Screening by title and abstract resulted in 84 studies. However, only five studies were included, which analyzed the knowledge about general aspects of pain and were published between 2003 and 2016. Only 60% of studies investigated volunteers from the field of physical therapy, whereas 100% of them had their knowledge verified in self-reported questionnaires. Four studies used validated questionnaires. Only 20% of them tested strategies to modify the knowledge about pain. The results of this review are that the topic “pain” is addressed as sub-topic only. Although it allows learning, it is not enough to ensure it. Physical therapy professionals are inconsistent as to theoretical knowledge and practice on pain management and human assistance. Teaching and learning strategies may improve students’ knowledge about pain.
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Capellini VK, Daré MF, Castral TC, Christoffel MM, Leite AM, Scochi CGS. Conhecimento e atitudes de profissionais de saúde sobre avaliação e manejo da dor neonatal. Rev Eletr Enf. 2014;16(2):361-9. http://dx.doi.org/10.5216/ree.v16i2.23611
Clenzos N, Naidoo N, Parker R. Physiotherapists’ knowledge of pain: a cross-sectional correlational study of members of the South African Sports and Orthopaedic Manipulative Special Interest Groups. S Afr J Sports Med. 2013;25(4):95-100. http://dx.doi.org/10.7196/SAJSM.502
Sereza TW, Dellaroza MSG. O que está sendo aprendido a respeito da dor na UEL? Semina Cienc Biol Saúde. 2003;24:55-66. http://dx.doi.org/10.5433/1679-0367.2003v24n1p55
Barreto RF, Gomes CZL, Silva RM, Signorelli AAF, Oliveira LF, Cavellani CL, et al. Avaliação de dor e do perfil epidemiológico, de pacientes atendidos no pronto-socorro de um hospital universitário. Rev Dor. 2012;13(3):213-9. http://dx.doi.org/10.1590/S1806-00132012000300004
Marinangeli F, Narducci C, Ursini ML, Paladini A, Pasqualucci A, Gatti A, et al. Acute pain and availability of analgesia in the prehospital emergency setting in Italy: a problem to be solved. Pain Pract. 2009;9(4):282-8. http://dx.doi.org/10.1111/j.1533-2500.2009.00277.x
Calil AM, Pimenta CAM, Birolini D. The “oligoanalgesia problem” in the emergency care. Clinics. 2007;62(5):591-8. http://dx.doi.org/10.1590/S1807-59322007000500010
Luppen LS, Sampaio FH, Standñik CMB. Satisfação dos pacientes com a implantação do conceito dor o quinto sinal vital, no controle da dor pós-operatória. Rev Dor. 2011;12(1):29-34. http://dx.doi.org/10.1590/S1806-00132011000100007
Marquez JO. A dor e os seus aspectos multidimensionais. Cienc Cult. 2011;63(2):28-32.
Vlainich R, Zucchi P, Issy AM, Sakata RK. Avaliação do custo do medicamento para tratamento ambulatorial de pacientes com dor crônica. Rev Bras Anestesiol. 2010;60(4):399-405. http://dx.doi.org/10.1590/S0034-70942010000400007
Silva GG, Sirena SA. Perfil de encaminhamentos a fisioterapia por um serviço de Atenção Primária à Saúde, 2012. Epidemiol Serv Saúde. 2015;24(1):123-33. http://dx.doi.org/10.5123/S1679-49742015000100014
Leite F, Gomes JO. Dor crônica em um ambulatório universitário de fisioterapia. Rev Ciênc Méd. 2006;15(3):211-21.
Mata MS, Costa FA, Souza TO, Mata ANS, Pontes JF. Dor e funcionalidade na atenção básica à saúde. Ciênc Saúde Coletiva. 2011;16(1):221-30. http://dx.doi.org/10.1590/S1413-81232011000100025
Gosling AP. Mecanismos de ação e efeitos da fisioterapia no tratamento da dor. Rev Dor. 2012;13(1):65-70. http://dx.doi.org/10.1590/S1806-00132012000100012
Dias RC, Dias JMD. Prática baseada em evidências: uma metodologia para a boa prática fisioterapêutica. Fisioter Mov. 2006;19(1):11-6.
Alves RC, Tavares JP, Funes RAC, Gasparetto GAR, Silva KCC, Ueda TK. Evaluation of pain knowledge of Physiotherapy students from a university center. Rev Dor. 2013;14(4):272-9. http://dx.doi.org/10.1590/S1806-00132013000400008
Ribeiro MCO, Costa IN, Ribeiro CJN, Nunes MS, Santos B, DeSantana JM. Knowledge of health professionals about pain and analgesia. Rev Dor. 2015;16(3):204-9. http://dx.doi.org/10.5935/1806-0013.20150041
Marques ES, Xarles T, Antunes TM, Silva KKD, Reis FJJ, Oliveira LAS, et al. Evaluation of physiologic pain knowledge by physiotherapy students. Rev Dor. 2016;17(1):29-33. http://dx.doi.org/10.5935/1806-0013.20160008
Castro CES, Parizotto NA, Barboza HFG. Programa mínimo sobre mecanismos de dor e analgesia para cursos de graduação em fisioterapia. Rev Bras Fisioter. 2003;7(1):85-92.
Petto J, Gomes VA, Oliveira FTO, Santos MPA, Barbosa PRP, Santos ACN. Importance of academic quality in the treatment of chronic venous insufficiency. Int J Cardiovasc Sci. 2016;29(1):31-6. http://www.dx.doi.org/10.5935/2359-4802.20160011