Assistant Clinical Professor
The new, state-of-the-art Bayfront Medical Building opened in August and will begin offering psychologically informed physical therapy (PIPT) in October. The clinic will feature joint patient sessions with DPTRS Assistant Clinical Professor Vincent Ann, PT, DPT and Associate Clinical Professor Valerie Wai-Yee Jackson, PhD, a pain psychologist. With both providers working together in the same room, treatment becomes more cohesive and targeted.“This model is exciting because it allows for real-time collaboration between multiple providers and the patient,” said Dr. Ann.
In the past, physical therapists focused primarily on physical interventions without addressing the psychological aspects of pain. “Over time, physical therapists realized there were patients – particularly those suffering from chronic pain– who require the psychological component incorporated in their plan of care,” said Dr. Ann, who also is a course director for DPTRS’ pain science curriculum in both the DPT program and residencies.
The foundation of PIPT lies in understanding how patients' beliefs and behaviors around pain can significantly influence their recovery. Many individuals with chronic pain develop a fear of movement, also known as kinesiophobia. This fear often stems from associating certain movements with pain. Over time, this fear can lead to a cycle of avoidance, further inactivity, and worsening pain. PIPT aims to break this cycle by challenging and changing maladaptive behaviors.
Through using cognitive behavioral therapy (CBT) principles in conjunction with exercise-based therapy, therapists can help patients reframe their thinking about pain and movement. For example, a patient who injured their back while lifting may develop a fear of bending down. While the initial pain is real, avoiding all bending is impractical. PIPT explores patient’s beliefs surrounding pain, identifies beliefs that are both helpful and unhelpful, and guides patients through small, manageable steps to rebuild their confidence and move safely.
Dr. Ann recalls working with a patient during the COVID-19 pandemic who had developed significant fears, not only around movement but around daily activities such as unloading the dishwasher. "We started with small, achievable goals, like unloading just five dishes at a time, even though this felt maddeningly slow. Over time, we built up their confidence, and they gradually returned to more normal activities," Dr. Ann explained. This gradual approach helps patients face movements they fear while building confidence in a controlled, safe manner.
Despite its proven efficacy, it is still relatively uncommon for psychologists and physical therapists to work together in the same session, primarily due to barriers related to scheduling and insurance coverage. “Seeing this model come to life is exciting, and we’re hopeful it will expand and help more patients in the future,” Dr. Ann said.