Ludewig Paula M, Kamonseki Danilo H, Staker Justin L, Lawrence Rebekah L, Camargo Paula R, Braman Jonathan P
Divisions of Physical Therapy and Rehabilitation Science, Department of Rehabilitation Medicine, Medical School, The University of Minnesota, Minneapolis, MN, USA.
Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, SP, Brazil.
Int J Sports Phys Ther. 2017 Nov;12(6):884-893.
Proper diagnosis is a first step in applying best available treatments, and prognosticating outcomes for clients. Currently, the majority of musculoskeletal diagnoses are classified according to pathoanatomy. However, the majority of physical therapy treatments are applied toward movement system impairments or pain. While advocated within the physical therapy profession for over thirty years, diagnostic classification within a movement system framework has not been uniformly developed or adopted. We propose a basic framework and rationale for application of a movement system diagnostic classification for atraumatic shoulder pain conditions, as a case for the broader development of movement system diagnostic labels. Shifting our diagnostic paradigm has potential to enhance communication, improve educational efficiency, facilitate research, directly link to function, improve clinical care, and accelerate preventive interventions.
准确诊断是应用最佳可用治疗方法以及预测患者预后的第一步。目前，大多数肌肉骨骼疾病的诊断是根据病理解剖学进行分类的。然而，大多数物理治疗是针对运动系统损伤或疼痛进行的。尽管在物理治疗行业中提倡运动系统框架内的诊断分类已有三十多年，但该分类尚未得到统一发展或采用。我们提出了一个基本框架和理由，用于对非创伤性肩部疼痛疾病应用运动系统诊断分类，以此作为更广泛地开发运动系统诊断标签的一个案例。转变我们的诊断模式有可能加强沟通、提高教育效率、促进研究、直接关联功能、改善临床护理并加速预防干预措施。
