Fullen Brona M, Wittink Harriet, De Groef An, Hoegh Morten, McVeigh Joseph G, Martin Denis, Smart Keith
UCD School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland.
Research Centre Healthy and Sustainable Living Utrecht University of Applied Sciences, The Netherlands.
Arch Rehabil Res Clin Transl. 2023 Feb 1;5(1):100258. doi: 10.1016/j.arrct.2023.100258. eCollection 2023 Mar.
Musculoskeletal (MSK) pain is 1 of the most common problems managed by clinicians in MSK care. This article reviews current frameworks for the assessment and management of MSK pain within evidence-based physical therapy practice. Key considerations related to the biopsychosocial model of pain, evidence-based practice, assessment, treatment, physical activity/movement behavior, risk stratification, communication as well as patient education and self-management skills within physical therapy and physical and rehabilitation medicine are addressed. The future direction of MSK pain management is also discussed, including strategies to promote evidence-based practice, behavior change, social prescribing, and the use of technologies.
肌肉骨骼(MSK)疼痛是临床医生在MSK护理中处理的最常见问题之一。本文回顾了循证物理治疗实践中MSK疼痛评估和管理的当前框架。阐述了与疼痛的生物心理社会模型、循证实践、评估、治疗、身体活动/运动行为、风险分层、沟通以及物理治疗和物理与康复医学中的患者教育和自我管理技能相关的关键考虑因素。还讨论了MSK疼痛管理的未来方向,包括促进循证实践、行为改变、社会处方和技术应用的策略。