Masterclass: A pragmatic approach to pain sensitivity in people with musculoskeletal disorders and implications for clinical management for musculoskeletal clinicians

被引:14
作者
Beales, Darren [1 ,2 ]
Mitchell, Tim [1 ,2 ]
Moloney, Niamh [3 ,4 ]
Rabey, Martin [1 ,4 ]
Ng, Wendy [1 ]
Rebbeck, Trudy [5 ]
机构
[1] Curtin Univ, Sch Physiotherapy & Exercise Sci, GPO Box U1987, Perth, WA 6845, Australia
[2] Pain Options, 7 Hardy St, S Perth, WA 6151, Australia
[3] Macquarie Univ, Fac Med Hlth & Human Sci, 75 Talavera Rd, N Ryde, NSW 2113, Australia
[4] Thrive Physiotherapy, 66 Grande Rue, St Martin GY4 6LQ, Guernsey, England
[5] Univ Sydney, Fac Med & Hlth, Sydney Sch Hlth Sci, C43A Cumberland Campus, Sydney, NSW 2006, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
Musculoskeletal; Pain; Sensitivity; Clinical practice; LOW-BACK-PAIN; WHIPLASH ASSOCIATED DISORDERS; CENTRAL SENSITIZATION; NEUROPATHIC PAIN; DIFFERENTIATE SUBGROUPS; KNEE OSTEOARTHRITIS; INDUCED HYPOALGESIA; POSTOPERATIVE PAIN; SURGICAL OUTCOMES; NERVOUS-SYSTEM;
D O I
10.1016/j.msksp.2020.102221
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Introduction: Research on musculoskeletal disorders indicates that pain sensitivity can be an important consideration for musculoskeletal clinicians in the holistic view of a patient presentation. However, diversity in research findings in this field can make this a difficult concept for clinicians to navigate. Limited integration of the concept of pain sensitivity into clinical practice for musculoskeletal clinicians has been noted. Purpose: The purpose of this masterclass is to provide a framework for the consideration of pain sensitivity as a contributing factor in the presentation of people with musculoskeletal pain. It provides pragmatic synthesis of the literature related to pain sensitivity through a lens of how this information can inform clinical practice for musculoskeletal clinicians. Guidance is provided in a 'how to' format for integration of this knowledge into the clinical encounter to facilitate personalised care.
引用
收藏
页数:13
相关论文
共 97 条
[41]   The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature [J].
Louw, Adriaan ;
Zimney, Kory ;
Puentedura, Emilio J. ;
Diener, Ina .
PHYSIOTHERAPY THEORY AND PRACTICE, 2016, 32 (05) :332-355
[42]  
Maitland G., 1977, PAERIPHERAL MANIPULA, Vsecond
[43]   Early changes in somatosensory function in spinal pain: a systematic review and meta-analysis [J].
Marcuzzi, Anna ;
Dean, Catherine M. ;
Wrigley, Paul J. ;
Hush, Julia M. .
PAIN, 2015, 156 (02) :203-214
[44]   An investigation of the use of a numeric pain rating scale with ice application to the neck to determine cold hyperalgesia [J].
Maxwell, Samuel ;
Sterling, Michele .
MANUAL THERAPY, 2013, 18 (02) :172-174
[45]   The Development and Psychometric Validation of the Central Sensitization Inventory [J].
Mayer, Tom G. ;
Neblett, Randy ;
Cohen, Howard ;
Howard, Krista J. ;
Choi, Yun H. ;
Williams, Mark J. ;
Perez, Yoheli ;
Gatchel, Robert J. .
PAIN PRACTICE, 2012, 12 (04) :276-285
[46]   Recurrent low back pain patients demonstrate facilitated pronociceptive mechanisms when in pain, and impaired antinociceptive mechanisms with and without pain [J].
McPhee, Megan E. ;
Graven-Nielsen, Thomas .
PAIN, 2019, 160 (12) :2866-2876
[47]  
Mitchell T., 2017, Musculoskeletal Clinical Translation Framework: From Knowing to Doing
[48]  
Mitchell T., 2015, KNOWLEDGE USE CLIN F
[49]   Are measures of pain sensitivity associated with pain and disability at 12-month follow up in chronic neck pain? [J].
Moloney, Niamh ;
Beales, Darren ;
Azoory, Roxanne ;
Hubscher, Markus ;
Waller, Robert ;
Gibbons, Rebekah ;
Rebbeck, Trudy .
MUSCULOSKELETAL CARE, 2018, 16 (04) :415-424
[50]   Somatosensory assessment in chronic pain: progress and potential [J].
Moloney, Niamh ;
Wrigley, Paul ;
Hush, Julia .
PAIN MANAGEMENT, 2016, 6 (02) :125-128