Reframing how we care for people with persistent non-traumatic musculoskeletal pain. Suggestions for the rehabilitation community.

Details

Serval ID
serval:BIB_08C6A219ED68
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Reframing how we care for people with persistent non-traumatic musculoskeletal pain. Suggestions for the rehabilitation community.
Journal
Physiotherapy
Author(s)
Lewis J.S., Stokes E.K., Gojanovic B., Gellatly P., Mbada C., Sharma S., Diener I., O'Sullivan P.
ISSN
1873-1465 (Electronic)
ISSN-L
0031-9406
Publication state
Published
Issued date
09/2021
Peer-reviewed
Oui
Volume
112
Pages
143-149
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
There have been repeated calls to re-evaluate how clinicians provide care for people presenting with persistent non-traumatic musculoskeletal conditions. One suggestion is to move away from the 'we can fix and cure you' model to adopting an approach that is more consistent with approaches used when managing other persistent non-communicable diseases; education, advice, a major focus on self-management including lifestyle behavioural change, physical activity and medications as required. Currently the global delivery of musculoskeletal care has many of the elements of a 'super wicked problem', namely conflict of interest from stake-holders due to the consequences of change, prevailing expectation of a structural diagnosis and concomitant fix for musculoskeletal pain, persistent funding of high risk, more expensive care when low risk more economic viable options that don't impact on the quality of outcome exist, and an unquestionable need to find a solution now with the failure resulting in a growing social and economic burden for future generations. To address these issues, 100 participants included clinicians, educators and researchers from low-, middle- and high-income countries, eight presenters representing the physiotherapy, sport medicine and the orthopaedic professions and the insurance industry, together with three people who shared their lived experiences of persistent musculoskeletal pain, discussed the benefits and barriers of implementing change to address this problem. This paper presents the results from the stakeholders' contextual analysis and forms the basis for the proposed next steps from an action and advocacy perspective.
Keywords
MSK, Pain, Physiotherapy, Reframing musculoskeletal care
Pubmed
Web of science
Create date
15/06/2021 15:45
Last modification date
23/01/2024 8:14
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