| Titre : | Masterclass: A pragmatic approach to pain sensitivity in people with musculoskeletal disorders and implications for clinical management for musculoskeletal clinicians (2021) |
| Auteurs : | Darren Beales ; Tim Mitchell ; Niamh Moloney ; Martin Rabey ; Wendy Ng |
| Type de document : | Article |
| Dans : | Musculoskeletal Science and Practice (Vol. 51, February 2021) |
| Article en page(s) : | p. 1-13 |
| Note générale : | doi:10.1016/j.msksp.2020.102221 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Appareil locomoteur ; Douleur musculosquelettique ; Sensibilité |
| Résumé : |
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. Implications: The relationship of pain sensitivity with pain and disability is not clear or linear. The real importance of pain sensitivity in a clinical presentation may be: (1) the potential for pain sensitivity to modify the effect of common treatments utilised by musculoskeletal clinicians, or (2) the effect of pain sensitivity on the prognosis/course of a disorder. Screening tools and subjective features have been highlighted to indicate when physical assessment of pain sensitivity should be prioritised in the physical examination. A pragmatic blueprint for specific assessment related to pain sensitivity has been outlined. A framework for integrating assessment findings into clinical reasoning to formulate management plans for the pain sensitive patient is provided. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/abs/pii/S2468781220304239 |
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