A new paradigm for musculoskeletal pain care: moving beyond structural impairments. Conclusion of a chiropractic and manual therapies thematic series

Chiropractic & Manual Therapies

Commentary

Julie M. Fritz¹  Alice Kongsted² 

[1] Department of Physical Therapy & Athletic Training and Associate Dean for Research, College of Health, University of Utah, Salt Lake City, UT, USA;Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Senior Researcher, Chiropractic Knowledge Hub, Odense, Denmark;

关键词: Musculoskeletal pain;    Contextual factors;    Self-management;    Working alliance;   

DOI  :  10.1186/s12998-023-00484-2

 received in 2023-04-04, accepted in 2023-04-19,  发布年份 2023

来源: Springer

【 摘 要 】

This commentary closes the thematic series “A new paradigm for musculoskeletal pain care: moving beyond structural impairments”. The papers published in the series point to key aspects of shifting the paradigm of musculoskeletal care from clinician-led management often focused on addressing presumed structural anomalies to partnering with patients to find individual strategies that empower patients towards self-management. Several papers in the series highlighted the need for developing patient-centred models of care that respect individual patient’s needs and preferences. Also, the series pointed to different options for modes of delivery including mHealth and the challenges and opportunities they present for developing person-centred strategies. For health care to provide effective support for people with musculoskeletal pain conditions, there is a need to recognise that contextual factors, including a strong patient-provider alliance, clearly play an important, perhaps primary, role. Health care professions dealing with musculoskeletal pain conditions should engage in research to investigate effective ways to move this understanding into practice including how to train providers. We hope the work collected in this series will stimulate further questions and more research as musculoskeletal pain providers seek to make their care more person-centred.

【 授权许可】

CC BY   
© The Author(s) 2023