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首页> 外文期刊>Physical Therapy >Embedding Psychosocial Perspectives Within Clinical Management of Low Back Pain: Integration of Psychosocially Informed Management Principles Into Physical Therapist Practice-Challenges and Opportunities
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Embedding Psychosocial Perspectives Within Clinical Management of Low Back Pain: Integration of Psychosocially Informed Management Principles Into Physical Therapist Practice-Challenges and Opportunities

机译:将心理社会观点嵌入下腰痛的临床管理中:将社会心理知情的管理原则整合到物理​​治疗师的实践中-挑战和机遇

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摘要

As the biopsychosocial model of health has become increasingly understood, it has become clear that there are complex, interdependent relationships between the physical and biomedical features of low back pain and the psychological and social factors that present concomitantly. Epidemiological studies have not only highlighted that psychological and social factors are associated with back pain and disability but also have shed light on the way in which these factors serve as prognostic indicators, or obstacles to recovery, predicting which patients will have a poor prognosis. Integrating the assessment of these obstacles to recovery into physical therapist practice and using this information to guide clinical decision making have the potential to improve the quality of care offered by physical therapists by improving the targeting of treatments to individuals and enhancing the therapist-patient relationship and adherence to management advice and treatment programs. In turn, such approaches may improve both patients' clinical outcomes and the efficiency and effectiveness of service provision, helping direct interventions to those who need them. This article summarizes the key challenges to embedding psychosocial perspectives within physical therapist practice for patients with low back pain and the opportunities that could be realized by doing so, and it highlights new developments in research, clinical practice, and education that are shaping future directions in this field. [PUBLICATION ABSTRACT]
机译:随着人们越来越了解健康的生物心理社会模型,很明显,下腰痛的物理和生物医学特征与随之而来的心理和社会因素之间存在复杂,相互依存的关系。流行病学研究不仅强调了心理和社会因素与背痛和残疾有关,而且还阐明了这些因素用作预后指标或康复障碍的方式,从而预测了哪些患者的预后不良。将对这些康复障碍的评估整合到物理​​治疗师的实践中,并使用该信息指导临床决策,可以通过改善针对个体的治疗方法并增强治疗师与患者的关系来提高物理治疗师提供的护理质量。遵守管理建议和治疗方案。反过来,这些方法可以改善患者的临床结局以及服务提供的效率和有效性,从而有助于将干预措施直接提供给有需要的人。本文总结了将心理社会观点纳入物理治疗师实践中以解决下腰痛患者的主要挑战,以及通过这样做可以实现的机遇,并重点介绍了正在形成未来医学发展方向的研究,临床实践和教育方面的新发展。这个领域。 [出版物摘要]

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  • 来源
    《Physical Therapy》 |2011年第5期|p.790-803|共14页
  • 作者单位

    N.E. Foster, DPhil, BSc(Hons), MCSP, PGCE, is Professor of Musculoskeletal Health in Primary Care, Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Keele ST5 5BG, United Kingdom. Address all correspondence to Professor Foster at: n.foster@ keele.ac.uk.A. Delitto, PT, PhD, FAPTA, is Professor and Chair, Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.;

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