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Recovery from acute injury: clinical, methodological and philosophical considerations.

机译:从急性损伤中恢复:临床,方法和哲学方面的考虑。

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BACKGROUND: The foundational basis for rehabilitation of musculoskeletal injury as a profession rests upon the ability of an organism to recover from a deviation in homeostasis, and the clinician's ability to influence that process. Much work has been done in an effort to describe and predict recovery from acute injury, in particular soft tissue injuries of the spine (whiplash and low back pain). Recent reviews have identified inconsistencies in the criteria for identifying recovery in this literature that hamper attempts at knowledge translation. PURPOSE: This article is intended to stimulate discussion around a new, standardised and acceptable set of criteria for discriminating between the injured individual who reaches a satisfying end to the experience of injury and the individual who does not reach that end. CONCLUSIONS: Self-discrepancy theory and self-determination theory are used to frame the discussion. It is hoped that the introduction of a new paradigm will lead to the development of more standardised, acceptable and useful outcomes, and will facilitate data synthesis from studies on prognosis and intervention for acute musculoskeletal injury.
机译:背景:作为专业康复肌肉骨骼损伤的基础,在于生物体从稳态中恢复的能力以及临床医生影响该过程的能力。为了描述和预测急性损伤,特别是脊柱的软组织损伤(鞭打和腰背痛)的恢复,已经做了很多工作。最近的评论已经发现在该文献中用于识别恢复的标准不一致,从而妨碍了知识翻译的尝试。目的:本文旨在促进围绕一套新的,标准化的和可接受的标准进行讨论,以区分达到令人满意的伤害体验的受伤个人和没有达到该体验的个人。结论:自差理论和自决理论被用于框架讨论。希望引入新的范式将导致更加标准化,可接受和有用的结果的发展,并将促进急性肌肉骨骼损伤的预后和干预研究的数据综合。

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