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首页> 外文期刊>Journal of bodywork and movement therapies >The ghost in the machine – Is musculoskeletal medicine lacking soul?
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The ghost in the machine – Is musculoskeletal medicine lacking soul?

机译：机器中的幽灵 - 是缺乏灵魂的肌肉骨骼药吗？

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摘要

In recent times there have been, concurrently, increasing volumes of research questioning whether biomechanics have any relevance at all to musculoskeletal medicine; and a blossoming field of Pain Science identifying that perception of, and context for, pain is often more important than the tissues generating the pain in the first instance. From the academic world to social media, much excitement has been generated in supporting this new direction. However, most of the great work arising from the Pain Science arena is focused on pain itself and on the patients' conscious beliefs around their pain. A redirection of focus toward function beyond the pain, and awareness of howunconsciousbehavioral programming accounts for the majority of lifestyle habits and perceptions, may facilitate more effective outcomes. Other unconscious processes which are known to contribute to persistent pain, yet are still largely unacknowledged in musculoskeletal practice, are those involved in central sensitivity. A plethora of systemic and visceral conditions are known to contribute to central sensitivity yet are barely considered in typical clinical screening or management. The more that is understood about the complexity of these and other interacting factors in pain, the more the inadequacies of our prevailing research and clinical methodologies are exposed. The question posed is, are unconscious processes the next key field of exploration and “harvest” in musculoskeletal medicine and, if so, how can we most effectively address them?
机译：最近，同时，越来越多地增加了研究生物力学对肌肉骨骼药物的任何相关性;和凸起的疼痛科学领域，识别对疼痛和背景的看法，疼痛往往比在第一例中产生疼痛的组织更重要。从学术界到社交媒体，在支持这种新方向时已经产生了很多兴奋。然而，疼痛科学舞台所产生的大部分伟大的工作都集中在痛苦上，并以患者在痛苦周围的意识的信仰上。重点向超出痛苦的焦点，以及如何为大多数生活方式习惯和看法的如何痛苦的认识，可能有助于更有效的结果。已知有助于持续疼痛的其他无意识的方法仍然在很大程度上在肌肉骨骼实践中仍然持续判负，是参与中央敏感性的人。已知一种全身和内脏条件有助于中央敏感性，但在典型的临床筛查或管理中几乎没有考虑。越多了解疼痛中这些和其他相互作用因素的复杂性，我们普遍研究和临床方法的不足越野。提出的问题是，无意识地处理肌肉骨骼医学中的下一个关键领域和“收获”，如果是的话，我们如何最有效地解决它们？

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