Physiotherapy support for self-management of persisting musculoskeletal pain disorders

South African Journal of Physiotherapy

 
 
Field Value
 
Title Physiotherapy support for self-management of persisting musculoskeletal pain disorders
 
Creator Diener, Ina
 
Subject Physiotherapy; musculoskeletal care self-management; self-management support; musculoskeletal pain; psychosocial barriers; behaviour change; psychologically informed physiotherapy
Description Background: Musculoskeletal pain (MSKP) is an extremely common pain disorder in almost all populations. Self-management (SM) support is a programme to prepare people to self-manage their health condition effectively, while maintaining quality of life. SM is a cost-effective and context-specific strategy to address the global public health burden.Objectives: Self-management needs a change in behaviour from seeking unnecessary medical care to safely self-managing symptoms. As changing individuals’ behaviour is challenging, the objective of my literature review was to identify the characteristics, in both therapist and patient, to successfully engage in SM.Method: A narrative literature review, that could inform evidence-based support programmes for SM of MSKP.Results: Studies on successful implementation of SM of MSKP do not report strong outcomes. However, in more recent years a few positive outcomes were reported, possibly as a result of research evidence for the application of psychosocial skills and contemporary pain neuroscience in the management of persistent MSKP.Conclusion: Psychologically-informed physiotherapy, addressing psychosocial barriers to the maintenance of SM programmes, could facilitate more successful outcomes.Clinical implications: Before engaging in a SM support programme, obstacles to behaviour change must be identified and addressed in a SM support programme, to facilitate individuals towards taking safe responsibility for their healthcare. Therapists working with patients with persistent MSKP, should upskill themselves to be in line with the latest pain and psychosocial research literature. Moreover, communication skills training seems to be a priority for effective SM support programmes.
 
Publisher AOSIS
 
Contributor
Date 2021-10-29
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v77i1.1564
 
Source South African Journal of Physiotherapy; Vol 77, No 1 (2021); 7 pages 2410-8219 0379-6175
 
Language eng
 
Relation
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https://sajp.co.za/index.php/sajp/article/view/1564/2627 https://sajp.co.za/index.php/sajp/article/view/1564/2628 https://sajp.co.za/index.php/sajp/article/view/1564/2629 https://sajp.co.za/index.php/sajp/article/view/1564/2630
 
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Rights Copyright (c) 2021 Ina Diener https://creativecommons.org/licenses/by/4.0
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