An Integrated Approach to Musculoskeletal Performance, Disease, and Recovery.
An Integrated Approach to Musculoskeletal Performance, Disease, and Recovery.
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肌肉骨骼性能、疾病和恢复的综合方法。
DOI：
10.1093/ptj/pzab225
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发表时间：
2021
期刊：
影响因子：
3.2
通讯作者：
Ward,SamuelR
中科院分区：
文献类型：
--
作者：
Lawrence,RebekahL;Ludewig,PaulaM;Ward,SamuelR
优化康复结果，包括预防病理及其进展，依赖于对病情病因的全面了解。简而言之，物理治疗师无法最佳地预防或治疗他们不理解的事情。了解肌肉骨骼综合征和疾病的病因学具有挑战性，因为这些病症可能是由多种复杂因素之间的相互作用造成的，包括时间、潜在的生物学和生理学以及系统的任务要求。此外，健康的行为和社会决定因素可能发挥重要作用。寻求了解肌肉骨骼疾病病因的研究需要一个强大而全面的概念框架，明确识别关键变量、关系和结果测量。该框架的有效性最终决定了研究的实用性和临床影响，因此值得经常和仔细的审查。本观点将探讨指导肩袖病理学病因学研究的主要概念框架，并提出一个有助于指导未来研究的框架，以最佳地预防和治疗肩袖病理学。尽管这一观点在肩袖病理学的背景下探讨了所提出的框架，但它可以在肌肉骨骼康复和研究中推广和应用。
Optimizing rehabilitation outcomes, including preventing pathology and its progression, relies on a comprehensive knowledge of the condition’s etiology. Put simply, physical therapists cannot optimally prevent or treat what they do not understand. Understanding the etiology of musculoskeletal syndromes and diseases is challenging because these conditions likely result from the interaction between multiple complex factors, including time, underlying biology and physiology, and task demands on the system. Furthermore, behavioral and social determinants of health likely play important roles. Research seeking to understand the etiology of a musculoskeletal condition requires a robust and comprehensive conceptual framework that explicitly identifies key variables, relationships, and outcome measures. The validity of this framework ultimately determines the utility and clinical impact of the research and therefore deserves frequent and careful scrutiny. This Point of View will explore the predominant conceptual framework that has guided research into the etiology of rotator cuff pathology and propose a framework that can help guide future research in an effort to optimally prevent and treat rotator cuff pathology. Although this Point of View explores the proposed framework within the context of rotator cuff pathology, it can be generalized and applied across musculoskeletal rehabilitation and research.