Integrating physiotherapists, occupational therapists, and psychologists in the management of chronic and complex musculoskeletal pain in the municipality – a workshop study

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-04-24 DOI:10.1016/j.msksp.2025.103336

Nielsen RB , Johansen SK , Andreasen J , Palsson TS , Carlsen A , Rathleff MS

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引用次数: 0

Abstract

Background

Musculoskeletal (MSK) pain is a major societal burden, costing up to 2 % of the EU's gross national product. Complex cases often involve comorbidities, increasing treatment challenges. Integrating physiotherapy, occupational therapy, and psychological support in primary care may improve patient outcomes. Aalborg Municipality, Denmark, is exploring interdisciplinary care models to enhance treatment for chronic MSK pain.

Aim

This study investigates physiotherapists', occupational therapists', and psychologists' perspectives on i) current management of chronic and complex MSK pain, ii) elements of ideal care, and iii) strategies for implementation.

Method

Using an action research approach, we conducted two workshops with 30 healthcare professionals. WS1 employed a future workshop design to explore solutions, while WS2 used an adapted affinity diagram to define patient characteristics. Data were analyzed using thematic analysis.

Results

Three main themes emerged: 1) Navigating a State of Limbo: Challenges Faced by Patients with Chronic MSK Pain, including difficulties in navigating treatment, emotional distress, and social relationships; 2) Navigating Healthcare: Receiving and Providing in a Frustrating System, highlighting systemic frustrations and limitations in care coordination; and 3) Optimizing Patient Care Pathways: Strategies for Enhanced Engagement, Integration and Collaboration, emphasizing improved collaboration, patient engagement, and support for transitions in care.

Conclusion

Findings highlight the importance of a person-centered, interdisciplinary approach to managing chronic MSK pain. Key strategies include early interventions, patient empowerment, and enhanced communication among professionals. Implementing a biopsychosocial model within healthcare systems is essential for improving patient outcomes and addressing complex needs.

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整合物理治疗师，职业治疗师和心理学家在管理慢性和复杂的肌肉骨骼疼痛在直辖市-一个研讨会研究

肌肉骨骼（MSK）疼痛是一个主要的社会负担，其成本高达欧盟国民生产总值的2%。复杂的病例通常涉及合并症，增加了治疗挑战。在初级保健中整合物理治疗、职业治疗和心理支持可以改善患者的预后。丹麦奥尔堡市正在探索跨学科的护理模式，以加强慢性MSK疼痛的治疗。目的本研究调查了物理治疗师、职业治疗师和心理学家对慢性和复杂MSK疼痛的当前管理，理想护理的要素，以及实施策略的看法。方法采用行动研究方法，我们与30名医疗保健专业人员举办了两次讲习班。WS1采用未来工作坊设计来探索解决方案，而WS2使用自适应的亲和关系图来定义患者特征。数据采用专题分析进行分析。结果：1)导航Limbo状态：慢性MSK疼痛患者面临的挑战，包括导航治疗困难、情绪困扰和社会关系；2)导航医疗保健：在令人沮丧的系统中接受和提供，突出系统的挫折和护理协调的局限性；3)优化患者护理途径：增强参与、整合和协作的策略，强调改善协作、患者参与和对护理过渡的支持。结论：研究结果强调了以人为本、跨学科治疗慢性MSK疼痛的重要性。关键策略包括早期干预、患者赋权和加强专业人员之间的沟通。在医疗保健系统中实施生物心理社会模型对于改善患者预后和解决复杂需求至关重要。

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.