Early identification and intervention in the prevention of musculoskeletal pain

Abstract

It appears to be feasible to identify patients with high levels of risk and to subsequently lower the risk for work disability by administering a cognitive-behavioral intervention focusing on psychological aspects of the pain problem.

The Development and Testing of a Checklist to Study Behaviour Change Techniques used in a Treatment Programme for Canadian Armed Forces Members with Chronic Non-specific Low Back Pain

“…14 The treatment of CNSLBP has evolved from a biomedical to a primarily biopsychosocial model of care [15][16][17] that considers social and/or psychological factors. [18][19][20] In CNSLBP, psychological and emotional factors (e.g., past experiences, beliefs, ineffective coping strategies and attention, 21-23 fear of and anxiety about experiencing pain 24,25 ) have been linked to reduced activity and are barriers to successful rehabilitation. Although their practice is anchored in the biomedical model, physiotherapists have seen a shift and now also consider psychosocial factors in their interventions.…”

Does perceived work ability improve after a multidisciplinary preventive program in a population with no severe medical problems – the Finnish Public Sector Study

“…Instead, individually based primary preventive interventions have been found to have only a limited effect, for example, on musculoskeletal and cardiovascular diseases (7,8). However, it has been suggested that interventions implemented before the occurrence of severe symptoms of disease and impairment may be effective in preventing the development of persistent work disability (3,4). Such interventions may have at least the following two potential benefits: (i) a direct preventive effect on the deterioration of work ability and (ii) an indirect influence by releasing limited resources for more effective, but also more expensive, secondary prevention.…”

“…The role of psychological factors in the development of long-term work disability has been suggested as being even more important than the role of biomechanical or biomedical factors (3). Therefore, the content of the interventions in question usually follows the multidisciplinary biopsychosocial model, even though for workers with chronic back pain, adding cognitive behavioral therapy to work con ditioning programs did not show improvements in the effectiveness compared to single-professional physical programs (5).…”

“…Numerous preventive interventions, containing both medical and vocational methods to improve the work ability of workers, have been suggested for tackling this threat (2)(3)(4). These measures target either high-or low-risk populations.…”

Reflexões sobre bem-estar espiritual de mulheres portadoras de dor crônica

“…Há cada vez mais evidências para o papel do medo do movimento na transição da dor aguda para a crônica, sendo de importância crucial a detecção desta reação por meio de triagem para a correta intervenção precoce, pois para estes autores é um meio para impedir a cronificação (BUER; LINTON, 2002;LINTON, 2002 A dor e o medo relacionado com a deficiência já estão bem esclarecidos na literatura em pacientes que possuem dor lombar (BUER; LINTON, 2002;CROMBEZ et al, 1999;SEVEREIJNS et al, 2001;SIEBEN et al, 2002;VLAEYEN et al, 1995) e em outros grupos de diagnóstico (KEEFE et al, 1989(KEEFE et al, , 2000KARLSSON, 1998;LAMÉ et al, 2005 …”