The Fit-for-Purpose Model: Conceptualizing and Managing Chronic Nonspecific Low Back Pain as an Information Problem.

Autor:	Wand BM; Faculty of Medicine, Nursing and Midwifery and Health Sciences, The University of Notre Dame Australia, Fremantle, Australia., Cashin AG; Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia.; School of Health Sciences, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia., McAuley JH; Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia.; School of Health Sciences, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia., Bagg MK; Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia.; Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia.; Perron Institute for Neurological and Translational Science, Perth, Australia., Orange GM; Faculty of Medicine, Nursing and Midwifery and Health Sciences, The University of Notre Dame Australia, Fremantle, Australia., Moseley GL; IIMPACT in Health, University of South Australia, Kaurna Country, Adelaide, Australia.
Jazyk:	angličtina
Zdroj:	Physical therapy [Phys Ther] 2023 Feb 01; Vol. 103 (2).
DOI:	10.1093/ptj/pzac151
Abstrakt:	Chronic nonspecific low back pain (LBP) is a complex and multifaceted problem. The following Perspective piece tries to help make sense of this complexity by describing a model for the development and maintenance of persistent LBP that integrates modifiable factors across the biopsychosocial spectrum. The Fit-for-Purpose model posits the view that chronic nonspecific LBP represents a state in which the person in pain holds strong and relatively intransient internal models of an immutably damaged, fragile, and unhealthy back, and information that supports these models is more available and trustworthy than information that counters them. This Perspective proposes a corresponding treatment framework for persistent pain that aims to shift internal models of a fragile, damaged, unhealthy, and unchangeable self toward the formulation of the back as healthy, strong, adaptable, and fit for purpose and to provide the system with precise and trustworthy evidence that supports this supposition while minimizing information that works against it. (© The Author(s) 2022. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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