Through the Lens of Movement-Evoked Pain: A Theoretical Framework of the "Pain-Movement Interface" to Guide Research and Clinical Care for Musculoskeletal Pain Conditions.

Autor:	Butera KA; Department of Physical Therapy, University of Delaware, Newark, Delaware., Chimenti RL; Department of Physical Therapy & Rehabilitation Science, University of Iowa, Iowa City, Iowa., Alsouhibani AM; Department of Physical Therapy, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi Arabia., Berardi G; Department of Physical Therapy & Rehabilitation Science, University of Iowa, Iowa City, Iowa., Booker SQ; Department of Biobehavioral Nursing Science, University of Florida, Gainesville, Florida., Knox PJ; Department of Physical Therapy, University of Delaware, Newark, Delaware., Post AA; Department of Physical Therapy & Rehabilitation Science, University of Iowa, Iowa City, Iowa., Merriwether EN; Department of Physical Therapy, NYU Steinhardt School of Culture, Education, and Human Development, Department of Medicine, NYU Grossman School of Medicine, New York University, New York, New York., Wilson AT; Division of Physical Therapy, School of Kinesiology & Rehabilitation Sciences, University of Central Florida, Orlando, Florida., Simon CB; Department of Orthopaedic Surgery, Duke University, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina.
Jazyk:	angličtina
Zdroj:	The journal of pain [J Pain] 2024 Jul; Vol. 25 (7), pp. 104486. Date of Electronic Publication: 2024 Feb 03.
DOI:	10.1016/j.jpain.2024.01.351
Abstrakt:	Over 120 million Americans report experiencing pain in the past 3 months. Among these individuals, 50 million report chronic pain and 17 million report pain that limits daily life or work activities on most days (ie, high-impact chronic pain). Musculoskeletal pain conditions in particular are a major contributor to global disability, health care costs, and poor quality of life. Movement-evoked pain (MEP) is an important and distinct component of the musculoskeletal pain experience and represents an emerging area of study in pain and rehabilitation fields. This focus article proposes the "Pain-Movement Interface" as a theoretical framework of MEP that highlights the interface between MEP, pain interference, and activity engagement. The goal of the framework is to expand knowledge about MEP by guiding scientific inquiry into MEP-specific pathways to disability, high-risk clinical phenotypes, and underlying individual influences that may serve as treatment targets. This framework reinforces the dynamic nature of MEP within the context of activity engagement, participation in life and social roles, and the broader pain experience. Recommendations for MEP evaluation, encompassing the spectrum from high standardization to high patient specificity, and MEP-targeted treatments are provided. Overall, the proposed framework and recommendations reflect the current state of science in this emerging area of study and are intended to support future efforts to optimize musculoskeletal pain management and enhance patient outcomes. PERSPECTIVE: Movement-evoked pain (MEP) is a distinct component of the musculoskeletal pain experience and emerging research area. This article introduces the "Pain-Movement Interface" as a theoretical framework of MEP, highlighting the interface between MEP, pain interference, and activity engagement. Evaluating and treating MEP could improve rehabilitation approaches and enhance patient outcomes. (Copyright © 2024 United States Association for the Study of Pain, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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