处理慢性肩膀疼痛决策的复杂性:个人表型的务实方法
Javier Guerra-Armas1,2, Mar Flores-Cortes2, Álvaro García-Altube3,4
1Experimental Health Psychology, Maastricht University, Maastricht, The Netherlands.
Disability and rehabilitation
|January 1, 2026
概括
本综述确定了了解慢性肩部疼痛 (CSP) 的关键领域,并提出了一种表型化方法. 整合这些领域有助于为复杂的CSP病例提供个性化,以人为中心的护理.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 疼痛管理 疼痛管理
- 临床决策的过程
背景情况:
- 慢性肩部疼痛 (CSP) 很普遍,但目前的生物医学模型不足以捕捉其复杂性.
- 个性化的CSP临床表现给临床医生带来了挑战.
- 为了有效的CSP管理,需要进行多维评估.
研究的目的:
- 确定重要的表型领域,以评估肩部疼痛的发作和持续性.
- 建议将个人表型纳入CSP的务实临床决策.
主要方法:
- 采用了一种系统的叙事混合文献审查方法.
- 在PubMed,Web of Science和EBSCO数据库中进行了搜索.
- 包括的研究集中在肩膀或慢性肌肉骨疼痛的表型领域.
主要成果:
- 从最初搜索的593,172个结果中,包括了9项报告表型域的研究.
- 为CSP开发了一种新的务实表型方法,涵盖了五个领域:疼痛,病理,残疾,心理和上下文因素.
- 提出了包括个体表型在内的七步临床决策过程.
结论:
- 提出的实用表型化方法为CSP中以人为中心的护理提供了一个框架.
- 这种方法旨在改善临床决策,以应对慢性肩部疼痛的复杂性.
- 整合个体表型是解决CSP多方面的关键.
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