Clinical Assessment of Chronic Musculoskeletal Pain—A Framework Proposal Based on a Narrative Review of the Literature

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dc.contributor.authorNogueira Carrer, Helen Cristina
dc.contributor.authorZanca, Gisele Garcia [UNESP]
dc.contributor.authorHaik, Melina Nevoeiro
dc.contributor.institutionUniversidade Federal de São Carlos (UFSCar)
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T13:35:55Z
dc.date.available2023-07-29T13:35:55Z
dc.date.issued2023-01-01
dc.description.abstractThe assessment of chronic musculoskeletal pain (CMP) is a challenge shared by several health professionals. Fragmented or incomplete assessment can cause deleterious consequences for the patient’s function. The objective of this paper was to propose a framework for clinical assessment of CMP based on the current literature and following the conceptual model of the International Classification of Functioning and Health (ICF). We propose that the ICF rationale may help to guide the processes, acting as a moderator of the clinical assessment, since it changes the perspective used to obtain and interpret findings during anamnesis and physical examination. Additionally, updated specific knowledge about pain, including that of pain domains and mechanisms, along with effective patient–clinician communication may act as a mediator of CMP assessment. We conduct the readers through the steps of the clinical assessment of CMP using both the proposed moderator and mediators and present a clinical example of application. We suggest that the proposed framework may help clinicians to implement a CMP assessment based on the biopsychosocial model using a critical and updated rationale, potentially improving assessment outcomes, i.e., clinical diagnosis.en
dc.description.affiliationDepartment of Physical Therapy Federal University of São Carlos (UFSCar)
dc.description.affiliationInterdisciplinary Center for Pain Care Federal University of São Carlos (UFSCar)
dc.description.affiliationDepartment of Physical Therapy and Occupational Therapy São Paulo State University (UNESP)
dc.description.affiliationUnespDepartment of Physical Therapy and Occupational Therapy São Paulo State University (UNESP)
dc.identifierhttp://dx.doi.org/10.3390/diagnostics13010062
dc.identifier.citationDiagnostics, v. 13, n. 1, 2023.
dc.identifier.doi10.3390/diagnostics13010062
dc.identifier.issn2075-4418
dc.identifier.scopus2-s2.0-85145825810
dc.identifier.urihttp://hdl.handle.net/11449/248152
dc.language.isoeng
dc.relation.ispartofDiagnostics
dc.sourceScopus
dc.subjectdisability
dc.subjecthealth
dc.subjectinternational classification of functioning
dc.subjectmusculoskeletal pain
dc.subjectpain assessment
dc.subjectpain management
dc.titleClinical Assessment of Chronic Musculoskeletal Pain—A Framework Proposal Based on a Narrative Review of the Literatureen
dc.typeResenha
unesp.author.orcid0000-0003-1841-5776[2]
unesp.author.orcid0000-0002-8703-8356[3]

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