Towards a biopsychosocial framework of osteoarthritis of the knee

被引：55

作者：

Hunt, Michael A. ^{[1
,2
,3
]}

Birmingham, Trevor B. ^{[1
,2
,3
]}

Skarakis-Doyle, Elizabeth ^{[1
,3
]}

Vandervoort, Anthony A. ^{[1
,2
,3
]}

机构：

[1] Univ Western Ontario, Wolf Orthopaed Biomech Lab, Ctr 3M, Fac Hlth Sci, London, ON N6A 3K7, Canada

[2] Univ Western Ontario, Sch Phys Therapy, London, ON N6A 3K7, Canada

[3] Univ Western Ontario, Doctoral Program Rehabil Sci, London, ON N6A 3K7, Canada

来源：

DISABILITY AND REHABILITATION | 2008年 / 30卷 / 01期

关键词：

Osteoarthritis; knee; ICF; biopsychosocial;

D O I：

10.1080/09638280701189960

中图分类号：

R49 [康复医学];

学科分类号：

100215 [康复医学与理疗学];

摘要：

Research into the causes of osteoarthritis (OA) of the knee has traditionally followed a biomedical approach whereby the disease development and progression is regarded as an internal physiological process. As a result, treatment has focused on symptom reduction with limited modification of psychosocial variables. In fact, psychosocial factors such as environment and employment play a substantial role in the disease process and are important determinants of the overall level of disability of affected individuals. Thus, by placing greater importance on the biomedical aspects of knee OA, a complete representation of the health condition cannot be achieved thereby limiting treatment effectiveness. The purpose of this clinical commentary is to provide a rationale for the implementation of a biopsychosocial model of knee OA that can aid in more effective research and treatment for the disorder.

引用

页码：54 / 61

页数：8

共 57 条

[1]

FACTORS ASSOCIATED WITH OSTEO-ARTHRITIS OF THE KNEE IN THE 1ST NATIONAL-HEALTH AND NUTRITION EXAMINATION SURVEY (HANES-I) - EVIDENCE FOR AN ASSOCIATION WITH OVERWEIGHT, RACE, AND PHYSICAL DEMANDS OF WORK [J].