A public health approach to musculoskeletal health |
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| Affiliation: | 1. London and KSS School of Public Health, London, UK;2. Arthritis Research UK, London, UK;1. Lund University, Department of Clinical Sciences Malmö, Clinical and Molecular Osteoporosis Research Unit, Sweden;2. Skåne University Hospital, Department of Orthopedics, Malmö, Sweden;1. University of Queensland, School of Population Health, Brisbane, Australia;2. University of East Anglia, School of Rehabilitation Sciences, Norwich Research Park, Norwich NR4 7TJ, UK;3. Rheumatology Research Center, Tehran University of Medical Sciences, and Division of Rheumatology, Department of Internal Medicine, Shariati Hospital, Jalal Al-Ahmad Avenue, Tehran 14117, Iran;4. Independent Consultant, Australia;5. Pontificia Universidad Javeriana, Department of Industrial Engineering, School of Engineering, Bogota, Colombia;6. Secretariat of the Pacific Community, Public Health Division, New Caledonia;1. University of Sydney Institute of Bone and Joint Research, and Royal North Shore Hospital, St Leonards, NSW, Australia;2. University of Queensland, School of Population Health, Herston, QLD, Australia;3. Institut d''Investigacio Biomedica de Bellvitge, Hospital Universitari de Bellvitge, Departament de Reumatologia, L''Hospitalet de Llobregat, Barcelona, Spain;4. School of Public Health, University of Sydney, Sydney, NSW, Australia;5. Monash Department of Clinical Epidemiology, Cabrini Institute, Melbourne, VIC, Australia;6. Institute of Health Metrics and Evaluation, University of Washington, Seattle, WA, USA;7. Department of Rheumatology, Royal Cornwall Hospital, Truro, UK;1. New South Wales Agency for Clinical Innovation, Chatswood, NSW, Australia;2. School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia;3. Department of Physical Therapy, University of British Columbia, Arthritis Research Centre of Canada, Richmond, British Columbia, Canada;4. Health Strategy and Networks, Department of Health, Government of Western Australia, Perth, WA, Australia;5. Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore;6. Department for Musculoskeletal Rehabilitation, Prevention and Health Service Research, Charité Universitätsmedizin, Berlin, Germany;7. Department of Orthopedics and Traumatology, Medical Park Berlin Humboldtmühle, Berlin, Germany;8. Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, VIC, Australia;9. Discipline of General Practice, Sydney Medical Program, University of Sydney, Sydney, NSW, Australia;10. Arthritis and Osteoporosis Victoria, Melbourne, VIC, Australia |
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| Abstract: | An ageing, physically inactive and increasingly obese population, coupled with finite health and social care resources, requires a shift from treating musculoskeletal disease when it arises to a preventive approach promoting lifelong musculoskeletal health. A public health approach to musculoskeletal health ensures that people are able to live not only long, but also well. Supporting self-management, addressing common misconceptions about the inevitability of musculoskeletal conditions, and offering brief interventions to support necessary lifestyle changes are basic public health functions that all health professionals can deliver. More specialist public health skills including needs assessment, data interpretation and service planning are also needed to deliver high quality services. These will require improvements in the data collected about musculoskeletal health nationally. A public health approach would benefit individuals through reduced pain and improved function due to musculoskeletal conditions, and wider society by minimising lost economic productivity and lowering health and social care costs. |
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| Keywords: | Musculoskeletal pain Arthritis Public health Prevention Obesity Exercise |
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