Models of Care for addressing chronic musculoskeletal pain and health in children and adolescents |
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| Institution: | 1. The Hospital for Sick Children, Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, Peter Gilgan Centre for Research and Learning, 686 Bay Street, Room 069715, Toronto, ON, M5G 0A4, Canada;2. Division of Developmental and Behavioral Sciences, The Children''s Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA;3. The George Institute, University of Sydney, PO Box M201 Missenden Rd, Camperdown, NSW 2050 Australia;4. Department of Pediatrics, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus N, Denmark;5. Children''s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada;6. Department of Pediatrics, Faculty of Medicine, University of Ottawa, 401 Smyth Road Ottawa, Ontario, K1H 8L1, Canada;2. Division of Pediatric Neurology, Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL;1. Division of Rheumatology, The Children''s Hospital of Philadelphia, Philadelphia, PA;2. Department of Physical Therapy, The Children''s Hospital of Philadelphia, Philadelphia, PA;3. Department of Occupational Therapy, The Children''s Hospital of Philadelphia, Philadelphia, PA;1. Pain and Headache Clinic, Aarhus University Hospital, Noerrebrogade 44, Building 1A, 8000 Aarhus C, Denmark;2. Rittig Fysio, Pain Clinic Hoejgaardsvej 9A, 8300 Odder, Denmark;3. The Multidisciplinary Pain Center, Copenhagen University Hospital, Rigshospitalet, Afsnit 7612, Blegdamsvej 9, 2100 Copenhagen, Denmark;4. Surgical Therapy Department, Regional Hospital Silkeborg, Falkevej 1-3, 8600 Silkeborg, Denmark;1. Institute of Primary Care and Health Sciences, Arthritis Research UK Primary Care Centre, Keele University, Keele, ST5 5BG, UK;2. School of Rehabilitation Therapy, Faculty of Health Sciences, Queen''s University, Louise D. Acton Building, 31 George St, Kingston, ON K7L 3N6, Canada;3. Division of Health Care and Outcomes, Krembil Research Institute, University of Toronto, MP11-322, 399 Bathurst Street, Toronto, ON M5T2S8, Canada;4. Health Economics, School of Population Health M431, The University of Western Australia, 35 Stirling Hwy, Crawley, WA 6009, Australia |
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| Abstract: | Chronic musculoskeletal pain among children and adolescents is common and can negatively affect quality of life. It also represents a high burden on the health system. Effective models of care for addressing the prevention and management of pediatric musculoskeletal pain are imperative. This chapter will address the following key questions:(1) Why are pediatric-specific models of pain care needed?(2) What is the burden of chronic musculoskeletal pain among children and adolescents?(3) What are the best practice approaches for early identification and prevention of chronic musculoskeletal pain in children and adolescents?(4) What are the recommended strategies for clinical management of chronic pain, including pharmacological, physical, psychological and complementary, and alternative approaches?(5) What are the most effective strategies for implementing models of pain care across different care settings?(6) What are the research priorities to improve models of care for children and adolescents with chronic musculoskeletal pain? |
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| Keywords: | Musculoskeletal pain Children Adolescents Models of care |
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