Teoría de la complejidad en la atención del paciente con dolor musculoesquelético

Mauro Andreu, Pablo Policastro , Tatiana Díias, Yolanda Pardo, .

Palabras clave: análisis de sistemas, dolor musculoesquelético, modelos de fisioterapia, placebos, efecto nocebo

Resumen

Los sistemas no lineales no son susceptibles de ser investigados con métodos reduccionistas. En este sentido, la teoría de la complejidad ofrece un enfoque alternativo para cuantificar la importancia de los factores contextuales en el paciente con dolor musculoesquelético.
El resultado del uso positivo (placebo) o negativo (nocebo) de factores contextuales en el entorno terapéutico, podría ser responsable de gran parte de un componente inespecífico en la eficacia del tratamiento, afectando directamente la calidad de los resultados relacionados con la salud del paciente (por ejemplo, dolor, funcionalidad o satisfacción).
En los últimos años, se ha incrementado la comprensión del valor de estos efectos. A pesar del creciente interés, el conocimiento y el reconocimiento de los efectos terapéuticos, continúan siendo limitados y heterogéneos entre los fisioterapeutas, lo cual reduce su valor traslacional en el campo de la fisioterapia.
El propósito de este estudio es presentar el abordaje el paciente con dolor  musculoesquelético desde la perspectiva la teoría de la complejidad.

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  • Mauro Andreu Departamento de Salud, Universidad Nacional de La Matanza, San Justo, Buenos Aires, Argentina; Facultad de Ciencias de la Salud, Universidad de las Américas, Quito, Ecuador https://orcid.org/0000-0002-1880-3683
  • Pablo Policastro KINÉ- Kinesiología Deportiva y Funcional, Buenos Aires, Argentina; Unidad de Kinesiología, Hospital Durand, Buenos Aires, Argentina https://orcid.org/0000-0003-0434-2844
  • Tatiana Díias Departamento de Salud, Universidad Nacional de La Matanza, San Justo, Buenos Aires, Argentina https://orcid.org/0000-0002-5114-2573
  • Yolanda Pardo Consorcio de Investigación Biomédica en Red, Epidemiología y Salud Pública Barcelona, España; Grupo de Investigación en Servicios Sanitarios, Instituto Hospital del Mar de Investigaciones Médicas, Barcelona, España; Departamento de Psiquiatría y Medicina Legal, Universidad Autónoma de Barcelona, Barcelona, España https://orcid.org/0000-0003-4982-5495

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Cómo citar
1.
Andreu M, Policastro P, Díias T, Pardo Y. Teoría de la complejidad en la atención del paciente con dolor musculoesquelético. biomedica [Internet]. 1 de diciembre de 2022 [citado 1 de febrero de 2023];42(4):563-7. Disponible en: https://revistabiomedica.org/index.php/biomedica/article/view/6440
Publicado
2022-12-01
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