Individuals with musculoskeletal problems have varied trajectories in terms of pain intensity and levels of activity limitation, ranging from few episodes with mild pain and no activity limitation to more frequent episodes, higher pain intensity and greater activity limitation, and even persistent severe pain and/or significant reduction in activities of daily living and participation in work and social activities.
At present, our ability to predict these trajectories is limited, but recent evidence points towards the benefits of better matching patient profiles and specific treatments. Thus, we need to get better at tailoring interventions.
Based on distinct patient profiles and trajectories, NIKKB will study how to best tailor treatment to the individual and optimise the amount, content and mode of delivery to optimise the benefits for patients.
The main focus will be on patients presenting to chiropractic clinics, but other primary and secondary sector care settings will be considered as patients sometimes seek help across professions and sectors.
- Identify individual profiles and trajectories of specific and non-specific musculoskeletal pain conditions in clinical and non-clinical populations
- Determine treatment needs of various groups of pain sufferers
- Identify predictors of different trajectories matched with treatment needs
- Describe current practice, existing care programs and clinical pathways
- Investigate the effect of established clinical care programs
- Design and test new targeted care programs.