Scholarlink

<p>Pain during movement represents a&#xa0;frequent and clinically relevant symptom in children and adolescents, including those with rheumatic diseases. While acute movement-related pain is usually explainable by somatic pathology, pain during movement/stress might persist in a&#xa0;subset of patients despite controlled or absent inflammatory activity. In these cases, psychological and social factors make a&#xa0;substantial contribution to pain perception, movement behavior, and functional impairment. Chronic musculoskeletal pain can be distinguished into different facets, including inflammatory, mechanical, and centrally mediated pain. Fear-avoidance mechanisms, learning and memory processes, and parental communication and coping patterns significantly influence the perception of pain and movement in childhood. Clinically, chronic pain is often associated with pronounced functional impairment despite minimal or absent somatic findings. These mechanisms have direct implications for pediatric rheumatology practice, particularly with regard to history taking, physician–patient communication, and therapeutic goal setting. Movement represents a&#xa0;central medical and psychological treatment principle in which controllability, self-efficacy, and participation are prioritized over pain elimination. In chronic, ambulatory treatment-resistant courses with substantial impairment in daily functioning, intensive interdisciplinary inpatient pain treatment may be indicated.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Psychische und elterliche Einflüsse auf Schmerz während Bewegung

  • 期刊论文

  • 发表日期：

    2026年3月6日

查看全文
  • Lea Höfel,
  • Marianne Spamer,
  • Stefanie Dollinger,
  • Johannes-Peter Haas

摘要

Pain during movement represents a frequent and clinically relevant symptom in children and adolescents, including those with rheumatic diseases. While acute movement-related pain is usually explainable by somatic pathology, pain during movement/stress might persist in a subset of patients despite controlled or absent inflammatory activity. In these cases, psychological and social factors make a substantial contribution to pain perception, movement behavior, and functional impairment. Chronic musculoskeletal pain can be distinguished into different facets, including inflammatory, mechanical, and centrally mediated pain. Fear-avoidance mechanisms, learning and memory processes, and parental communication and coping patterns significantly influence the perception of pain and movement in childhood. Clinically, chronic pain is often associated with pronounced functional impairment despite minimal or absent somatic findings. These mechanisms have direct implications for pediatric rheumatology practice, particularly with regard to history taking, physician–patient communication, and therapeutic goal setting. Movement represents a central medical and psychological treatment principle in which controllability, self-efficacy, and participation are prioritized over pain elimination. In chronic, ambulatory treatment-resistant courses with substantial impairment in daily functioning, intensive interdisciplinary inpatient pain treatment may be indicated.