{"id":3523,"date":"2022-10-27T08:07:54","date_gmt":"2022-10-27T08:07:54","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/the-protectometer-it\/"},"modified":"2022-11-10T22:02:36","modified_gmt":"2022-11-10T22:02:36","slug":"the-protectometer-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/the-protectometer-it\/","title":{"rendered":"Il Protettometro"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>Editrice principale<\/b> &#8211; <a title=\"User:Bridget Ward\" href=\"\/User:Bridget_Ward\">Bridget Ward<\/a><\/p>\n<p><b>Contributori principali<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Bridget Ward\" href=\"\/User:Bridget_Ward\"><bdi>Bridget Ward<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Robin Tacchetti\" href=\"\/User:Robin_Tacchetti\"><bdi>Robin Tacchetti<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Admin\" href=\"\/User:Admin\"><bdi>Admin<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a> e <a class=\"mw-userlink\" title=\"User:Vidya Acharya\" href=\"\/User:Vidya_Acharya\"><bdi>Vidya Acharya<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#What_is_the_Protectometer.3F\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Che cos&#8217;\u00e8 il Protettometro?<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#DIMs_and_SIMs\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">DIM e SIM<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#How_does_this_Relate_to_Neurophysiology.3F\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Che connessione ha con la neurofisiologia?<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#What.E2.80.99s_the_Evidence.3F\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Quali sono le evidenze scientifiche?<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-5\"><a href=\"#References\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"What_is_the_Protectometer?\"><\/span><span id=\"What_is_the_Protectometer.3F\" class=\"mw-headline\">Che cos&#8217;\u00e8 il Protettometro?<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: What is the Protectometer?\" href=\"\/index.php?title=The_Protectometer&amp;veaction=edit&amp;section=1\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: What is the Protectometer?\" href=\"\/index.php?title=The_Protectometer&amp;action=edit&amp;section=1\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Lorimer Moseley e David Butler hanno creato un libro rivoluzionario per i pazienti, intitolato Explain Pain (EP), per aiutare le persone a comprendere e gestire le cause del loro dolore.<sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:1_2-0\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> Il concetto generale di questo libro \u00e8 che l&#8217;esperienza del dolore viene costruita nel cervello, \u00e8 individuale e pu\u00f2 essere cambiata.<sup id=\"cite_ref-:4_3-0\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup> Uno strumento specializzato evidenziato in Explain Pain \u00e8 il Protettometro, una scala interna immaginaria che bilancia i pericoli da un lato e le sicurezze dall&#8217;altro. Quando il corpo percepisce un pericolo, entra in una modalit\u00e0 protettiva che pu\u00f2 manifestarsi in molti modi diversi, come spasmi muscolari, dolore, stanchezza, ansia, etc.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<h2><span id=\"DIMs_and_SIMs\" class=\"mw-headline\">DIM e SIM<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: DIMs and SIMs\" href=\"\/index.php?title=The_Protectometer&amp;veaction=edit&amp;section=2\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: DIMs and SIMs\" href=\"\/index.php?title=The_Protectometer&amp;action=edit&amp;section=2\">modifica sorgente<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il Protettometro utilizza i concetti di DIM (&#8220;pericolo in me&#8221;) e SIM (&#8220;sicurezza in me&#8221;) per aiutare a capire perch\u00e9 proviamo dolore.<sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:1_2-1\" class=\"reference\"><a href=\"#cite_note-:1-2\">(2)<\/a><\/sup> I DIM sono cose che il cervello potrebbe considerare come un&#8217;evidenza credibile del &#8220;pericolo in me&#8221;. Potrebbero essere: cose che sentiamo, vediamo, tocchiamo, assaggiamo; cose che facciamo; cose che pensiamo e crediamo; posti in cui andiamo; persone che fanno parte della nostra vita; e cose che accadono nel nostro corpo.<sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> I SIM sono cose che il cervello potrebbe considerare come un&#8217;evidenza credibile di &#8220;sicurezza in me&#8221;. Potrebbero appartenere alle stesse categorie come quelle elencate sopra.<sup id=\"cite_ref-:0_1-3\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> Moseley e Butler propongono che &#8220;si prova dolore quando il cervello conclude che ci sono pi\u00f9 evidenze credibili di pericolo in me che di evidenze credibili di sicurezza in me&#8221;.<sup id=\"cite_ref-:0_1-4\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup> L&#8217;obiettivo generale dell&#8217;autogestione del dolore \u00e8 quello di diminuire efficacemente i DIM e di aumentare i SIM.<sup id=\"cite_ref-:4_3-1\" class=\"reference\"><a href=\"#cite_note-:4-3\">(3)<\/a><\/sup> Mosley e Butler descrivono il loro libro EP e il concetto di DIM e SIM nel video qui sotto:<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/VKBMcRRWdSI?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<h2><span id=\"How_does_this_Relate_to_Neurophysiology?\"><\/span><span id=\"How_does_this_Relate_to_Neurophysiology.3F\" class=\"mw-headline\">Che connessione ha con la neurofisiologia?<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: How does this Relate to Neurophysiology?\" href=\"\/index.php?title=The_Protectometer&amp;veaction=edit&amp;section=3\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: How does this Relate to Neurophysiology?\" href=\"\/index.php?title=The_Protectometer&amp;action=edit&amp;section=3\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Moseley e Butler ipotizzano che i DIM e i SIM siano rappresentati da &#8220;neurotags&#8221; nel cervello, ossia gruppi di reti neurali che evocano output dal cervello, compreso il dolore.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup> Si basa in qualche modo sulla teoria della neuromatrice di Melzack.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> Moseley e Butler propongono che questi neurotags possano essere modificati e cambiati, per cambiare la percezione del dolore, utilizzando l&#8217;approccio di EP.<sup id=\"cite_ref-:2_7-0\" class=\"reference\"><a href=\"#cite_note-:2-7\">(7)<\/a><\/sup><\/p>\n<h2><span id=\"What\u2019s_the_Evidence?\"><\/span><span id=\"What.E2.80.99s_the_Evidence.3F\" class=\"mw-headline\">Quali sono le evidenze scientifiche?<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: What\u2019s the Evidence?\" href=\"\/index.php?title=The_Protectometer&amp;veaction=edit&amp;section=4\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: What\u2019s the Evidence?\" href=\"\/index.php?title=The_Protectometer&amp;action=edit&amp;section=4\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>\u00c8 sempre pi\u00f9 evidente che l&#8217;approccio di EP, che comprende l&#8217;uso del Protettometro e i concetti di DIM e SIM, \u00e8 efficace nel ridurre il dolore e la disabilit\u00e0 percepita nelle persone affette da patologie muscoloscheletriche croniche.<sup id=\"cite_ref-:3_8-0\" class=\"reference\"><a href=\"#cite_note-:3-8\">(8)<\/a><\/sup><sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><sup id=\"cite_ref-10\" class=\"reference\"><a href=\"#cite_note-10\">(10)<\/a><\/sup> Sono in corso ricerche che esaminano l&#8217;approccio di EP quando viene utilizzato da solo e come parte di un approccio terapeutico multimodale.<\/p>\n<h2><span id=\"References\" class=\"mw-headline\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=The_Protectometer&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=The_Protectometer&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\n<ol class=\"references\">\n<li id=\"cite_note-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-3\">1.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-4\">1.4<\/a><\/sup><\/span> <span class=\"reference-text\">Moseley GL, Butler DS. Explain Pain Supercharged. Adelaide: Noigroup Publications, 2017 p. 15-18<\/span><\/li>\n<li id=\"cite_note-:1-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Moseley GL, Butler DS. The Explain Pain Handbook: Protectometer. Adelaide: Noigroup Publications 2015<\/span><\/li>\n<li id=\"cite_note-:4-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Hunter JP. T<a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5125472\/\" rel=\"nofollow\">he Explain Pain Handbook: Protectometer<\/a> by GL Moseley and DS Butler. Physiotherapy Canada. 2016;68(3):310.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Prowse T. General Management of Paediatric Pain Problems Course. Plus. 2022.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Moseley GL, Butler DS. Explain Pain Supercharged. Adelaide: Noigroup Publications. 2017 pp. 19 -25.<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Melzack R. Phantom limbs and the concept of the neuromatrix. Trends Neurosci 1990; 13: 88-92 cited in Moseley GL, Butler DS. Explain Pain Supercharged. Adelaide: Noigroup Publications. 2017 pp. 19.<\/span><\/li>\n<li id=\"cite_note-:2-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:2_7-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Moseley GL, Butler DS. Explain Pain Supercharged. Adelaide:Noigroup Publications. 2017<\/span><\/li>\n<li id=\"cite_note-:3-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-:3_8-0\">\u2191<\/a><\/span> <span class=\"reference-text\"><span class=\"reference-text\">Moseley LG, Butler DS. Fifteen years of Explaining Pain: The Past, Present and Future. J Pain 2015;<a class=\"external free\" href=\"http:\/\/doi.org\/10.1016\/j.jpain.2015.05.005\" rel=\"nofollow\">http:\/\/doi.org\/10.1016\/j.jpain.2015.05.005<\/a> (accessed 8 Mar 2018)<\/span><\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Louw A, Diener I, Butler DS, Puentedura EJ. The effect of neuroscience education on pain, disability, anxiety and stress in Chronic Musculoskeletal Pain. Arch Phys Med Rehabil. 92(12): 2041-2056. http:\/\/doi.org.10.1016\/j.apmr.2011.07.198 (accessed 9 Mar 2018)<\/span><\/li>\n<li id=\"cite_note-10\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-10\">\u2191<\/a><\/span> <span class=\"reference-text\">Butler DS, Moseley LG. Evidence base of Explain Pain Second Edition. Adelaide. Noigroup Publications. 2013. <a class=\"external free\" href=\"http:\/\/www.noigroup.com\" rel=\"nofollow\">http:\/\/www.noigroup.com<\/a> (accessed 8 March 2018)<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20221025132249 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.075 seconds Real time usage: 0.085 seconds Preprocessor visited node count: 161\/1000000 Post\u2010expand include size: 70\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 5811\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 18.823 1 Special:Contributors\/The_Protectometer 100.00% 18.823 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Editrice principale &#8211; Bridget Ward Contributori principali &#8211; Bridget Ward, Robin Tacchetti, Admin, Jess Bell, Kim Jackson e Vidya Acharya Contenuti 1 Che cos&#8217;\u00e8 il Protettometro? 2 DIM e SIM 3 Che connessione ha con la neurofisiologia? 4 Quali sono le evidenze scientifiche? 5 Citazioni Che cos&#8217;\u00e8 il Protettometro?( modifica | modifica fonte ) Lorimer [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3523","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/3523","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=3523"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/3523\/revisions"}],"predecessor-version":[{"id":3700,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/3523\/revisions\/3700"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=3523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}