{"id":4190,"date":"2022-12-07T23:20:15","date_gmt":"2022-12-07T23:20:15","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/psychosocial-considerations-in-patellofemoral-pain-it\/"},"modified":"2022-12-15T14:29:50","modified_gmt":"2022-12-15T14:29:50","slug":"psychosocial-considerations-in-patellofemoral-pain-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/psychosocial-considerations-in-patellofemoral-pain-it\/","title":{"rendered":"Considerazioni psicosociali nel dolore femoro-rotuleo"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>Redattrice principale<\/b> &#8211; <a href=\"\/User:Carin_Hunter\" title=\"User:Carin Hunter\">Carin Hunter<\/a> sulla base del corso di <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/claire-robertson\/\/\">Claire Robertson<\/a><br \/>\n<b>Collaboratori principali<\/b> : <a href=\"\/User:Carin_Hunter\" class=\"mw-userlink\" title=\"User:Carin Hunter\"><bdi>Carin Hunter<\/bdi><\/a> , <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> e <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#The_Pain_and_Movement_Reasoning_Model\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Il modello di ragionamento sul dolore e il movimento<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Psychosocial_Factors_and_Patellofemoral_Pain\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Fattori psicosociali e dolore femoro-rotuleo<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Depression_and_Anxiety\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Depressione e ansia<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Loss.2C_Confusion_and_Fear-Avoidance_Associated_with_Patellofemoral_Pain\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Perdita, confusione ed evitamento causato dalla paura associati al dolore femoro-rotuleo<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Psychologically-Informed_Treatments\"><span class=\"tocnumber\">2.3<\/span> <span class=\"toctext\">Trattamenti di tipo psicologico<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Sleep\"><span class=\"tocnumber\">2.4<\/span> <span class=\"toctext\">Sonno<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Mindfulness\"><span class=\"tocnumber\">2.5<\/span> <span class=\"toctext\">Mindfulness<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#Tampa_Scale_of_Kinesiophobia\"><span class=\"tocnumber\">2.5.1<\/span> <span class=\"toctext\">Scala di Tampa per la kinesiofobia<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Addressing_Psychosocial_Factors\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Affrontare i fattori psicosociali<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Psychosocial_Factors\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Fattori psicosociali<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Questions_to_ask\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Domande da porre<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#References\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"The_Pain_and_Movement_Reasoning_Model\">Il modello di ragionamento sul dolore e il movimento<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: The Pain and Movement Reasoning Model\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=1\" title=\"Edit section: The Pain and Movement Reasoning Model\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Pain_%26_Movement_Reasoning_Model.png\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c4\/Pain_%26_Movement_Reasoning_Model.png\/400px-Pain_%26_Movement_Reasoning_Model.png\" decoding=\"async\" width=\"400\" height=\"310\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c4\/Pain_%26_Movement_Reasoning_Model.png\/600px-Pain_%26_Movement_Reasoning_Model.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c4\/Pain_%26_Movement_Reasoning_Model.png\/800px-Pain_%26_Movement_Reasoning_Model.png 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Pain_%26_Movement_Reasoning_Model.png\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Figura 1. Modello di ragionamento sul dolore e il movimento.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Il Pain and Movement Reasoning Model (modello di ragionamento sul dolore e il movimento) \u00e8 stato progettato per migliorare il ragionamento clinico.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> Il suo scopo \u00e8 quello di &#8220;catturare la complessit\u00e0 dell&#8217;esperienza umana del dolore integrando queste molteplici dimensioni in un processo decisionale&#8221;.<sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Come illustrato nella Figura 1, questo modello comprende tre categorie.<\/p>\n<ol>\n<li><b>Stimolazione locale<\/b><sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><sup id=\"cite_ref-:1_3-0\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup>\n<ol>\n<li>Stimolazione biomeccanica<\/li>\n<li>Stimolazione chimica<\/li>\n<\/ol>\n<\/li>\n<li><b>Influenze regionali<\/b><sup id=\"cite_ref-:0_2-2\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><sup id=\"cite_ref-:1_3-1\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup>\n<ol>\n<li>Catena cinetica<\/li>\n<li>Pato-neuro-dinamica<\/li>\n<li>Convergenza<\/li>\n<\/ol>\n<\/li>\n<li><b>Modulazione del sistema nervoso centrale<\/b><sup id=\"cite_ref-:0_2-3\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><sup id=\"cite_ref-:1_3-2\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup>\n<ol>\n<li>Input afferente prolungato<\/li>\n<li>Fattori predisponenti<\/li>\n<li>Stato cognitivo &#8211; emotivo &#8211; sociale<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p>I professionisti clinici utilizzano il modello per identificare la categoria pi\u00f9 importante per ogni paziente. Una volta identificata, pu\u00f2 aiutare a indirizzare il trattamento. Il modello consente inoltre ai clinici di identificare quando ci sono cambiamenti nella presentazione e, quindi, se \u00e8 necessario adottare un nuovo o diverso approccio terapeutico.<sup id=\"cite_ref-:0_2-4\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<p>Sebbene il modello di ragionamento sul dolore e il movimento non sia stato concepito per il dolore femoro-rotuleo, la teoria pu\u00f2 essere applicata efficacemente ai pazienti con questa patologia.<sup id=\"cite_ref-:6_4-0\" class=\"reference\"><a href=\"#cite_note-:6-4\">(4)<\/a><\/sup> La <b>stimolazione locale<\/b> nel dolore femoro-rotuleo \u00e8 costituita da fattori quali edema osseo, gonfiore del cuscinetto adiposo, versamento, alterazioni ischemiche del retinacolo, ematoma osseo o qualsiasi altro fattore locale al ginocchio. Le <b>influenze regionali<\/b> includono eccessiva pronazione del piede, collo del femore anteposto o scarso controllo dell&#8217;abduzione d&#8217;anca. Tuttavia, non ci sono molte ricerche disponibili che dimostrino il ruolo svolto dal sistema nervoso centrale.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\" style=\"\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/YuQALRxhVVo?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"true\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<h2><span class=\"mw-headline\" id=\"Psychosocial_Factors_and_Patellofemoral_Pain\">Fattori psicosociali e dolore femoro-rotuleo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Psychosocial Factors and Patellofemoral Pain\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=2\" title=\"Edit section: Psychosocial Factors and Patellofemoral Pain\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>C&#8217;\u00e8 una carenza generale nella ricerca sull&#8217;impatto dei fattori psicosociali sul dolore femoro-rotuleo, ma non dovrebbero essere ignorati.<sup id=\"cite_ref-:6_4-1\" class=\"reference\"><a href=\"#cite_note-:6-4\">(4)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Depression_and_Anxiety\">Depressione e ansia<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Depression and Anxiety\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=3\" title=\"Edit section: Depression and Anxiety\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La ricerca di Wride e Bannigan<sup id=\"cite_ref-:2_6-0\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup> evidenzia importanti correlazioni tra ansia e depressione e dolore femoro-rotuleo:<\/p>\n<ol>\n<li>La prevalenza di ansia e\/o depressione \u00e8 pi\u00f9 alta nella popolazione con problematiche femoro-rotulee rispetto alla popolazione generale<sup id=\"cite_ref-:2_6-1\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/li>\n<li>La prevalenza di ansia e\/o depressione \u00e8 pi\u00f9 alta nelle giovani donne<sup id=\"cite_ref-:2_6-2\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/li>\n<li>I soggetti con punteggi di ansia elevati sono con pi\u00f9 probabilit\u00e0 donne<sup id=\"cite_ref-:2_6-3\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><\/li>\n<li>Il tasso di dolore femoro-rotuleo \u00e8 pi\u00f9 alto nelle donne<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<\/ol>\n<h3><span id=\"Loss,_Confusion_and_Fear-Avoidance_Associated_with_Patellofemoral_Pain\"><\/span><span class=\"mw-headline\" id=\"Loss.2C_Confusion_and_Fear-Avoidance_Associated_with_Patellofemoral_Pain\">Perdita, confusione ed evitamento causato dalla paura associati al dolore femoro-rotuleo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Loss, Confusion and Fear-Avoidance Associated with Patellofemoral Pain\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=4\" title=\"Edit section: Loss, Confusion and Fear-Avoidance Associated with Patellofemoral Pain\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Smith et al.<sup id=\"cite_ref-:7_8-0\" class=\"reference\"><a href=\"#cite_note-:7-8\">(8)<\/a><\/sup> hanno condotto uno studio qualitativo sull&#8217;esperienza di convivenza con il dolore femoro-rotuleo e con il senso di perdita, confusione ed evitamento causato dalla paura che ne deriva. L&#8217;articolo completo \u00e8 disponibile qui: <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bmjopen.bmj.com\/content\/bmjopen\/8\/1\/e018624.full.pdf\">L&#8217;esperienza di convivenza con il dolore femoro-rotuleo, la perdita, la confusione e l&#8217;evitamento causato dalla paura: uno studio qualitativo del Regno Unito<\/a>.<\/p>\n<p>Molti pazienti con dolore femoro-rotuleo hanno riferito di aver viissuto una <b>perdita<\/b> di identit\u00e0 e una diminuzione delle interazioni sociali. Ad esempio, se un individuo ha un dolore femoro-rotuleo che lo limita nella partecipazione allo sport di sua scelta, dobbiamo ricordare che non si tratta solo dell&#8217;attivit\u00e0 o dello sport a cui improvvisamente non pu\u00f2 partecipare. Potrebbe anche perdere il senso di benessere e l&#8217;interazione sociale normalmente offerti dallo sport.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Pain_Experience_-_COR-Kinetic_Image.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c8\/Pain_Experience_-_COR-Kinetic_Image.jpg\/300px-Pain_Experience_-_COR-Kinetic_Image.jpg\" decoding=\"async\" width=\"300\" height=\"263\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c8\/Pain_Experience_-_COR-Kinetic_Image.jpg\/450px-Pain_Experience_-_COR-Kinetic_Image.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c8\/Pain_Experience_-_COR-Kinetic_Image.jpg\/600px-Pain_Experience_-_COR-Kinetic_Image.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Pain_Experience_-_COR-Kinetic_Image.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Figura 2. Esperienza di dolore.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>Pertanto, il dolore femoro-rotuleo pu\u00f2 avere effetti ad ampio raggio e le convinzioni di un individuo sul proprio dolore al ginocchio possono indurlo ad apportare significativi adattamenti nel suo stile di vita.<sup id=\"cite_ref-:6_4-2\" class=\"reference\"><a href=\"#cite_note-:6-4\">(4)<\/a><\/sup> Per esempio, alcuni individui hanno riferito di aver sentito di dover cambiare le proprie aspirazioni di carriera <sup id=\"cite_ref-:7_8-1\" class=\"reference\"><a href=\"#cite_note-:7-8\">(8)<\/a><\/sup> o le proprie scelte abitative.<sup id=\"cite_ref-:6_4-3\" class=\"reference\"><a href=\"#cite_note-:6-4\">(4)<\/a><\/sup><\/p>\n<p>I pazienti possono lottare con la propria comprensione delle cause del proprio dolore al ginocchio, soprattutto quando l&#8217;esordio \u00e8 insidioso. A differenza di un infortunio traumatico, il dolore al ginocchio a insorgenza insidiosa non \u00e8 caratterizzato da un evento specifico a cui si pu\u00f2 attribuire il dolore. Questo pu\u00f2 portare a <b>confusione<\/b>, <b>incertezza<\/b> e all&#8217;errata convinzione che l&#8217;esercizio o l&#8217;attivit\u00e0 peggiori il dolore.<sup id=\"cite_ref-:7_8-2\" class=\"reference\"><a href=\"#cite_note-:7-8\">(8)<\/a><\/sup> Quando il fisioterapista poi prescrive un trattamento basato sull&#8217;esercizio, il paziente potrebbe essere esitante e\/o non conforme a causa della propria convinzione secondo la quale l&#8217;esercizio in realt\u00e0 sia stato la causa del dolore. Pertanto, il paziente dovrebbe essere istruito sugli effetti del carico, del volume ripetitivo, del riscaldamento, del raffreddamento, delle calzature e di molti altri aspetti fondamentali per la comprensione dell&#8217;esercizio.<sup id=\"cite_ref-:6_4-4\" class=\"reference\"><a href=\"#cite_note-:6-4\">(4)<\/a><\/sup><\/p>\n<p>Quando i partecipanti dello studio hanno discusso i trattamenti o le <b>strategie di coping<\/b>, molti si sono concentrati sull&#8217;idea del riposo e degli aggiustamenti posturali, come evitare la flessione da seduti. I pazienti, inoltre, hanno ritenuto che i trattamenti passivi, come gli antidolorifici e i supporti per le ginocchia, siano utili.<sup id=\"cite_ref-:7_8-3\" class=\"reference\"><a href=\"#cite_note-:7-8\">(8)<\/a><\/sup> Sebbene questi possano temporaneamente aiutare con il dolore, non saranno benefici per il paziente a lungo termine.<sup id=\"cite_ref-:6_4-5\" class=\"reference\"><a href=\"#cite_note-:6-4\">(4)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Psychologically-Informed_Treatments\">Trattamenti di tipo psicologico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Psychologically-Informed Treatments\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=5\" title=\"Edit section: Psychologically-Informed Treatments\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Uno studio di Selhorst et al.<sup id=\"cite_ref-:4_9-0\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup> offre un&#8217;idea di come i trattamenti di tipo psicologico possano essere utili per gli adolescenti con dolore femoro-rotuleo. Al gruppo di studio \u00e8 stato mostrato un video educativo incentrato sulla paura correlata al dolore e sulla catastrofizzazione del dolore. Rispetto al gruppo di controllo, il gruppo di studio ha mostrato una riduzione nei punteggi di <a href=\"\/Kinesiophobia\" title=\"Cinesiofobia\">kinesiofobia<\/a>, catastrofizzazione e dolore, immediatamente e a distanza di due settimane. Ci\u00f2 evidenzia l&#8217;importanza dell&#8217;educazione nel dolore femoro-rotuleo.<\/p>\n<h3><span class=\"mw-headline\" id=\"Sleep\">Sonno<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Sleep\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=6\" title=\"Edit section: Sleep\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Nei pazienti con dolore femoro-rotuleo \u00e8 importante considerare anche le loro abitudini di <a href=\"\/Sleep_Deprivation_and_Sleep_Disorders\" title=\"Sleep Deprivation and Sleep Disorders\">sonno<\/a>, compresa la quantit\u00e0\/durata del sonno cos\u00ec come la sua qualit\u00e0. Quando facciamo una valutazione, dovremmo considerare di porre domande come: &#8220;Quante volte ti svegli durante la notte? Quanto tempo impieghi per addormentarti?&#8221;<sup id=\"cite_ref-:6_4-6\" class=\"reference\"><a href=\"#cite_note-:6-4\">(4)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Mindfulness\">Mindfulness<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Mindfulness\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=7\" title=\"Edit section: Mindfulness\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Una ricerca condotta da Bagheri et al.<sup id=\"cite_ref-:3_10-0\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> ha dimostrato che quando la <a href=\"\/An_Introduction_to_Mindfulness\" title=\"An Introduction to Mindfulness\">mindfulness<\/a> \u00e8 stata associata a dei trattamenti fisici, si \u00e8 registrato un maggior miglioramento nella riduzione del dolore, nella catastrofizzazione e nella kinesiofobia nelle corridrici con dolore femoro-rotuleo. La mindfulness mira ad aumentare la consapevolezza di pensieri, sensazioni ed emozioni, con un atteggiamento di accettazione, curiosit\u00e0 e apertura.<sup id=\"cite_ref-:3_10-1\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> L&#8217;obiettivo della mindfulness \u00e8 quello di ridurre lo stress, assumere il controllo della situazione e non esserne eccessivamente allarmati.<\/p>\n<p>I terapisti della riabilitazione spesso si concentrano sulla riduzione del dolore. Tuttavia, se un paziente viene dimesso dal trattamento con convinzioni errate sul proprio dolore al ginocchio, potrebbe continuare a mettere in atto comportamenti di evitamento causato dalla paura e provare ansia durante la pratica sportiva.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> Pertanto, \u00e8 importante affrontare sia i fattori psicosociali che quelli fisici.<\/p>\n<h4><span class=\"mw-headline\" id=\"Tampa_Scale_of_Kinesiophobia\">Scala di Tampa per la kinesiofobia<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Tampa Scale of Kinesiophobia\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=8\" title=\"Edit section: Tampa Scale of Kinesiophobia\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La scala di Tampa per la kinesiofobia (Tampa Scale of Kinesiophobia &#8211; TSK) pu\u00f2 essere una misura utile per il dolore femoro-rotuleo.<sup id=\"cite_ref-:6_4-7\" class=\"reference\"><a href=\"#cite_note-:6-4\">(4)<\/a><\/sup> La TSK \u00e8 stata sviluppata per la prima volta nel 1990 da R. Miller, S. Kopri e D. Todd. Si tratta di un questionario autoriferito costituito da 17 elementi che valuta la paura del movimento, la paura dell&#8217;attivit\u00e0 fisica e l&#8217;evitamento causato dalla paura. Inizialmente \u00e8 stato sviluppato per distinguere tra &#8220;paura non eccessiva e fobia&#8221;<sup id=\"cite_ref-:8_12-0\" class=\"reference\"><a href=\"#cite_note-:8-12\">(12)<\/a><\/sup> in pazienti con dolore muscolo-scheletrico cronico, in particolare con lombalgia cronica. Oggi \u00e8 ampiamente utilizzato per diverse parti del corpo.<sup id=\"cite_ref-:8_12-1\" class=\"reference\"><a href=\"#cite_note-:8-12\">(12)<\/a><\/sup><\/p>\n<p><b>Collegamenti:<\/b><\/p>\n<ul>\n<li><a href=\"\/Tampa_Scale_of_Kinesiophobia\" title=\"Tampa Scale of Kinesiophobia\">Tampa Scale of Kinesiophobia<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/novopsych.com.au\/wp-content\/uploads\/2020\/05\/tsk_assessment.pdf\">Tampa Scale of Kinesiophobia (TSK) pdf<\/a><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.mdapp.co\/tampa-scale-for-kinesiophobia-tsk-calculator-465\/#:~:text=all%2017%20items.-,TSK%20scores%20range%20from%2017%20to%2068%2C%20where%20scores%20of,below%20this%20value%20considered%20low.\">MDApp, Tampa Scale of Kinesiophobia<\/a><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Addressing_Psychosocial_Factors\">Affrontare i fattori psicosociali<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Addressing Psychosocial Factors\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=9\" title=\"Edit section: Addressing Psychosocial Factors\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h5><span class=\"mw-headline\" id=\"Psychosocial_Factors\">Fattori psicosociali<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Psychosocial Factors\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=10\" title=\"Edit section: Psychosocial Factors\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ul>\n<li>Sintomi depressivi<sup id=\"cite_ref-:5_13-0\" class=\"reference\"><a href=\"#cite_note-:5-13\">(13)<\/a><\/sup><\/li>\n<li>Livelli pi\u00f9 elevati di ansia<sup id=\"cite_ref-:5_13-1\" class=\"reference\"><a href=\"#cite_note-:5-13\">(13)<\/a><\/sup><\/li>\n<li>Evitamento causato dalla paura<\/li>\n<li>Cambiamenti nello stile di vita<\/li>\n<li>Kinesiofobia<sup id=\"cite_ref-:4_9-1\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><sup id=\"cite_ref-:3_10-2\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<li>Catastrofizzazione<sup id=\"cite_ref-:4_9-2\" class=\"reference\"><a href=\"#cite_note-:4-9\">(9)<\/a><\/sup><sup id=\"cite_ref-:3_10-3\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<h5><span class=\"mw-headline\" id=\"Questions_to_ask\">Domande da porre<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Questions to ask\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=11\" title=\"Edit section: Questions to ask\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<table class=\"wikitable\">\n<tbody>\n<tr>\n<td><b>Domanda<\/b><\/td>\n<td><b>Motivo<\/b><\/td>\n<td><b>Implicazioni per il trattamento<\/b><\/td>\n<\/tr>\n<tr>\n<td>Durata dei sintomi?<\/td>\n<td>Pi\u00f9 lunga \u00e8 la durata, pi\u00f9 \u00e8 probabile che si verifichino <a href=\"\/Central_Sensitisation\" title=\"Central Sensitisation\">cambiamenti nel dolore a livello centrale<\/a><\/td>\n<td>Valutare i cambiamenti a livello centrale<\/td>\n<\/tr>\n<tr>\n<td>Cambiamenti nella qualit\u00e0 del sonno?<\/td>\n<td>La produzione di serotonina (antidolorifico naturale) viene soppressa in caso di sonno inadeguato<\/td>\n<td>Raccomandare di ristabilire una routine;<\/p>\n<p>Esercizio non doloroso;<\/p>\n<p>Ridurre l&#8217;ansia attraverso l&#8217;educazione<\/td>\n<\/tr>\n<tr>\n<td>Cambiamenti nel profilo dell&#8217;esercizio?<\/td>\n<td>Pu\u00f2 influenzare il sonno, l&#8217;umore, l&#8217;autostima, le interazioni sociali e il condizionamento<\/td>\n<td>Inizialmente considerare programmi di esercizio per le parti del corpo non dolorose;<\/p>\n<p>Educazione per ridurre al minimo l&#8217;evitamento causato dalla paura<\/td>\n<\/tr>\n<tr>\n<td>Riescono a tollerare il senso degli indumenti sulle ginocchia, ad esempio i jeans attillati o i collant?<\/td>\n<td>Alcuni pazienti non sopportano la sensazione del tessuto sul ginocchio; questo \u00e8 altamente suggestivo di un dolore non meccanico<\/td>\n<td>Esposizione graduale;<\/p>\n<p>Potrebbero aver bisogno di una gestione medica per la desensibilizzazione<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span class=\"mw-headline\" id=\"References\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Psychosocial_Considerations_in_Patellofemoral_Pain&amp;action=edit&amp;section=12\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Jones LE, Heng H, Heywood S, Kent S, Amir LH. The suitability and utility of the pain and movement reasoning model for physiotherapy: A qualitative study. Physiother Theory Pract. 2021:1-14.  <\/span><\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-2\">2.2<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-3\">2.3<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-4\">2.4<\/a><\/sup><\/span> <span class=\"reference-text\">Jones LE, O&#8217;Shaughnessy DF. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1356689X14000113\">The pain and movement reasoning model: introduction to a simple tool for integrated pain assessment.<\/a> Manual therapy. 2014 Jun 1;19(3):270-6.<\/span><\/li>\n<li id=\"cite_note-:1-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_3-1\">3.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_3-2\">3.2<\/a><\/sup><\/span> <span class=\"reference-text\">O\u2019Shaughnessy D, Jones LE. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/books.google.co.uk\/books?hl=en&amp;lr=&amp;id=dcQIEAAAQBAJ&amp;oi=fnd&amp;pg=PA107&amp;dq=D+O%27Shaughnessy,+LE+Jones+-+Journal:+A+Comprehensive+Guide+to+Sports+Physiology+%E2%80%A6,+2020&amp;ots=PjH08eowVX&amp;sig=Futesk30qJXJbB4RL9fmAS4PcMs&amp;redir_esc=y#v=onepage&amp;q=D%20O'Shaughnessy%2C%20LE%20Jones%20-%20Journal%3A%20A%20Comprehensive%20Guide%20to%20Sports%20Physiology%20%E2%80%A6%2C%202020&amp;f=false\">Making sense of pain in sports physiotherapy: applying the Pain and Movement Reasoning Model. A Comprehensive Guide to Sports Physiology and Injury Management: an interdisciplinary approach.<\/a> 2020 Nov 13:107.<\/span><\/li>\n<li id=\"cite_note-:6-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:6_4-0\">4.0<\/a><\/sup> <sup><a href=\"#cite_ref-:6_4-1\">4.1<\/a><\/sup> <sup><a href=\"#cite_ref-:6_4-2\">4.2<\/a><\/sup> <sup><a href=\"#cite_ref-:6_4-3\">4.3<\/a><\/sup> <sup><a href=\"#cite_ref-:6_4-4\">4.4<\/a><\/sup> <sup><a href=\"#cite_ref-:6_4-5\">4.5<\/a><\/sup> <sup><a href=\"#cite_ref-:6_4-6\">4.6<\/a><\/sup> <sup><a href=\"#cite_ref-:6_4-7\">4.7<\/a><\/sup><\/span> <span class=\"reference-text\">Robertson C. Psychosocial Considerations in Patellofemoral Pain 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\">Claire Patella. Claire Patella top tips pain&amp;reasoning model. Available from: <a rel=\"nofollow\" class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=YuQALRxhVVo\">https:\/\/www.youtube.com\/watch?v=YuQALRxhVVo<\/a> (last accessed 31\/08\/2022)<\/span><\/li>\n<li id=\"cite_note-:2-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-1\">6.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-2\">6.2<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-3\">6.3<\/a><\/sup><\/span> <span class=\"reference-text\">Wride J, Bannigan K. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/sjpain-2018-0347\/html\">Investigating the prevalence of anxiety and depression in people living with patellofemoral pain in the UK: the Dep-Pf Study.<\/a> Scandinavian Journal of Pain. 2019 Apr 1;19(2):375-82.<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Boling M, Padua D, Marshall S, Guskiewicz K, Pyne S, Beutler A. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/j.1600-0838.2009.00996.x\">Gender differences in the incidence and prevalence of patellofemoral pain syndrome.<\/a> Scandinavian journal of medicine &amp; science in sports. 2010 Oct;20(5):725-30.<\/span><\/li>\n<li id=\"cite_note-:7-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:7_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:7_8-1\">8.1<\/a><\/sup> <sup><a href=\"#cite_ref-:7_8-2\">8.2<\/a><\/sup> <sup><a href=\"#cite_ref-:7_8-3\">8.3<\/a><\/sup><\/span> <span class=\"reference-text\">Smith BE, Moffatt F, Hendrick P, Bateman M, Rathleff MS, Selfe J, et al. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bmjopen.bmj.com\/content\/bmjopen\/8\/1\/e018624.full.pdf\">The experience of living with patellofemoral pain-loss, confusion and fear-avoidance: a UK qualitative study<\/a>. BMJ Open. 2018;8(1):e018624. <\/span><\/li>\n<li id=\"cite_note-:4-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_9-1\">9.1<\/a><\/sup> <sup><a href=\"#cite_ref-:4_9-2\">9.2<\/a><\/sup><\/span> <span class=\"reference-text\">Selhorst M, Fernandez-Fernandez A, Schmitt L, Hoehn J. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33838141\/\">Effect of a Psychologically Informed Intervention to Treat Adolescents With Patellofemoral Pain: A Randomized Controlled Trial.<\/a> Archives of Physical Medicine and Rehabilitation. 2021 Jul 1;102(7):1267-73.<\/span><\/li>\n<li id=\"cite_note-:3-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_10-0\">10.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-1\">10.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-2\">10.2<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-3\">10.3<\/a><\/sup><\/span> <span class=\"reference-text\">Bagheri S, Naderi A, Mirali S, Calmeiro L, Brewer BW. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/meridian.allenpress.com\/jat\/article\/56\/8\/902\/448491\/Adding-Mindfulness-Practice-to-Exercise-Therapy\">Adding mindfulness practice to exercise therapy for female recreational runners with patellofemoral pain: A randomized controlled trial.<\/a> Journal of Athletic Training. 2021 Aug 1;56(8):902-11.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Smith IV BN. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/digitalcommons.memphis.edu\/etd\/1672\/\">Resiliency, Generalized Self-Efficacy and Mindfulness as Moderators of the Relationship between Stress and both Life Satisfaction and Depression among College Students: An Investigation of the Resilience Process<\/a>. 2017.<\/span><\/li>\n<li id=\"cite_note-:8-12\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:8_12-0\">12.0<\/a><\/sup> <sup><a href=\"#cite_ref-:8_12-1\">12.1<\/a><\/sup><\/span> <span class=\"reference-text\">Hudes K. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3154068\/\">The Tampa Scale of Kinesiophobia and neck pain, disability and range of motion: a narrative review of the literature.<\/a> The Journal of the Canadian Chiropractic Association. 2011 Sep;55(3):222.<\/span><\/li>\n<li id=\"cite_note-:5-13\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:5_13-0\">13.0<\/a><\/sup> <sup><a href=\"#cite_ref-:5_13-1\">13.1<\/a><\/sup><\/span> <span class=\"reference-text\">Alabajos-Cea A, Herrero-Manley L, Suso-Mart\u00ed L, Alonso-P\u00e9rez-Barquero J, Viosca-Herrero E. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8123481\/#:~:text=Among%20these%20factors%2C%20psychosocial%20factors,knee%20pain%20worsening%20%5B10%5D.\">Are psychosocial factors determinant in the pain and social participation of patients with early knee osteoarthritis?<\/a> A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2021 Apr 26;18(9):4575.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20221116011614 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.097 seconds Real time usage: 0.108 seconds Preprocessor visited node count: 337\/1000000 Post\u2010expand include size: 103\/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: 11823\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 14.112 1 Special:Contributors\/Psychosocial_Considerations_in_Patellofemoral_Pain 100.00% 14.112 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redattrice principale &#8211; Carin Hunter sulla base del corso di Claire Robertson Collaboratori principali : Carin Hunter , Jess Bell e Kim Jackson Contenuti 1 Il modello di ragionamento sul dolore e il movimento 2 Fattori psicosociali e dolore femoro-rotuleo 2.1 Depressione e ansia 2.2 Perdita, confusione ed evitamento causato dalla paura associati al dolore [&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-4190","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4190","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=4190"}],"version-history":[{"count":3,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4190\/revisions"}],"predecessor-version":[{"id":4300,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4190\/revisions\/4300"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=4190"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}