A Didactical Approach for Musculoskeletal Physiotherapy: The Planetary Model

Abstract

Objective

Musculoskeletal physiotherapy has become a well-recognized and respected sub-discipline within the physiotherapy profession. The emergence of the biopsychosocial theory and the implementation of new insights into the pain mechanisms have been two of the most powerful catalysts for change at work within this profession. The fast evolution during past decades gave rise to the need for a structured framework. The purpose of this article is to introduce a didactical model which focuses on the relevant key elements within musculoskeletal physiotherapy.

Findings

A didactical model is put forward in the form of a “planetary model.” The planetary model is not a new model, but is a didactic representation mainly inspired by an adapted model of the International Classification of Functioning, Disability and Health [ICF]. The structure of the ICF is reflected in a vertical plan, whereas the pain mechanisms and psychosocial factors surround this vertical structure, reflecting their continuous interaction with the different components of the vertical axis.

Conclusions

The planetary model enables the therapist to systematically analyze and appraise the impact of the different components as a basis for clinical decisions and aims to contribute to a more efficient way of managing patients.

Keywords:

• Musculoskeletal physiotherapy
• clinical reasoning
• didactical model