{"id":3506,"date":"2025-09-05T16:41:48","date_gmt":"2025-09-05T19:41:48","guid":{"rendered":"https:\/\/rpgl.org\/blog\/?p=3506"},"modified":"2025-10-27T18:10:22","modified_gmt":"2025-10-27T21:10:22","slug":"dolor-cronico-o-persistente-enfocado-desde-la-rpg","status":"publish","type":"post","link":"https:\/\/rpgl.org\/blog\/dolor-cronico-o-persistente-enfocado-desde-la-rpg\/","title":{"rendered":"Dolor cr\u00f3nico o persistente"},"content":{"rendered":"\n
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El dolor cr\u00f3nico o persistente, como preferimos denominarlo aqu\u00ed, es uno de los principales motivos de consulta a un profesional capacitado en RPG.<\/strong><\/h2>\n\n\n\n


Esto no sorprende, pues, de una revisi\u00f3n sistem\u00e1tica en el Reino Unido surge una prevalencia del dolor persistente del 43,5%, dentro de la cual entre el 10\u00b74% y el 14\u00b73% es dolor incapacitante moderado a grave (Eliiot, 2002).<\/p>\n\n\n\n


Estad\u00edsticas aparte, el dolor persistente, aunque con diferencias, es una situaci\u00f3n compartida por muchas personas que provoca un deterioro en la calidad de vida y, por otra parte, tiene impacto en los costos laborales y en el sistemas de salud.<\/p>\n\n\n\n


Debido a la superposici\u00f3n de factores que se relacionan con la presencia o no de dolor persistente, el modelo biopsicosocial es el que mejor se adapta a su estudio, an\u00e1lisis y abordaje. Desde la perspectiva biopsicosocial el dolor persistente se presenta como consecuencia de una interacci\u00f3n din\u00e1mica entre factores biol\u00f3gicos, psicol\u00f3gicos y sociales (Cohen, 2021). En l\u00ednea con este modelo, la RPG propone un marco conceptual definido en el \u201cSer Global\u201d.<\/p>\n\n\n\n


En el \u201cSer Global\u201d se representan los factores a tener en cuenta en el an\u00e1lisis e interpretaci\u00f3n del dolor persistente y el modo en que cada uno de ellos interact\u00faa con el conjunto. En el esquema presentado en 1980 en la publicaci\u00f3n \u201cRPG el m\u00e9todo del campo cerrado\u201d (Souchard, 1980) y modificado en 2018 (Korell, 2018) se pueden reconocer dos dimensiones de an\u00e1lisis. Una vertical, la que toma en cuenta la relaci\u00f3n bidireccional entre el componente ps\u00edquico, la estructura y el componente som\u00e1tico. Otra horizontal, en la cual la relaci\u00f3n bidireccional se da entre el componente estructural con el funcional y postural. Vinculado a estas dos dimensiones se representa la interacci\u00f3n entre la persona y el medio con el cual \u00e9sta se relaciona, considerando los factores sociales y el entorno.<\/p>\n\n\n\n


Si bien un profesional se enfoca en el eje horizontal (estructura, postura, funci\u00f3n), en palabras de Philippe Souchard \u201cactuamos en una globalidad restringida, la del sistema neuromusculoesquel\u00e9tico\u201d, al aplicar RPG toma en cuenta los otros factores en su intervenci\u00f3n tanto para orientar el tratamiento como para conocer sus limitaciones.<\/p>\n\n\n\n


En resumen, en el abordaje del dolor persistente desde la RPG se trabaja en una globalidad restringida al sistema neuromusculoesquel\u00e9tico con el objetivo de mejorar principalmente la funci\u00f3n, tomando en cuenta la organizaci\u00f3n postural y el estado estructural, sin perder de vista la influencia de factores psicosociales y el entorno.<\/strong><\/p>\n\n\n\n

Referencias Bibliogr\u00e1ficas<\/strong>: <\/p>\n\n\n\n

Elliott AM, Smith BH, Hannaford PC, Smith WC, Chambers WA. (2002). The course of chronic pain in the community: results of a 4-year follow-up study. Pain; 99: 299\u2013307.
Cohen, Steven & Vase, Lene & Hooten, William. (2021). Chronic pain: an update on burden, best practices, and new advances. The Lancet. 397. 2082-2097.
Souchard, Philippe. (1981). Reeducaci\u00f3n Postural Global (M\u00e9todo del Campo Cerrado). Ed. ITG, Bilbao.
Korell, Mario. 2018. El Ser Global. Material de an\u00e1lisis de la Formaci\u00f3n en RPG.<\/p>\n\n\n\n

<\/p>\n\n\n\n

\n
Conocer m\u00e1s…<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

El dolor cr\u00f3nico o persistente, como preferimos denominarlo aqu\u00ed, es uno de los principales motivos de consulta a un profesional capacitado en RPG.<\/p>\n","protected":false},"author":1,"featured_media":3507,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[46],"tags":[],"class_list":["post-3506","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-inicio"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2025\/09\/dolor-cr-nico-o-persistente-en-la-columna-en-ser-h.png?fit=1024%2C1024&ssl=1","uagb_featured_image_src":{"full":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2025\/09\/dolor-cr-nico-o-persistente-en-la-columna-en-ser-h.png?fit=1024%2C1024&ssl=1",1024,1024,false],"thumbnail":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2025\/09\/dolor-cr-nico-o-persistente-en-la-columna-en-ser-h.png?resize=150%2C150&ssl=1",150,150,true],"medium":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2025\/09\/dolor-cr-nico-o-persistente-en-la-columna-en-ser-h.png?fit=300%2C300&ssl=1",300,300,true],"medium_large":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2025\/09\/dolor-cr-nico-o-persistente-en-la-columna-en-ser-h.png?fit=768%2C768&ssl=1",768,768,true],"large":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2025\/09\/dolor-cr-nico-o-persistente-en-la-columna-en-ser-h.png?fit=1024%2C1024&ssl=1",1024,1024,true],"1536x1536":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2025\/09\/dolor-cr-nico-o-persistente-en-la-columna-en-ser-h.png?fit=1024%2C1024&ssl=1",1024,1024,true],"2048x2048":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2025\/09\/dolor-cr-nico-o-persistente-en-la-columna-en-ser-h.png?fit=1024%2C1024&ssl=1",1024,1024,true]},"uagb_author_info":{"display_name":"Mario Korell Lic. 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