Musculoskeletal Science and Practice最新文献

{"title":"The prognostic reasoning by physiotherapists of musculoskeletal disorders: A phenomenological exploratory study","authors":"Nicholas Mullen ,&nbsp;Samantha Ashby ,&nbsp;Robin Haskins ,&nbsp;Peter Osmotherly","doi":"10.1016/j.msksp.2024.103241","DOIUrl":"10.1016/j.msksp.2024.103241","url":null,"abstract":"<div><h3>Question(s)</h3><div>What are the prognostic reasoning practices of physiotherapists towards musculoskeletal disorders?</div></div><div><h3>Design</h3><div>Exploratory phenomenological study.</div></div><div><h3>Participants</h3><div>15 physiotherapists who currently treat musculoskeletal disorders.</div></div><div><h3>Date analysis</h3><div>Semi-structured interviews were implemented to collect data which was analysed using an inductive coding and thematic analysis approach.</div></div><div><h3>Results</h3><div>Three themes were identified. First, how physiotherapists considered prognosis within clinical practice. Whilst prognosis is an important consideration, in some circumstances it either may not be considered or is implied. Second, how physiotherapists determine prognosis for musculoskeletal disorders. Several factors shaped the ability of physiotherapists to determine prognosis including how they determine prognosis, and the barriers and facilitators towards determining prognosis. Finally, how physiotherapists discuss prognosis with individuals who have a musculoskeletal disorder. These discussions were shaped by the prognostic information provided, as well as the barriers and facilitators towards discussing prognosis.</div></div><div><h3>Conclusion</h3><div>The prognostic reasoning of physiotherapists appears to be influenced initially by whether they consider it or not. It is then shaped by both barriers and facilitators towards determining and discussing prognosis. Facilitators for this prognostic reasoning process appear to be aligned with the biomedical model of health, whilst barriers more aligned with psychosocial factors. To improve prognostic reasoning, physiotherapists should continue to strive to conceptualize prognosis within a biopsychosocial framework. Doing so will improve the ability of physiotherapists to prognosticate, which will subsequently improve outcomes associated with musculoskeletal disorders.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103241"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of mobilization with movement on conditioned pain modulation, mechanical hyperalgesia, and pain intensity in adults with chronic low back pain: A randomized controlled trial","authors":"Oliver Martínez Pozas ,&nbsp;Juan Nicolás Cuenca-Zaldívar ,&nbsp;M. Elena González-Alvarez ,&nbsp;Francisco José Selva Sarzo ,&nbsp;Hector Beltran-Alacreu ,&nbsp;Josué Fernández Carnero ,&nbsp;Eleuterio A. Sánchez Romero","doi":"10.1016/j.msksp.2024.103220","DOIUrl":"10.1016/j.msksp.2024.103220","url":null,"abstract":"<div><h3>Background</h3><div>Chronic low back pain is associated with dysfunctions in endogenous analgesia mechanisms, as evaluated through conditioned pain modulation paradigms. Although mobilization with movement has demonstrated enhancements in conditioned pain modulation among patients with conditions such as knee osteoarthritis, its efficacy in chronic low back pain patients has yet to be established.</div></div><div><h3>Objectives</h3><div>To investigate the effects of mobilization with movement compared to sham mobilization in conditioned pain modulation, mechanical hyperalgesia, and pain intensity in chronic low back pain patients.</div></div><div><h3>Design</h3><div>Randomized controlled trial following CONSORT and TIDieR guidelines.</div></div><div><h3>Method</h3><div>Fifty-eight patients with chronic low back pain (mean age 48.77 ± 13.92 years) were randomized into the experimental group, which received real mobilization with movement (n = 29), or the sham mobilization with movement group (n = 29). Only one intervention was performed. Patients were assessed before and after intervention. Conditioned pain modulation, mechanical hyperalgesia and pain intensity were assessed.</div></div><div><h3>Results</h3><div>Mobilization with movement resulted in no statistically significant differences compared to sham mobilization for conditioned pain modulation (post-treatment difference: 0.023 [-0.299, 0.345], p = 0.158), mechanical hyperalgesia (post-treatment difference: −0.198 [-0.505, 0.109], p = 0.207), or movement-related pain intensity (post-treatment difference: 0.548 [-0.068, 1.236], p = 0.079) improvements post-intervention. Effect sizes were small for conditioned pain modulation (r = 0.126), mechanical hyperalgesia (r = 0.101), and pain intensity (r = 0.208).</div></div><div><h3>Conclusions</h3><div>Mobilization with movement resulted in no significant differences compared to sham mobilization with movement after one intervention for conditioned pain modulation, mechanical hyperalgesia or pain intensity, with small effect sizes. However, the findings should be interpreted with caution due to absence of screening for appropriately eligible patients.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103220"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term effects of exergaming on patients with chronic low back pain: A single-blind randomized controlled trial","authors":"Ru-Lan Hsieh ,&nbsp;Yann-Rong Chen ,&nbsp;Wen-Chung Lee","doi":"10.1016/j.msksp.2024.103248","DOIUrl":"10.1016/j.msksp.2024.103248","url":null,"abstract":"<div><h3>Background</h3><div>Exergaming is increasingly popular, but its impact on chronic low back pain (CLBP) remain unclear.</div></div><div><h3>Objectives</h3><div>To evaluate the effectiveness of exergaming versus traditional exercise for managing CLBP using the International Classification of Functioning, Disability and Health (ICF) framework.</div></div><div><h3>Methods</h3><div>This single-blind, randomized controlled trial included 70 participants with CLBP, who were assigned to either the exergaming or traditional exercise group. Both groups received 2 weeks of treatment with six sessions. Assessments included the Oswestry Disability Index (ODI), range of motion, Hospital Anxiety and Depression Scale (HADS), balance (Biodex Stability System), Fear-Avoidance Beliefs Questionnaire (FABQ), and physical performance tests.</div></div><div><h3>Results</h3><div>After six sessions over 2 weeks, the exergaming group showed significant improvements over the exercise group in ODI (<em>p</em> &lt; 0.001), chair-rising time (<em>p</em> = 0.001), stair ascent (<em>p</em> = 0.025) and descent times (<em>p</em> &lt; 0.001), flexion (<em>p</em> = 0.005), extension (<em>p</em> = 0.001), balance (<em>p</em> = 0.012), and FABQ subscales (physical activity: <em>p</em> = 0.003; work: <em>p</em> &lt; 0.001) at the 3-month follow-up. Group × time interaction effects favored exergaming for ODI (<em>p</em> = 0.012), chair-rising (<em>p</em> = 0.045), stair ascent (<em>p</em> = 0.010), and descent (<em>p</em> = 0.002) times. While these changes did not meet clinical significance, exergaming was not inferior to traditional exercise in improving spinal motion, physical performance, fear-avoidance beliefs, and disability.</div></div><div><h3>Conclusion</h3><div>Exergaming appears to be a viable supplementary therapy for patients with CLBP, offering benefits across all ICF domains. Future studies with longer intervention durations are needed to assess its long-term effects.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103248"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining core competencies for telehealth in healthcare higher education: A Delphi study","authors":"Maria Fernanda A. Jacob ,&nbsp;Junior V. Fandim ,&nbsp;Felipe J.J. Reis ,&nbsp;Jan Hartvigsen ,&nbsp;Paulo H. Ferreira ,&nbsp;Bruno T. Saragiotto","doi":"10.1016/j.msksp.2024.103244","DOIUrl":"10.1016/j.msksp.2024.103244","url":null,"abstract":"<div><h3>Background</h3><div>While technology brings many opportunities for optimizing and improving health services, the lack of professionals trained in telehealth poses an important obstacle. Despite the existance of core competency frameworks for some healthcare professions, there is currently no consensus or guidelines on the core competencies that telehealth professionals should possess within the context of a higher education curriculum. This can hinder the potential benefits of healthcare service delivery.</div></div><div><h3>Objective</h3><div>To establish a consensus on the core competencies in telehealth that should be integrated into higher education curricula for healthcare professionals.</div></div><div><h3>Methods</h3><div>A three-round international eDelphi study was conducted. The panel comprised of a diverse group of experts in telehealth, clinicians, lectures and professors, administrators, and teaching coordinators. In the first round, an international steering committee developed a list of competencies that were presented to the panel members and they were asked to rate their level of agreement and suggest additional competencies. The consensus was established based on the competencies that achieved a high level of agreement (&gt;75%) by the end of the third round.</div></div><div><h3>Results</h3><div>We included 100 panellists from 18 different countries. By the end of the third round, we reached a consensus for 47 core competencies in a telehealth curriculum organized into 12 domains: principles of telehealth; care planning and management; assessment, diagnosis, and treatment; adequacy of the environment; professionalism; legal aspects; patient privacy; patient safety; access and equity; patient preference; technology; applicability of telehealth.</div></div><div><h3>Conclusion</h3><div>We identified the core competencies in a telehealth curriculum organized into 12 domains to be used as a foundation for training future health professionals.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103244"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do biopsychosocial factors predict the level of physical activity in individuals with persistent shoulder pain?","authors":"Dayana Patricia Rosa ,&nbsp;Simon Beaulieu-Bonneau ,&nbsp;Alex Scott ,&nbsp;Jean-Sébastien Roy","doi":"10.1016/j.msksp.2024.103247","DOIUrl":"10.1016/j.msksp.2024.103247","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this cross-sectional study was to compare the physical activity level between individuals with and without rotator cuff related shoulder pain (RCRSP), and, in individuals with RCRSP, investigate whether biopsychosocial factors are associated with the physical activity level.</div></div><div><h3>Methods</h3><div>Seventy-four participants with and 84 participants without RCRSP wore a fitness tracking watch for seven consecutive days to assess physical activity (step count, moderate-to-vigorous physical activity (MVPA)-minutes). Additionally, participants with RCRSP completed questionnaires on their level of pain, disability, and physical activity (short version of the International Physical Activity Questionnaire [IPAQ]), as well as on biopsychosocial factors, including resilience, stress, catastrophizing, anxiety and depressive symptoms, self-efficacy, and social support. Statistical analysis included Mann-Whitney U tests and General Linear Models for group comparisons, as well as multiple regression analyses to explore predictors of physical activity.</div></div><div><h3>Results</h3><div>No significant between-group difference was found concerning step count and MVPA-minutes. Age and depressive symptoms explained 14% of the variance in step count, while age and resilience explained 15% of MVPA-minutes variance. Additionally, resilience was associated with IPAQ (P &lt; 0.05), indicating that higher resilience correlates with greater reported physical activity (odds ratio: 2.32 [1.27, 4.22]).</div></div><div><h3>Conclusion</h3><div>While individuals with RCRSP did not show lower physical activity levels compared to their healthy counterparts, greater physical activity was associated with younger age, lower depressive symptoms, and higher resilience in individuals with RCRSP. Future research should explore whether resilience and physical activity interventions can prevent the transition to persistent RCRSP.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103247"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimal important change in the Hip Disability and Osteoarthritis Outcome Score and the European Quality of Life 5 Dimensions in adults with hip osteoarthritis after 12 weeks of exercise","authors":"Eric P.B.M. Chéret ,&nbsp;Inger Mechlenburg ,&nbsp;Søren T. Skou ,&nbsp;Ulrik Dalgas ,&nbsp;Martin Gade Stisen ,&nbsp;Troels Kjeldsen","doi":"10.1016/j.msksp.2025.103274","DOIUrl":"10.1016/j.msksp.2025.103274","url":null,"abstract":"<div><h3>Background</h3><div>Minimal important change (MIC) is the smallest change that can be considered important. In hip osteoarthritis (OA) several measurement instruments are recommended but lack MIC estimates.</div></div><div><h3>Objectives</h3><div>The objective was to estimate the MIC after supervised group-based exercise for the following measurement instruments; Hip Disability and Osteoarthritis Outcome Score (HOOS), European Quality of Life 5 Dimensions (EQ-5D-5L), 30-s Chair Stand Test, 40-m Fast-paced Walk Test, 9-step Stair Climb Test, Nottingham Leg Extension Power Rig, and unilateral One-Repetition-Maximum Leg Press.</div></div><div><h3>Design</h3><div>Secondary analysis from a randomized trial of 160 participants with hip OA randomized to two different exercise interventions.</div></div><div><h3>Methods</h3><div>Participants were assessed using the instruments at baseline and after 12 weeks of exercise. At follow-up the participants also rated their perceived change using a Global Rating of Change Score (GRCS). A correlation of &gt;0.3 between the measurement instruments and the GRCS was a prerequisite for estimating the MIC using the predictive modeling approach.</div></div><div><h3>Results</h3><div>Only two measurement instruments had acceptable correlations and were included in the MIC analysis. The MIC for the five HOOS subscales ranged from 6 to 10 points (scale range: 0–100). The MIC for the EQ-5D-5L index (scale range: -0.757 to 1) and EQ-VAS (scale range: 0–100) were 0.054 (0.03; 0.08) and 4.83 (1.37; 8.48), respectively.</div></div><div><h3>Conclusions</h3><div>The reported MIC values indicate the minimal improvement that the average patient with hip OA would consider important after 12 weeks of exercise and will help clinicians and researchers interpret the clinical importance of the results of exercise interventions.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103274"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do patients with fibromyalgia syndrome receive updated management strategies? A web-based survey among Italian physiotherapists","authors":"Massimo Esposto ,&nbsp;Gabriele Anella ,&nbsp;Leonardo Pellicciari ,&nbsp;Mattia Bisconti ,&nbsp;Giuseppe Giovannico ,&nbsp;Andrea Polli ,&nbsp;Matteo Cioeta","doi":"10.1016/j.msksp.2024.103240","DOIUrl":"10.1016/j.msksp.2024.103240","url":null,"abstract":"<div><h3>Introduction</h3><div>Fibromyalgia syndrome (FMS) causes significant pain, disability, and costs among patients. It is paramount that healthcare professionals have an updated knowledge of its characteristics and Clinical Practice Guidelines (CPGs).</div></div><div><h3>Objectives</h3><div>To determine the knowledge, adherence to CPGs, and confidence of Italian physiotherapists in managing patients with FMS, explore barriers to the implementation of CPG' recommendations, compare groups' adherence to CPGs, and determine which variables explained most of the participants' knowledge.</div></div><div><h3>Methods</h3><div>The survey was administered via social media and newsletter (i.e., Italian Association of Physiotherapists, AIFI) to Italian practicing physiotherapists. The protocol of this work was prospectively registered in the Open Science Framework.</div></div><div><h3>Results</h3><div>Total replies were 398. Italian physiotherapists showed a good knowledge of FMS and adherence to CPGs. Ninety-one percent reported a medium or lower confidence in managing patients with FMS. Sixty-seven percent judged their knowledge of CPGs as poor or very poor. The remaining 33% mentioned patients' psychosocial aspects, multidisciplinary relationships, and lack of training on communication strategies as the main barriers to the implementation of CPGs. Being an Orthopaedic Manipulative Physical Therapist (OMPT) resulted in a better adherence to CPGs on 11/14 items. Knowledge scores were correlated (r = 0.244) with being an OMPT (Stand β = 0.123) and years of professional activity (Stand β = −0.126).</div></div><div><h3>Conclusions</h3><div>Although Italian physiotherapists demonstrated a good knowledge of FMS and reported a good adherence to CPGs' recommendations, they may still experience barriers to the implementation of evidence-based management strategies.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103240"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensorimotor control and neurocognitive performance in musculoskeletal disease and injury control","authors":"Julia Treleaven PhD, BPhty, FACP (Associate Professor, Guest Editors),&nbsp;Nicholas Clark PhD, MCSP, MMACP, CSCS (Dr, Guest Editors)","doi":"10.1016/j.msksp.2024.103237","DOIUrl":"10.1016/j.msksp.2024.103237","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103237"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability of the Danish version of the Short Form Brief Pain Inventory","authors":"Jacob S. Gandløse ,&nbsp;Steffan Wittrup McPhee Christensen ,&nbsp;Daniel Fast Lambertsen ,&nbsp;Ólafur Engilbert Árnason ,&nbsp;Jonathan Vela ,&nbsp;Thorvaldur S. Palsson","doi":"10.1016/j.msksp.2024.103242","DOIUrl":"10.1016/j.msksp.2024.103242","url":null,"abstract":"<div><h3>Background</h3><div>Pain is impacted by bio-psycho-social factors and is closely related to disability and poor quality of life. Therefore, a patient-reported outcome measure (PROM) is needed to capture these aspects effectively. The Short Form Brief Pain Inventory (SF-BPI) serves this purpose as a tool for pain assessment. However, the Danish translation (SFBPI-DK) has not undergone validation.</div></div><div><h3>Objective</h3><div>Assess the validity and reliability of SFBPI-DK.</div></div><div><h3>Methods</h3><div>In patients with spine-related pain, construct validity was tested using Confirmatory Factor Analysis (CFA) and convergent validity through correlations with EuroQol 5-domain 5-level (EQ-5D-5L), EQ-5D-5L VAS, Work Ability Score (WAS), and Insomnia Severity Index (ISI-7). Internal consistency was assessed with Cronbach's alpha. In individuals with musculoskeletal pain, test-retest reliability and Minimal Detectable Change (MDC) were evaluated. Floor and ceiling effects were reported for both groups.</div></div><div><h3>Results</h3><div>In patients with spine-related pain (n = 329), construct validity of the SFBPI-DK was confirmed through CFA of a modified 3-factor structure. Convergent validity showed “fair” to “moderate strong” associations with EQ-5D-5L, EQ-5D-5L VAS, WAS, and ISI-7. Internal consistency was satisfactory (Cronbach's alpha 0.89–0.91). In individuals with musculoskeletal pain (n = 119), good temporal stability was demonstrated with ICCs of 0.76–0.88. The MDC for the <em>Severity score</em>, <em>Interference score</em>, and the <em>Physical</em>- and <em>Affective Interference</em> subscores were 3.37, 2.41, 3.57, and 4.01, respectively.</div></div><div><h3>Conclusion</h3><div>The SFBPI-DK is a valid tool for assessing pain in patients with persistent spine-related pain and a reliable tool for individuals with persistent musculoskeletal pain among Danish-speaking populations.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103242"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of education for people with shoulder pain: A systematic review","authors":"Zixin Zhang ,&nbsp;Giovanni E. Ferreira ,&nbsp;John Samuel Downes ,&nbsp;Joseph Vincent Cockburn ,&nbsp;William James Burke ,&nbsp;Peter Malliaras ,&nbsp;Luis Fernando Sousa Filho ,&nbsp;Christopher G. Maher ,&nbsp;Joshua R. Zadro","doi":"10.1016/j.msksp.2024.103246","DOIUrl":"10.1016/j.msksp.2024.103246","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the effectiveness of education for people with shoulder pain.</div></div><div><h3>Design</h3><div>Systematic review</div></div><div><h3>Literature search</h3><div>We searched several databases (e.g. MEDLINE, EMBASE, CENTRAL, CINAHL) and trial registries from inception to May 25, 2023.</div></div><div><h3>Study selection criteria</h3><div>Randomised controlled trials investigating any education for people with shoulder pain.</div></div><div><h3>Data synthesis</h3><div>Pain and disability were primary outcomes. The Physiotherapy Evidence Database (PEDro) scale was used to assess methodological quality. Meta-analysis was not appropriate due to heterogeneity.</div></div><div><h3>Results</h3><div>We included 14 trials (8 had high methodological quality). The one trial on rotator-cuff related shoulder pain did not assess pain or disability but found best practice education (vs. structure-focused education) increased reassurance and intentions to stay active. The one trial on adhesive capsulitis found daily reminders, encouragement, and education about exercise via text did not improve pain and disability compared to no education. For post-operative shoulder pain, two (of four) trials found education reduced some measure of pain, but none found an effect on disability or any other outcomes. For ‘shoulder complaints’ (i.e. mixed or unclear diagnosis), no trials found education was more effective than home exercise or no education for improving pain or disability.</div></div><div><h3>Conlusion</h3><div>Some forms of education appear to improve reassurance, treatment intentions, perceived treatment needs, recovery expectations, and knowledge, but their effect on pain and disability is unclear. High-quality trials are needed to resolve uncertainty surrounding the benefit of education for shoulder pain, particularly rotator-cuff related shoulder pain and adhesive capsulitis.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103246"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}