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- Title
Seven Key Themes in Physical Therapy Advice for Patients Living With Subacromial Shoulder Pain: A Scoping Review.
- Authors
MEEHAN, KAREN; WASSINGER, CRAIG; ROY, JEAN-SÉBASTIEN; SOLE, GISELA
- Abstract
* OBJECTIVE: To systematically scope the reported advice and education in physical therapy management of patients with subacromial shoulder pain, and to define key themes of the advice and education. * DESIGN: Scoping review. * LITERATURE SEARCH: We searched MEDLINE, Scopus, Web of Science, and CINAHL, with publication dates from 2007 to September 2019. * STUDY SELECTION CRITERIA: We included quantitative and qualitative research that reported on physical therapy interventions for subacromial shoulder pain. * DATA SYNTHESIS: We performed a qualitative synthesis that identified items included in patient advice and education. * RESULTS: Of 89 original studies included, there were 61 randomized controlled trials; 5 prospective studies; 16 nonrandomized observational intervention studies or case series; and 7 surveys, audits of physical therapy patient records, and focus groups with physical therapists. We identified 7 key themes for advice and education: exercise intensity and pain response, activity modification advice, posture advice, pain self-management advice, pathoanatomical and diagnosis information, behavioral approaches, and pain biology advice. * CONCLUSION: While advice focused predominantly on the local tissue pathology model, 10% of studies included information about pain neuroscience education, psychosocial factors, motor imagery, or behavior change.
- Subjects
SHOULDER pain treatment; SHOULDER injury treatment; AUDITING; CINAHL database; FOCUS groups; MEDLINE; PATIENT education; PHYSICAL therapy; POSTURE; SHOULDER disorders; PAIN management; SYSTEMATIC reviews; LITERATURE reviews; THEMATIC analysis; EXERCISE intensity; ELECTRONIC health records
- Publication
Journal of Orthopaedic & Sports Physical Therapy, 2020, Vol 50, Issue 6, p285
- ISSN
0190-6011
- Publication type
Article
- DOI
10.2519/jospt.2020.9152