Meehan Karen, Wassinger Craig, Roy Jean-Sébastien, Sole Gisela
J Orthop Sports Phys Ther. 2020 Jun;50(6):285-a12. doi: 10.2519/jospt.2020.9152.
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.
Scoping review.
We searched MEDLINE, Scopus, Web of Science, and CINAHL, with publication dates from 2007 to September 2019.
We included quantitative and qualitative research that reported on physical therapy interventions for subacromial shoulder pain.
We performed a qualitative synthesis that identified items included in patient advice and education.
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.
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. .
系统梳理关于肩峰下疼痛患者物理治疗管理方面已报道的建议和教育内容，并确定这些建议和教育的关键主题。
范围综述。
我们检索了MEDLINE、Scopus、科学网和护理学与健康领域数据库，检索时间为2007年至2019年9月。
我们纳入了报道肩峰下疼痛物理治疗干预措施的定量和定性研究。
我们进行了定性综合分析，确定了患者建议和教育中包含的项目。
在纳入的89项原始研究中，有61项随机对照试验；5项前瞻性研究；16项非随机观察性干预研究或病例系列；以及7项调查、物理治疗患者记录审计和物理治疗师焦点小组。我们确定了建议和教育的7个关键主题：运动强度与疼痛反应、活动调整建议、姿势建议、疼痛自我管理建议、病理解剖和诊断信息、行为方法以及疼痛生物学建议。
虽然建议主要集中在局部组织病理学模型上，但10%的研究纳入了有关疼痛神经科学教育、心理社会因素、运动想象或行为改变的信息。
