The Influence of Pain Self-efficacy on Physiotherapy Outcomes for Patients with Shoulder Pain: A Systematic Review
Aws Obaid*, Ahmad Alhamed and Alaa Khushhal
Rehabilitation Department, King Abdulaziz Medical City, Jeddah, Saudi Arabia
*Corresponding Author: Aws Obaid, Rehabilitation Department, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
Received:
October 28, 2021; Published: December 21, 2021
Abstract
Background: Shoulder pain is a very complex and common condition among population, and the mechanisms involved in its perpetuation remain unclear. Pain self-efficacy appear to play a role in the outcomes of treatment in people with shoulder pain. The purpose of this systematic review is to investigate the impact of pain self-efficacy on physiotherapy outcomes (pain intensity and disability) in patients with shoulder pain.
Objectives: To identify the impact of pain self-efficacy on physiotherapy outcomes in patients with shoulder pain.
Methods: A systematic search performed on the following databases PubMed, the Physiotherapy Evidence Database (PEDro), Scopus (Elsevier), Science of Direct, (CINAHL) and Psychology database (ProQuest). Longitudinal studies with quantitative designs analyzing the role of psychological factors and pain self- efficacy on treatment outcomes included. The quality assessment of the included studies evaluated using National Heart, Lung, and Blood Institute's Quality Assessment Tool for Observation Cohort and Cross‐Sectional Studies.
Results: Two studies were selected for this systematic review. From 1030 patients 71 putative prognostic factors were collected, main findings were higher patient expectation of recovery as a result of physiotherapy (β=-12.43, 95% CI -8.20 to
-16.67), higher pain self-efficacy (β=-0.36, 95% CI -0.50 to -0.22), lower pain severity at rest (β=-1.89, 95% CI -1.26 to -2.51). The results of secondary analysis showed that patient expectancy is related to the patient recovery as the patients who expected to recover with the physiotherapy had better results than those who did not expect to recover with the physiotherapy.
Conclusion: The available evidence suggests that there is a relationship between high levels of pain self-efficacy, and low levels of pain intensity and disability in patients with shoulder pain.
Keywords: Patient Expectations; Psychological Factors; Pain Self-efficacy; Shoulder Pain
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