Does the psychological profile of a patient with frozen shoulder predict future outcome? A systematic review.

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2024-01-01 Epub Date: 2023-10-22 DOI:10.1002/pri.2056
Fabrizio Brindisino, Silvia Minnucci, Giorgio Sergi, Mariangela Lorusso, Filip Struyf, Tiziano Innocenti
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Abstract

Background and purpose: Frozen shoulder (FS) is defined as a condition characterised by functional restriction and daily and nightly pain. As in other shoulder pathologies, the manifestation of psychological factors is recognised in FS; however, from a psychological point of view, only few studies have reported its prognostic value. The aim of this systematic review is to investigate, in patients with FS, the prognostic value of psychological factors on pain, function, disability, health-related quality of life, return to work and time to recovery.

Materials and methods: This systematic review was reported following the Preferred Reporting Items for Systematic reviews and Meta-Analysis-PRISMA 2020 guideline. The authors followed the Cochrane Handbook for Systematic review of Intervention as methodological guidance. The Quality in Prognostic Studies-QUIPS tool was used to assess the risk of bias.

Results: Pain-related fear and depression could be prognostic regarding patient-reported outcome measures assessing shoulder function, disability, and pain; instead, pain catastrophizing could have a prognostic value assessed by the disability of the arm shoulder and hand -DASH scale. Anxiety would appear to impact on disability and pain.

Discussion and conclusions: As widely reported in numerous musculoskeletal conditions, also in FS psychological factors influence the physical dimension such as pain, disability and function. Therefore, clinicians should be encouraged to identify these factors through a comprehensive assessment of the bio-psychological profile of each individual with FS. Perhaps, patients with FS that show such psychological prognostic factors could benefit from a comprehensive and shared approach with other dedicated professionals.

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冻肩患者的心理状况能预测未来的结果吗?系统的回顾。
背景和目的:冻肩(FS)被定义为一种以功能受限和昼夜疼痛为特征的疾病。与其他肩部疾病一样,FS中也有心理因素的表现;然而,从心理学的角度来看,只有很少的研究报道其预后价值。本系统综述的目的是调查FS患者的心理因素对疼痛、功能、残疾、健康相关的生活质量、重返工作岗位和恢复时间的预后价值。材料和方法:本系统综述按照系统综述首选报告项目和荟萃分析PRISMA 2020指南进行报告。作者遵循《Cochrane干预系统评价手册》作为方法指导。预后研究质量QUIPS工具用于评估偏倚的风险。结果:疼痛相关的恐惧和抑郁可能是患者报告的评估肩部功能、残疾和疼痛的结果指标的预后;相反,通过臂肩和手部DASH量表的残疾评估,疼痛灾难性可能具有预后价值。焦虑似乎会影响残疾和疼痛。讨论和结论:正如在许多肌肉骨骼疾病中广泛报道的那样,FS中的心理因素也会影响身体维度,如疼痛、残疾和功能。因此,应鼓励临床医生通过全面评估每个FS患者的生物心理状况来识别这些因素。也许,表现出这种心理预后因素的FS患者可以从与其他专业人员的全面和共享方法中受益。
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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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