Implementing a behavioral medicine approach in physiotherapy for patients with musculoskeletal pain: a scoping review

Söderlund, Anne; Elvén, Maria; Sandborgh, Maria; Fritz, Johanna

doi:10.1097/pr9.0000000000000844

Cited by 15 publications

(19 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The frequently reported component was to improve self-efficacy. The long-term follow-ups mostly showed positive effects, for example, reduction of fear and catastrophising, change in pain beliefs, increase in activities and pain SM strategies, and improved stress management (Soderlund et al 2020 ). The findings of the study suggest that factors like self-efficacy, depression, pain catastrophising and physical activity impact on outcomes of the SM programmes.…”

Section: Self-management: the Current State Of Evidencementioning

confidence: 99%

Physiotherapy support for self-management of persisting musculoskeletal pain disorders

Diener

2021

South African Journal of Physiotherapy

View full text Add to dashboard Cite

Section: Self-management: the Current State Of Evidencementioning

confidence: 99%

Physiotherapy support for self-management of persisting musculoskeletal pain disorders

Diener

2021

South African Journal of Physiotherapy

View full text Add to dashboard Cite

“…However, matching intervention components with the definition of the biopsychosocial model of pain was somewhat difficult due to the overlap between components/aspects to be integrated into the assessment, treatment, and evaluation of patients with musculoskeletal pain. Two other reviews also reported similar results in which it was not possible to identify how the cognitive-behavioural and emotional components used in treatments and evaluations were operationalized [ 34 , 35 ]. This result highlights the importance of future studies to know how to effectively integrate the “cognitive, behavioural, and emotional components” in the management of musculoskeletal pain with a biopsychosocial theoretical approach.…”

Section: Discussionmentioning

confidence: 99%

A Scoping Review of the Evidence regarding Assessment and Management of Psychological Features of Shoulder Pain

Farzad

MacDermid

Ring

et al. 2021

Rehabilitation Research and Practice

View full text Add to dashboard Cite

Background and Aim. Shoulder pain is second only to low back pain among costs associated with the care of musculoskeletal disorders. Psychological factors, social factors, and mental health can contribute to shoulder pain and resulting functional disability. The purpose of this scoping review was to identify the nature of the research that has integrated psychological assessment and treatment in the management of shoulder pain. Methods. A scoping review of research studies identified through PubMed, EMBASE, and CINAHL and graduate theses identified using Google Scholar was conducted to determine studies and systematic reviews that addressed the management of psychological aspects of shoulder pain with or without neck pain. The search terms included psychological factors, anxiety, depression, catastrophic thinking, fear of movement, and psychological treatments. Two investigators screened study titles and abstracts. Data extraction, content analysis, and thematic coding focused on the dimensions of pain addressed (emotional, behavioural, and cognitive) and treatment approaches used (dimensions targeted, specific treatment parameters) and the linkage between treatment targets/rationale with interventions/outcomes measured. Results. Ten studies (seven randomized trials and three cohorts) were identified that addressed the psychological aspects of shoulder pain. Out of seven RCTs, four compared psychological interventions with usual care. Eight studies used cognitive approaches, including emotional freedom techniques (EFT), pain coping strategies (PCS), physical-cognitive-mindfulness training (PCMT), psychological flexibility, face-to-face cognitive-behavioural treatment (CBT), and cognitive therapy using virtual reality (V.R.). Three studies used the behavioural approaches as their intervention, including behavioural therapy and Graded Exercise Therapy (GET). Pain intensity was addressed as the primary outcome in two studies and as a secondary outcome in five studies. Cognitive factors were evaluated in 50% of the articles using nine different measures. Emotional factors were evaluated in 80% of articles using ten different measures. Reduction of pain intensity and catastrophic thinking concerning pain was achieved in most studies using a biopsychosocial approach (70%). Applying a behavioural approach was associated with reductions in kinesiophobia and pain catastrophizing. Cognitive approaches had a positive association with reductions in the emotional aspect of pain. Only one study specifically linked rationale or specific physical and psychosocial treatment targets with the treatments provided and outcomes measured. Conclusions. Small pools of studies indicate that the rationale and treatment targeting are poorly defined in biopsychosocial interventions for shoulder pain. However, these benefits have been demonstrated when cognitive or behavioural components are added to the standard physical treatment of shoulder pain. A better definition of treatment targets, description of intervention components, and linkage of outcomes to targets are needed to advance our understanding of optimizing bio-psychosocial approaches.

show abstract

“…Andere Studien zeigen außerdem, dass PT bisher nur eine geringe Anzahl von Techniken zu Verhaltensänderung anwenden [19]. Dennoch erweisen sich physiotherapeutische Interventionen zur Verhaltensänderung langfristig als erfolgreich [18].…”

Section: Barrieren Für Bzlvunclassified

“…Zum anderen verwenden PT bislang nur wenige Techniken, um Verhaltensänderungen zu fördern [15]. Ebenso erweist sich die Studienlage hinsichtlich der Effektivität der Interventionen und zugrundeliegender Theorien als heterogen [16][17][18]. Für in Deutschland tätige PT wird ebenfalls vermutet, dass diese mehr Kompetenzen benötigen, um Verhaltensänderungen bei Patient*innen zu unterstützen [19].…”

Section: Introductionunclassified

Ergebnisse einer deutschlandweiten Umfrage über Beratung zu lebensstilbezogener Verhaltensänderung (BzlV) in der physiotherapeutischen Versorgung – eine Querschnittstudie

2021

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Es ist unklar, in welchem Umfang Beratung zu lebensstilbezogener Verhaltensänderung (BzlV) in Deutschland bereits in die physiotherapeutische Arbeit integriert ist und ob Physiotherapeut*innen die erforderlichen Kompetenzen aufweisen. Ziel Erfassung der Einstellung von Physiotherapeut*innen zur Gesundheitsförderung sowie zu Praxis, Kompetenzen und möglichen Barrieren für die Umsetzung von BzlV. Methode Mittels Online-Umfrage wurden in Deutschland tätige Physiotherapeut*innen zu ihren allgemeinen Einstellungen zur Gesundheitsförderung sowie zu Praxis, Kompetenzen und möglichen Barrieren für die Umsetzung von BzlV befragt. Neben einer deskriptiven Analyse der Angaben wurden Unterschiede zwischen akademisch und nicht akademisch ausgebildeten Physiotherapeut*innen mithilfe des Mann-Whitney-U-Tests ermittelt. Ergebnisse 511 Physiotherapeut*innen nahmen an der Umfrage teil, davon konnten 413 Fragebögen in die deskriptive Analyse eingeschlossen werden (Alter: 36,4 (± 10,88 SD) Jahre; w/m: 281/132). 92,7 % der Befragten hielten Gesundheitsförderung für einen fundamentalen Bestandteil der physiotherapeutischen Arbeit und 93,4 % stimmten zu, dass die Förderung eines gesunden Lebensstils zur Arbeit von Physiotherapeut*innen gehöre. Die Befragten erhoben (a) und berieten (b) am häufigsten zum Risikofaktor körperliche Inaktivität (a: 89,8 %; b: 91,3 %) und gaben an, über geringe bis mittlere Kompetenzen für die Beratung zur Verhaltensänderung zu verfügen. Akademisch ausgebildete Physiotherapeut*innen schätzten ihre Kompetenzen besser als nicht akademisch ausgebildete Physiotherapeut*innen (W = 8253,5, p = 0,001, r = 0,182) ein. Als häufigste Barrieren bei der Umsetzung von BzlV wurden strukturelle Ursachen, wie Zeitmangel (64,9 %) und fehlende Vergütung (70,5 %), genannt. Schlussfolgerung Physiotherapeut*innen haben überwiegend eine positive Einstellung zur Gesundheitsförderung und erachten BzlV als sehr wichtig. Derzeit bestehen aber noch viele Barrieren, die Physiotherapeut*innen an der Umsetzung hindern. Damit diese in Deutschland dennoch einen Beitrag zur Gesundheitsförderung leisten können, sollten Rahmenbedingen und Ausbildungsinhalte angepasst werden.

show abstract

Implementing a behavioral medicine approach in physiotherapy for patients with musculoskeletal pain: a scoping review

Abstract: Supplemental Digital Content is Available in the Text. The interventions in the scoping review were in agreement with the definition of behavioral medicine in physiotherapy, but reported behavior change techniques were few.

Cited by 15 publications

References 59 publications

Physiotherapy support for self-management of persisting musculoskeletal pain disorders

Physiotherapy support for self-management of persisting musculoskeletal pain disorders

A Scoping Review of the Evidence regarding Assessment and Management of Psychological Features of Shoulder Pain

Ergebnisse einer deutschlandweiten Umfrage über Beratung zu lebensstilbezogener Verhaltensänderung (BzlV) in der physiotherapeutischen Versorgung – eine Querschnittstudie

Contact Info

Product

Resources

About