SynthesisPain medicine (Malden, Mass.)2024
Patient-related barriers and enablers to the implementation of high-value physiotherapy for chronic pain: a systematic review.
Synthesis in Pain medicine (Malden, Mass.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed.
- MULTIple or ONE home strengthening exercise(s) for knee osteoarthritis: Protocol for the MULTI-ONE randomised controlled trial.Osteoarthritis and cartilage open · 2026Article
- A population-based survey of beliefs about neck pain and its associated disorders: a cross-sectional study.BMC musculoskeletal disorders · 2025Article
- Adding Multimedia Animations to Exercise Therapy Provides No Additional Benefit for Rotator Cuff-Related Shoulder Pain: A Randomized Clinical Trial.Journal of clinical medicine · 2025Article
- Effectiveness and Safety of Tuina Therapy Combined With Yijinjing Exercise for Neck Pain: Protocol for a Systematic Review and Meta-Analysis.JMIR research protocols · 2025Article
- Long-Term Prospective Follow-Up of Spinal Interventional Pain Procedures and Physical Therapy Compliance on Outcomes in Chronic Pain Patients.Journal of clinical medicine · 2025Article
- Psilocybin as a psychophysical adaptogen in chronic pain rehabilitation.The journal of pain · 2025Article
- Multimodal Physiotherapist Intervention Program for Physical and Psychological Functioning in Children with Chronic Pain: Guiding Physiotherapy Intervention with the Pediatric Pain Screening Tool with Recommendations for Clinical Practice.Journal of clinical medicine · 2025Article
- Impact evaluation of an interdisciplinary approach to patients with chronic non-cancer pain in Chilean primary care.BMC health services research · 2025Article
- Addressing treatment fatigue, therapeutic inertia, and cognitive dissonance in musculoskeletal pain management in primary care setting.Frontiers in medicine · 2025Article
- Article
- Optimal Duration of Physical Therapy Following Total Knee Arthroplasty.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Exercise Therapy for Chronic Neck Pain: Tailoring Person-Centred Approaches within Contemporary Management.Journal of clinical medicine · 2023Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo identify and synthesize patient-related barriers to and enablers of the implementation of high-value physiotherapy (HVP) for chronic pain. Furthermore, to review what patient-related interventions have been used to facilitate the implementation of HVP for chronic pain, as well as their efficacy.
methodsWe systematically searched the APA PsycInfo, Embase, CINAHL, Medline, Scopus, and PEDro databases for peer-reviewed studies (published in English) of adults with chronic pain. We used the Theoretical Domains Framework of behavior change to synthesize identified themes relating to barriers and enablers. Outcomes from studies reporting on interventions were also qualitatively synthesized.
resultsFourteen studies reported on barriers and enablers, 8 of which related to exercise adherence. Themes common to barriers and enablers included perceived efficacy of treatment, interrelationship with the physiotherapist, exercise burden, and the patient's understanding of exercise benefits. Other barriers included fear of movement, fragmented care, and cost. Ten studies explored interventions, 9 of which aimed to improve exercise adherence. Of these, evidence from 4 randomized controlled trials of technology-based interventions demonstrated improved exercise adherence among intervention groups compared with controls.
conclusionPatients with chronic pain experience barriers to HVP, including their beliefs, the nature of their interaction with their physiotherapist, perceived treatment efficacy, and cost. Enablers include rapport with their physiotherapist, achievable exercises, and seamless cost-effective care. Technology-based interventions have demonstrated effectiveness at increasing exercise adherence. Our findings suggest that interventions seeking to enhance implementation of HVP need to consider the multifactorial barriers experienced by patients with chronic pain. STUDY REGISTRATION: Open Science Framework (https://doi.org/10.17605/OSF.IO/AYGZV).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.