Cited by 116Musculoskeletal pain and rehabilitationPain Management and TreatmentMedical Practices and Rehabilitation

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A Systematic Review and Meta-Analysis of the Effectiveness of Psychological Interventions Delivered by Physiotherapists on Pain, Disability and Psychological Outcomes in Musculoskeletal Pain Conditions

Silva Guerrero, Alma Viviana, Maujean, Annick, Campbell, Letitia, Sterling, Michele·2018·The Clinical Journal of Pain

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Abstract

Objective: This systematic review and meta-analysis examined the effectiveness of physiotherapist delivered psychological interventions combined with physiotherapy on pain, disability, and psychological outcomes for patients with musculoskeletal pain conditions. Methods: The review was conducted in accordance with the (PRISMA) guidelines. Five databases were systematically searched for randomized controlled trials from inception to May 2016. Studies were required to compare a psychological intervention delivered by physiotherapists combined with physiotherapy to physiotherapy alone or usual care. Physiotherapists delivering the interventions must have undergone training by a psychologist or a health professional trained in the delivery of psychological interventions. Results: A total of 34 articles met the eligibility criteria, of those, 30 were suitable for meta-analysis. There was low to high quality evidence that physiotherapist delivered psychological intervention combined with physiotherapy decreased pain in the short (26 studies, mean difference=−0.37; 95% confidence interval [CI], −0.65 to −0.09) and long term (22 studies, mean difference=−0.38; 95% CI, −0.67 to −0.10) and decreased disability in the short term (29 studies, standardized mean difference =−0.14; 95% CI, −0.26 to −0.01). Effect sizes were small. Low to high quality evidence demonstrated small to medium effects for some psychological outcomes at short-term and long-term follow-ups. Discussion: The results indicate that psychological interventions delivered by physiotherapist show promise to improve health outcomes, particularly psychological outcomes, in musculoskeletal pain conditions.

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“Although some of these interventions delivered by physiotherapists show promise in the management of musculoskeletal pain conditions, their effect sizes generally remain small.(61) Physiotherapists have traditionally received biomedical training,(21,55) but recently, there has been a shift towards more biopsychosocial…”
Background
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Psychologically informed physical therapy for musculoskeletal pain: current approaches, implications, and future directions from recent randomized trials
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Authors: Silva Guerrero, A. V., Maujean, A., Campbell, L., & Sterling, M.
Affiliations: Menzies Health Institute Queensland, Griffith University, Gold Coast
Griffith University (AU)
Corresponding author: Maujean, Annick
Campbell, Letitia
Sterling, Michele
ORCID: Maujean, Annick
Campbell, Letitia
Sterling, Michele
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2018-09
Volume: 34
Issue: 9
Pages: 838-857
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0000000000000601
OpenAlex: W2791515116
Cited by: 116
References: 83
Citations by year: 2026: 5 · 2025: 8 · 2024: 19 · 2023: 22 · 2022: 14 · 2021: 21 · 2020: 16 · 2019: 8 · 2018: 3
FWCI: 1.40
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Griffith Research Online (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords: musculoskeletal pain, analgesia, disability, psychological outcomes
MeSH terms: Disability Evaluation, Humans, Psychotherapy, Randomized Controlled Trials as Topic, Treatment Outcome, Musculoskeletal Pain, Physical Therapists

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A Systematic Review and Meta-Analysis of the Effectiveness of Psychological Interventions Delivered by Physiotherapists on Pain, Disability and Psychological Outcomes in Musculoskeletal Pain Conditions

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