Factors and Experiences Influencing Physiotherapists' Care of Patients with Persistent Rotator Cuff-Related Shoulder Pain: A Qualitative Study.

Physiotherapy rehabilitation for rotator cuff-related shoulder pain includes patient education, manual therapy, and exercise prescription. Recent guidelines highlight the importance of holistic, biopsychosocial strategies in managing common musculoskeletal disorders. This qualitative study explored...

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Publicado en:New Zealand Journal of Physiotherapy Vol. 54; no. 1; pp. 50 - 65
Autores principales: John, Nishan, Meehan, Karen, Perry, Meredith A., Wassinger, Craig, Sole, Gisela
Formato: research tables/charts Journal Article
Publicado: Physiotherapy New Zealand Inc. 2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Factors and Experiences Influencing Physiotherapists' Care of Patients with Persistent Rotator Cuff-Related Shoulder Pain: A Qualitative Study.
      aug:
        au:
          John, Nishan
          Meehan, Karen
          Perry, Meredith A.
          Wassinger, Craig
          Sole, Gisela
        affil: Centre for Health, Activity and Rehabilitation, School of Physiotherapy, University of Otago, Dunedin, New Zealand
      sug:
        subj:
          Rotator Cuff Injuries Therapy
          Shoulder Pain Therapy
          Physical Therapist Attitudes
          Human
          Qualitative Studies
          Semi-Structured Interview
          Interview Guides
          Focus Groups
          Audiorecording
          Thematic Analysis
          Descriptive Statistics
          Data Analysis Software
          Health Beliefs
          Life Style
          Clinical Reasoning
          Self-Management
          Neurosciences
          Patient Education
          Biomechanics
      ab: Physiotherapy rehabilitation for rotator cuff-related shoulder pain includes patient education, manual therapy, and exercise prescription. Recent guidelines highlight the importance of holistic, biopsychosocial strategies in managing common musculoskeletal disorders. This qualitative study explored physiotherapists' care for patients with persistent rotator cuff-related shoulder pain, focusing on the content and reasoning behind their choice of interventions. Semi-structured interviews or focus groups were held with 12 physiotherapists across New Zealand with more than three years' clinical experience. Data were analysed using reflexive thematic analysis. Three themes demonstrate the importance of physiotherapists' perspectives and beliefs. "Physiotherapist clinical worldview" reflected how professional education and clinical experience shaped their backgrounds and beliefs. "Physiotherapy interventions and rationale" described practice based on individual assessment, primarily involving manual therapy, exercise prescription, and adjunct modalities. "Education and advice" examined the content and delivery of patient education, which was largely grounded in biomechanical principles. Variability was evident in the application of biopsychosocial approaches. Some participants incorporated patient goals, beliefs, and lifestyle factors into their clinical reasoning and education, while others also integrated self-management principles and pain neuroscience concepts. A general inclination was evident towards providing interventions and patient education based on postural, biomechanical, and biomedical principles. Some participants discussed education, advice, and treatments through a psychosocial lens.
      pubtype: Academic Journal
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        research
        tables/charts
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      ougenre: Article
    language: English
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