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Understanding shoulder pain: a qualitative evidence synthesis exploring the patient experience

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Show simple item record Maxwell, Christina Robinson, Katie McCreesh, Karen 2021-02-18T15:59:51Z 2020
dc.description peer-reviewed en_US
dc.description The full text of this article will not be available in ULIR until the embargo expires on the 28/12/2021
dc.description.abstract Objective The objective of this study was to review and synthesize qualitative research studies exploring the experiences of individuals living with shoulder pain to enhance understanding of the experiences of these individuals as well as facilitate health care developments. Methods A meta-ethnographic approach was adopted to review and synthesize eligible published qualitative research studies. The findings from each included study were translated into one another using the Noblit and Hares 7-stage process. A systematic search of 11 electronic databases was conducted in March 2020. Methodological quality was assessed using the Critical Appraisal Skills Programme (CASP) appraisal tool. Results Nineteen studies were included in the meta-synthesis. Included articles explored the lived experiences as well as treatment-related experiences of participants. All of the included articles were deemed to be of high methodological quality. Three themes were identified: (1) negative emotional, social, and activity impact (“It has been a big upheaval”), (2) developing an understanding (“Why is it hurting so much?”), and (3) exercise (“Am I going to go through a lot of pain in moving it…?”). Across the included studies, the severe emotional and physical impact of shoulder pain was a core finding. Many people sought a “permanent” solution involving surgery. Openness to other treatment options was influenced by factors including understanding of pain, prior experiences, and treatment expectations. Conclusion These findings deepen understanding of the impact of shoulder pain on peoples’ lives and provide novel insight into the experience of treatment. Enhanced awareness of people’s experiences of shoulder pain and treatment is crucial for clinicians when planning and implementing evidence-based recommendation. Impact To the knowledge of the authors, this is the first qualitative evidence synthesis to explore the treatment-related experiences of individuals with shoulder pain. Shoulder surgery was considered by many as the only means to achieve a more permeant resolution of symptoms. Lay Summary Shoulder pain causes emotional and physical turmoil that can permeate every facet of life. People’s understanding of their shoulder pain appears to be deeply rooted in a biomechanical view of pain, which influences their expectations relating to diagnosis and treatment. en_US
dc.language.iso eng en_US
dc.publisher Oxford University Press / American Physical Therapy Association en_US
dc.relation.ispartofseries Physical Therapy;
dc.rights This is a pre-copyedited, author-produced PDF of an article accepted for publication in Physical Therapy following peer review. The version of record [insert complete citation information here] is available online at: en_US
dc.subject pain en_US
dc.subject rotator cuff en_US
dc.subject qualitative research en_US
dc.subject qualitative evidence synthesis en_US
dc.title Understanding shoulder pain: a qualitative evidence synthesis exploring the patient experience en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1093/ptj/pzaa229 2021-12-28
dc.embargo.terms 2021-12-28 en_US
dc.rights.accessrights info:eu-repo/semantics/embargoedAccess en_US

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