Zeitschrift für Physiotherapie und körperliche Rehabilitation

A Thematic Synthesis of Decision Making in Musculoskeletal Physiotherapy

Abstract

Chester Henley

Self-efficacy and service user empowerment have been linked to share decision making (SDM), which has been promoted as a means of increasing healthcare prudence. Although the evaluation of its application in musculoskeletal (MSK) physiotherapy is hazy, articles indicate that trust and communication are essential. Thematic synthesis and systematic review were based on ENTREQ guidelines. From the beginning to October 2021, a comprehensive literature search using the AHMED, CINAHL, MEDLNE, EMBASE and Cochrane databases was guided by PRISMA recommendations. In addition to critical discussions, articles quality was evaluated using COREQ. There were five stages in analysis and synthesis framing concentrate on attributes, coding of information and improvement of enlightening subjects, advancement of scientific topics and coordination and refinement. The purpose of the review was to learn about people's experiences with SDM in MSK physiotherapy and to improve our comprehension of the conditions necessary for successful SDM. Nine articles were selected from a total of 1508 studies. The majority of people want to participate in decision-making, as demonstrated by four main themes trust, communication, decision preferences and decision ability. In accordance with the capacity and capability model, a person's capacity to participate was facilitated by three fundamental conditions. Participation in SDM in MSK physiotherapy is desired by the public. Physiotherapists should try to build trust between patients, use two-way communication and share power in order for SDM to work.