Work

Psychological Typing and Stratified Rehabilitation after Rotator Cuff Repair Based on the Fear-Avoidance Model: A Scoping Review Protocol

Year: 2026
Type: other
Abstract: This project archives the protocol and materials of a scoping review, conducted in accordance with PRISMA-ScR, that maps the evidence on psychosocial factors after rotator cuff repair within the fear-avoidance model. The review question is framed with the PCC scheme: adults after rotator cuff tear or repair, with transferable orthopaedic postoperative populations carried as a comparison set (Population); fear-avoidance constructs, psychosocial prognostic factors, psychological phenotyping, psychologically informed intervention, and stratified care (Concept); perioperative and postoperative rehabilitation across care settings (Context). Twelve query blocks were run: eight shoulder-anchored blocks in PubMed on 4 September 2026 and four cross-orthopaedic blocks in Europe PMC (MEDLINE subset) on 7 November 2026. The eight PubMed blocks were re-run on 7 November 2026 as an update search, and all twelve strings were executed once more that day as a closure check, which returned no record that had not already been screened. The blocks returned 3,712 raw records, including 40 from the update search. After the two de-duplication steps had removed 369 records, 3,343 records were screened on title and abstract in two structured stages: stage 1 excluded 1,296 records lacking both a construct term and an orthopaedic population term, and stage 2 assessed the remaining 2,047 against the eligibility criteria. Six structured audits followed screening and charting, after which the audited set comprises 1,560 exclusions (E1 443; E2 966; E3 118; E4 33) and 487 included studies (shoulder 180; other orthopaedic 252; non-surgical musculoskeletal 55). Screening was performed by a single reviewer, with full text consulted where accessible and rule-based adjudication of borderline titles; no duplicate independent screening was undertaken. Included studies were charted on a standardised form and synthesised descriptively as a narrative evidence map, without meta-analysis, in accordance with PRISMA-ScR. The protocol was fixed on 27 September 2026, after the search had been run and before screening began, and the review is reported separately. The files here are Additional files 1-6 and the PRISMA-ScR flow diagram. This deposit records what the protocol said and when it was lodged. It does not show that the protocol was written before the search, and it is not a prospective registration.
Author: Qingqing Li
Language: English
Subfield: Surgery
Field: Medicine
Open Access status: green
OpenAlex ID: W7225574807
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Related to: 10