Abstract：
Shoulder symptoms are common in patients with hypermobility spectrum disorders (HSD), but few studies focus on identifying factors associated with treatment effects.
To identify baseline and clinical characteristics associated with a better outcome 16 weeks after starting an exercise-based treatment in patients with HSD and shoulder symptoms.
Exploratory secondary analysis of data from a randomised controlled trial.
Self-reported treatment outcome was reported as change between baseline and follow-up after 16 weeks of high-load or low-load shoulder strengthening. Multiple linear and logistic regressions were used to investigate associations of patient expectations of treatment effect, self-efficacy, fear of movement, and symptom duration with change in shoulder function, shoulder pain, quality of life, and patient reported health change. All regression models were performed firstly with adjustments for covariates (age, sex, body mass index, hand dominance, treatment group, and baseline score of the outcome variable) and secondly with additional adjustments for exposure variables.
Expectations of complete recovery were associated with an increased odds of perceiving an important improvement in physical symptoms after a 16-week exercise-based treatment program. Higher self-efficacy at baseline seemed to be associated with improved shoulder function, shoulder pain and quality of life. A higher fear of movement seemed to be associated with increased shoulder pain and decreased quality of life. A longer symptom duration was associated with decreased quality of life.
Expectations of complete recovery, higher self-efficacy, lower fear of movement and shorter symptom duration seem to be important for better treatment outcomes.
To identify baseline and clinical characteristics associated with a better outcome 16 weeks after starting an exercise-based treatment in patients with HSD and shoulder symptoms.
Exploratory secondary analysis of data from a randomised controlled trial.
Self-reported treatment outcome was reported as change between baseline and follow-up after 16 weeks of high-load or low-load shoulder strengthening. Multiple linear and logistic regressions were used to investigate associations of patient expectations of treatment effect, self-efficacy, fear of movement, and symptom duration with change in shoulder function, shoulder pain, quality of life, and patient reported health change. All regression models were performed firstly with adjustments for covariates (age, sex, body mass index, hand dominance, treatment group, and baseline score of the outcome variable) and secondly with additional adjustments for exposure variables.
Expectations of complete recovery were associated with an increased odds of perceiving an important improvement in physical symptoms after a 16-week exercise-based treatment program. Higher self-efficacy at baseline seemed to be associated with improved shoulder function, shoulder pain and quality of life. A higher fear of movement seemed to be associated with increased shoulder pain and decreased quality of life. A longer symptom duration was associated with decreased quality of life.
Expectations of complete recovery, higher self-efficacy, lower fear of movement and shorter symptom duration seem to be important for better treatment outcomes.
摘要：
背景：肩关节症状在高移动频谱障碍（HSD）患者中很常见，但很少有研究专注于确定与治疗效果相关的因素。
目的：确定在HSD和肩关节症状患者开始基于运动的治疗16周后与更好的结果相关的基线和临床特征。
方法：对一项随机对照试验数据进行探索性二次分析。
方法：自我报告的治疗结果报告为高负荷或低负荷肩肩强化16周后基线和随访之间的变化。多元线性和逻辑回归用于研究患者对治疗效果的期望之间的关联。自我效能感,害怕运动，和症状持续时间随着肩部功能的改变，肩膀疼痛,生活质量,患者报告健康变化。所有回归模型首先进行协变量调整(年龄，性别,身体质量指数,手支配,治疗组,和结果变量的基线得分)，其次对暴露变量进行额外调整。
结果：完全康复的期望与在16周的基于运动的治疗计划后感觉到身体症状有重要改善的几率增加相关。基线时较高的自我效能感似乎与改善的肩部功能有关，肩痛和生活质量。对运动的恐惧似乎与肩部疼痛增加和生活质量下降有关。症状持续时间较长与生活质量下降有关。
结论：完全恢复的期望，自我效能感较高,较低的运动恐惧和较短的症状持续时间似乎对更好的治疗效果很重要.
目的：确定在HSD和肩关节症状患者开始基于运动的治疗16周后与更好的结果相关的基线和临床特征。
方法：对一项随机对照试验数据进行探索性二次分析。
方法：自我报告的治疗结果报告为高负荷或低负荷肩肩强化16周后基线和随访之间的变化。多元线性和逻辑回归用于研究患者对治疗效果的期望之间的关联。自我效能感,害怕运动，和症状持续时间随着肩部功能的改变，肩膀疼痛,生活质量,患者报告健康变化。所有回归模型首先进行协变量调整(年龄，性别,身体质量指数,手支配,治疗组,和结果变量的基线得分)，其次对暴露变量进行额外调整。
结果：完全康复的期望与在16周的基于运动的治疗计划后感觉到身体症状有重要改善的几率增加相关。基线时较高的自我效能感似乎与改善的肩部功能有关，肩痛和生活质量。对运动的恐惧似乎与肩部疼痛增加和生活质量下降有关。症状持续时间较长与生活质量下降有关。
结论：完全恢复的期望，自我效能感较高,较低的运动恐惧和较短的症状持续时间似乎对更好的治疗效果很重要.
