Abstract：
BACKGROUND: Torture can result in impaired functional mobility, reduced quality of life, and persistent pain. Physical therapy (PT) is recommended for holistic care of survivors of torture (SOT), however there are limited evidenced-based guidelines. We conducted a scoping review to identify and describe the approach and gaps in knowledge around the PT treatment of SOT.
METHODS: We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Re-views. Nine databases were searched. Eligible sources involved PT treatment for SOT. Interventions were categorized into themes based on recommendations from the Physiotherapy and Refugees Edu-cation Project: 1) trauma-informed care, 2) body-awareness and empowerment, 3) pain management.
RESULTS: The final analysis included 15 sources. Eight sources included all three themes; three of these eight sources were research studies examining outcomes following the PT intervention. While out-comes of these studies were significant for improvement among the PT groups, results must be taken cautiously due to methodological limitations of the trials. Studies assessing treatment that included only one theme resulted in no differences between the control and intervention groups.
CONCLUSIONS: We describe the scope of the literature regarding PT for SOT. A trauma-informed PT approach, co-ordinated with pain management, and body-awareness and empowerment interventions may address the complex needs of survivors. However, rigorous studies of this three-themed approach are lacking. As SOT seek medical services, healthcare providers must be prepared to care for these vulnerable people. Physical therapists are encouraged to utilize a holistic approach, and to examine outcomes of this approach for SOT.
METHODS: We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Re-views. Nine databases were searched. Eligible sources involved PT treatment for SOT. Interventions were categorized into themes based on recommendations from the Physiotherapy and Refugees Edu-cation Project: 1) trauma-informed care, 2) body-awareness and empowerment, 3) pain management.
RESULTS: The final analysis included 15 sources. Eight sources included all three themes; three of these eight sources were research studies examining outcomes following the PT intervention. While out-comes of these studies were significant for improvement among the PT groups, results must be taken cautiously due to methodological limitations of the trials. Studies assessing treatment that included only one theme resulted in no differences between the control and intervention groups.
CONCLUSIONS: We describe the scope of the literature regarding PT for SOT. A trauma-informed PT approach, co-ordinated with pain management, and body-awareness and empowerment interventions may address the complex needs of survivors. However, rigorous studies of this three-themed approach are lacking. As SOT seek medical services, healthcare providers must be prepared to care for these vulnerable people. Physical therapists are encouraged to utilize a holistic approach, and to examine outcomes of this approach for SOT.
摘要：
背景：酷刑会导致功能流动性受损，生活质量下降，和持续的疼痛。物理治疗（PT）被推荐用于酷刑幸存者的整体护理（SOT），然而，基于证据的指南有限。我们进行了范围审查，以确定和描述SOTPT治疗的方法和知识差距。
方法：我们坚持首选报告项目，用于系统评价和Meta分析扩展，用于范围界定重新评价。搜索了9个数据库。合格来源涉及SOT的PT治疗。根据物理治疗和难民教育项目的建议，将干预措施分为主题：1）创伤知情护理，2)身体意识和赋权，3）疼痛管理。
结果：最终分析包括15个来源。八个来源包括所有三个主题；这八个来源中的三个是检查PT干预后结果的研究。虽然这些研究的结果对PT组的改善具有重要意义，由于试验方法学上的局限性,结果必须谨慎.仅包括一个主题的评估治疗的研究导致对照组和干预组之间没有差异。
结论：我们描述了关于SOT的PT的文献范围。创伤知情PT方法，与疼痛管理协调，和身体意识和赋权干预措施可以解决幸存者的复杂需求。然而,缺乏对这三主题方法的严格研究。随着SOT寻求医疗服务，医疗保健提供者必须准备好照顾这些弱势群体。鼓励物理治疗师使用整体方法，并检查这种方法对SOT的结果。
方法：我们坚持首选报告项目，用于系统评价和Meta分析扩展，用于范围界定重新评价。搜索了9个数据库。合格来源涉及SOT的PT治疗。根据物理治疗和难民教育项目的建议，将干预措施分为主题：1）创伤知情护理，2)身体意识和赋权，3）疼痛管理。
结果：最终分析包括15个来源。八个来源包括所有三个主题；这八个来源中的三个是检查PT干预后结果的研究。虽然这些研究的结果对PT组的改善具有重要意义，由于试验方法学上的局限性,结果必须谨慎.仅包括一个主题的评估治疗的研究导致对照组和干预组之间没有差异。
结论：我们描述了关于SOT的PT的文献范围。创伤知情PT方法，与疼痛管理协调，和身体意识和赋权干预措施可以解决幸存者的复杂需求。然而,缺乏对这三主题方法的严格研究。随着SOT寻求医疗服务，医疗保健提供者必须准备好照顾这些弱势群体。鼓励物理治疗师使用整体方法，并检查这种方法对SOT的结果。
