Share decision making (SDM), which has been promoted as a means of increasing healthcare prudence, has been linked to self-efficacy and service user empowerment. Despite the hazy evaluation of its use in musculoskeletal (MSK) physiotherapy, articles indicate the importance of trust and communication. The ENTREQ guidelines served as the basis for the systematic review and thematic synthesis. PRISMA recommendations were used to guide a comprehensive literature search that used the AHMED, CINAHL, MEDLNE, EMBASE, and Cochrane databases from the beginning until October 2021. COREQ was used to evaluate the quality of the articles, in addition to critical discussions. The analysis and synthesis process consisted of five phases: attributes, information coding and the development of instructive topics, scientific topics advancement, coordination, and refinement. The review's objective was to gain a better understanding of the conditions necessary for successful SDM and learn about people's experiences with SDM in MSK physiotherapy. From a total of 1508 studies, nine articles were selected. The four main themes of trust, communication, decision preferences, and decision ability demonstrate that the majority of people want to participate in decision-making. As per the limit and ability model, an individual's ability to take part was worked with by three principal conditions. The public wants to participate in SDM in MSK physiotherapy. For SDM to work, physiotherapists should try to build trust between patients, use two-way communication, and divide power.
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