Frozen shoulder: subjects' needs and perspectives and clinicians' beliefs and management strategies: do they align? A cross-sectional study.

Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE

Original Publication: London : BioMed Central, [2000-

Physical Therapists*/psychology ; Bursitis*/therapy ; Bursitis*/psychology ; Health Knowledge, Attitudes, Practice*; Humans ; Male ; Cross-Sectional Studies ; Female ; Middle Aged ; Adult ; Patient Education as Topic ; Attitude of Health Personnel ; Surveys and Questionnaires ; Aged ; Physical Therapy Modalities

Objective: Physiotherapists (PTs) play a crucial role in managing individuals with Frozen Shoulder (FS), frequently being the first healthcare professionals involved in the treatment of this condition.
Aim: This study aimed to compare the beliefs, expectations, and perspectives of individuals with FS with the knowledge, skills, and strategies of PTs, highlighting similarities and differences.
Method: This study adhered to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). From May 1st to August 1st, 2023, a two-part survey was conducted involving PTs and individuals diagnosed with FS. The survey focused on comparing key areas such as clinical assessment, patient education, treatment expectations, and the psychological aspects of the patient-clinician relationship.
Results: A total of 501 PTs and 110 subjects with FS participated in the survey. Most PTs showed proficiency in FS pathoanatomical conditions and were also attentive to psychological aspects (88.4%), describing the pathology evolution in three or two stages (68.2%). They also highlighted the importance of patient education (89.6%) and recognized the potential benefits of a multiprofessional collaboration in managing FS (82.2%). Reassurance was reported as a priority by 32.3% of PTs. Subjects with FS expressed a preference for PTs who are both expert and empathetic (73.6%). Regarding their understanding of FS, 29.09% of subjects reported receiving a three-phase explanation, while 26.36% felt inadequately informed. Nearly half of the subjects (49.09%) anticipated being managed independently by a PT, with 93.64% prioritizing the improvement of their range of motion.
Conclusion: This study revealed a general agreement between subjects with FS and PTs regarding aspects of the therapeutic relationship, patient education, pathology management, compliance and motivation strategies, and pain management preferences. However, significant differences emerged concerning the perception of physiotherapy effectiveness, primary treatment goals, subjects' priorities, and the importance of psychological assessment.
(© 2024. The Author(s).)

Man Ther. 2013 Apr;18(2):96-102. (PMID: 23273516)
Musculoskelet Sci Pract. 2023 Jun;65:102755. (PMID: 37172553)
BMC Musculoskelet Disord. 2022 Apr 4;23(1):318. (PMID: 35379207)
Physiother Theory Pract. 2016 Jul;32(5):332-55. (PMID: 27351541)
Nat Rev Dis Primers. 2022 Sep 8;8(1):59. (PMID: 36075904)
Musculoskelet Sci Pract. 2019 Oct;43:45-51. (PMID: 31228812)
J Orthop Sports Phys Ther. 2013 May;43(5):A1-31. (PMID: 23636125)
BMJ Open. 2013 Sep 26;3(9):e003452. (PMID: 24078753)
Arch Physiother. 2020 Sep 02;10:16. (PMID: 32905154)
Am J Sports Med. 2021 May;49(6):1669-1679. (PMID: 32941053)
J Shoulder Elbow Surg. 2022 May;31(5):1096-1105. (PMID: 35149203)
Phys Ther. 2023 Jul 1;103(7):. (PMID: 37145093)
Eura Medicophys. 2007 Dec;43(4):515-23. (PMID: 18084176)
Disabil Rehabil. 2022 Aug;44(17):4689-4699. (PMID: 33945358)
Chiropr Man Therap. 2022 Sep 12;30(1):38. (PMID: 36096835)
Knee Surg Sports Traumatol Arthrosc. 2024 Jan;32(1):37-46. (PMID: 38226696)
EFORT Open Rev. 2020 May 1;5(5):273-279. (PMID: 32509332)
Rheumatol Int. 2022 Jun;42(6):925-936. (PMID: 34487209)
J Pain. 2018 Jan;19(1):10-34. (PMID: 28939015)
Musculoskelet Sci Pract. 2024 Aug;72:102980. (PMID: 38820869)
Braz J Phys Ther. 2023 Jul-Aug;27(4):100539. (PMID: 37639942)
Am J Sports Med. 2016 Feb;44(2):474-81. (PMID: 26657263)
Musculoskeletal Care. 2021 Jun;19(2):165-171. (PMID: 32939967)
Arthrosc Sports Med Rehabil. 2022 May 21;4(3):e1219-e1234. (PMID: 35747628)
Am Fam Physician. 2011 Feb 15;83(4):417-22. (PMID: 21322517)
Musculoskelet Sci Pract. 2018 Oct;37:64-68. (PMID: 29986193)
Physiotherapy. 2017 Mar;103(1):40-47. (PMID: 27641499)
Physiother Theory Pract. 2022 Mar;38(3):373-389. (PMID: 32546079)
J Med Internet Res. 2004 Sep 29;6(3):e34. (PMID: 15471760)
Disabil Rehabil. 2024 Aug;46(16):3513-3534. (PMID: 37667875)
Clin J Pain. 2018 Sep;34(9):838-857. (PMID: 29554030)
BMC Musculoskelet Disord. 2024 Apr 2;25(1):260. (PMID: 38566086)
Phys Ther. 2011 Jan;91(1):25-36. (PMID: 21071504)
BMC Musculoskelet Disord. 2022 Aug 4;23(1):749. (PMID: 35927658)
Clin Orthop Surg. 2020 Mar;12(1):60-67. (PMID: 32117540)
Physiother Theory Pract. 2023 May;39(5):979-993. (PMID: 35164645)
Arch Phys Med Rehabil. 2022 May;103(5):998-1012.e14. (PMID: 34425089)
J Musculoskelet Neuronal Interact. 2019 Dec 1;19(4):482-491. (PMID: 31789299)
Physiother Res Int. 2024 Jan;29(1):e2056. (PMID: 37867399)
JAMA Netw Open. 2020 Dec 1;3(12):e2029581. (PMID: 33326025)
Musculoskelet Sci Pract. 2022 Feb;57:102434. (PMID: 34376367)
Musculoskelet Sci Pract. 2020 Jun;47:102132. (PMID: 32148327)
J Pain. 2019 Oct;20(10):1140.e1-1140.e22. (PMID: 30831273)
J Orthop Sports Phys Ther. 2020 Mar;50(3):142. (PMID: 32116099)
Orthop J Sports Med. 2022 Feb 04;10(2):23259671211062222. (PMID: 35141337)
Medwave. 2018 Sep 28;18(5):e7265. (PMID: 30312288)
J Hand Ther. 2017 Jul - Sep;30(3):235-241.e8. (PMID: 27884497)
Man Ther. 2015 Feb;20(1):2-9. (PMID: 25107826)
Musculoskeletal Care. 2018 Mar;16(1):233-237. (PMID: 28401666)

Keywords: Adhesive capsulitis; Frozen shoulder; Patient Healthcare acceptance; Physical therapy modalities; Psychological factor

Date Created: 20240917 Date Completed: 20240918 Latest Revision: 20240921

20240921

PMC11406753

10.1186/s12891-024-07803-5

39289654