Extended Scope Practitioner (Upper Limb) York and Scarborough Teaching Hospitals NHS FT, United Kingdom.
Professor of Musculoskeletal Physiotherapy Health and Wellbeing, Manchester Metropolitan University, Manchester, United Kingdom.
PLoS One. 2024 Jun 14;19(6):e0304236. doi: 10.1371/journal.pone.0304236. eCollection 2024.
Frozen shoulder is a condition associated with severe shoulder pain and loss of function impacting on a persons' physical and mental health. Hydrodistension treatment that has been widely adopted within the UK National Health Service for the condition. However, evidence of clinical effectiveness and understanding of the patient experiences of this treatment are lacking. This study explored the experiences of people with a frozen shoulder who received hydrodistension treatment.
A qualitative design with repeat semi-structured interviews was used to explore participants' experiences of hydrodistension treatment. Participants were interviewed 2-4 weeks and again at 8-10 weeks after treatment. Interviews were audio-recorded and transcribed verbatim. Findings were analysed using an inductive thematic analysis framework. The study is reported in accordance with the consolidated criteria for reporting qualitative (COREQ) research.
15 participants were interviewed online or over the phone. Three themes were identified: 'Preparing for and having a hydrodistension', 'Physiotherapy after hydrodistension', and 'Outcome of hydrodistension '. Participants believed hydrodistension would benefit them, was well tolerated by many, and the effects were apparent to most within the first week. Physiotherapy still seemed to be valued to support recovery beyond this timepoint, despite these early effects. Some participant's experienced harms including severe procedural pain and blood sugar dysregulation.
This is the first study to investigate the experiences of people who undergo hydrodistension for frozen shoulder. Hydrodistension appears an acceptable treatment to participants with a frozen shoulder, acceptability is enhanced through adequate shared decision making. Further high-quality research is required to understand the comparative effectiveness of hydrodistension as a treatment for frozen shoulder, including adverse events, and the benefit of treatment by a physiotherapist after hydrodistension.
冻结肩是一种与严重肩部疼痛和功能丧失相关的疾病，会影响人们的身心健康。在英国国民保健制度中，水扩张治疗已被广泛应用于该疾病的治疗。然而，缺乏关于该治疗的临床疗效和患者体验的证据。本研究探讨了接受水扩张治疗的冻结肩患者的体验。
采用定性设计，采用重复半结构式访谈，探讨参与者接受水扩张治疗的体验。参与者在治疗后 2-4 周和 8-10 周进行访谈，并进行录音和逐字记录。使用归纳主题分析框架对发现进行分析。该研究按照定性报告的统一标准（COREQ）进行报告。
共对 15 名参与者进行了在线或电话访谈。确定了三个主题：“准备和接受水扩张治疗”、“水扩张治疗后进行的物理治疗”和“水扩张治疗的结果”。参与者认为水扩张治疗对他们有益，大多数人可以很好地耐受，大多数人在第一周内就会看到效果。尽管在这一时间点之后，物理治疗似乎仍能支持康复，但仍有一些患者认为水扩张治疗是有益的。一些患者经历了严重的程序疼痛和血糖失调等危害。
这是第一项调查接受水扩张治疗冻结肩患者体验的研究。水扩张治疗对冻结肩患者似乎是一种可接受的治疗方法，通过充分的共同决策可以提高可接受性。需要进一步进行高质量的研究，以了解水扩张治疗作为冻结肩治疗方法的比较疗效，包括不良反应以及治疗后由物理治疗师进行治疗的益处。
