Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, Italy.
"Riabilita" private practice, Sabaudia, LT, Italy.
BMC Musculoskelet Disord. 2024 Sep 17;25(1):745. doi: 10.1186/s12891-024-07803-5.
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.
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.
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.
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.
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.
物理治疗师（PTs）在管理冻结肩（FS）患者方面发挥着关键作用，他们通常是第一个参与治疗这种疾病的医疗保健专业人员。
本研究旨在比较 FS 患者的信念、期望和观点与 PTs 的知识、技能和策略，重点突出异同。
本研究遵循互联网电子调查结果报告清单（CHERRIES）。2023 年 5 月 1 日至 8 月 1 日，进行了一项两部分的调查，涉及 PTs 和确诊为 FS 的个体。调查重点比较了临床评估、患者教育、治疗期望和医患关系的心理方面等关键领域。
共有 501 名 PTs 和 110 名 FS 患者参与了调查。大多数 PTs 熟练掌握 FS 的病理解剖条件，并且还关注心理方面（88.4%），将病理演变描述为三个或两个阶段（68.2%）。他们还强调了患者教育的重要性（89.6%），并认识到在管理 FS 方面多专业合作的潜在益处（82.2%）。32.3%的 PTs 表示安抚是优先事项。FS 患者更倾向于既专业又有同理心的 PTs（73.6%）。关于他们对 FS 的理解，29.09%的患者报告接受了三阶段的解释，而 26.36%的患者感觉信息不足。近一半的患者（49.09%）希望由 PT 独立管理，93.64%的患者优先考虑改善活动范围。
本研究表明，FS 患者和 PTs 之间在治疗关系、患者教育、病理管理、依从性和动机策略以及疼痛管理偏好等方面普遍达成一致。然而，在物理治疗效果的感知、主要治疗目标、患者的优先事项以及心理评估的重要性方面存在显著差异。
