Rehabilitation in subjects with frozen shoulder: a survey of current (2023) clinical practice of Italian physiotherapists.

Autor: Brindisino F; Department of Medicine and Health Science 'Vincenzo Tiberio', University of Molise, Campobasso, Italy. fabrizio.brindisino@unimol.it., Girardi G; Department of Medicine and Health Science 'Vincenzo Tiberio', University of Molise, Campobasso, Italy., Crestani M; Department of Medicine and Health Science 'Vincenzo Tiberio', University of Molise, Campobasso, Italy.; Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy., Assenza R; Physiotherapy Private Practice c/o Assenza Physical Therapy, Rome, Italy., Andriesse A; Medical Translation Private Practice c/o Andriesse Medical Translator, Rome, Italy., Giovannico G; Department of Medicine and Health Science 'Vincenzo Tiberio', University of Molise, Campobasso, Italy., Pellicciari L; IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy., Salomon M; Department of Clinical Science and Translational Medicine, University of Roma 'Tor Vergata', Rome, Italy., Venturin D; Department of Medicine and Health Science 'Vincenzo Tiberio', University of Molise, Campobasso, Italy.
Jazyk: angličtina
Zdroj: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Jul 23; Vol. 25 (1), pp. 573. Date of Electronic Publication: 2024 Jul 23.
DOI: 10.1186/s12891-024-07682-w
Abstrakt: Objective: Frozen Shoulder (FS) is a musculoskeletal pathology that leads to disability, functional decline, and a worsening in quality of life. Physiotherapists are the primary professionals involved in the treatment of FS, and it is essential to determine if their practice aligns with evidence-based suggestions.
Aim: The aim is to assess the knowledge, skills, and operational strategies of Italian physiotherapists regarding FS and compare them with the existing literature.
Methods: A web-based, anonymous, and voluntary cross-sectional survey was developed and administered to Italian physiotherapists to evaluate their clinical practices.
Results: A total of 501 physiotherapists (38.5% female), completed the survey. More than half were under 35 years old (67.8%), declared working in private practice settings or being self-employed (57.1%), and were primarily engaged with musculoskeletal patients (81.8%). For subjects with FS at their first access, 21.4% identified X-rays as the most useful imaging technique to recognize pathologies beyond rehabilitation competence. In terms of general management, the majority reported working with an orthopaedic or physiatrist (47.5%) or in a multidisciplinary team (33.5%). Regarding manual therapy techniques, 63.3% of physiotherapists preferred intense degree mobilization, posterior direction, and moderate pain at the end of the range of motion for low irritable/high stiffness FS; however, there is a lack of consensus for managing very irritable/low stiffness FS. The majority of physiotherapists (57.7%) concurred that stretching improves the balance between metalloproteinase and its inhibitors. Additionally, 48.3% of physiotherapists selected mobile phone videos and messages to improve patients' compliance with exercises at home and for motivational/educational purposes.
Discussion and Conclusion: The clinical practices of Italian physiotherapists in FS subjects sometimes deviate from evidence-based recommendations. While some discrepancies may be attributed to the existing uncertainties in the literature regarding knowledge and management strategies for FS patients, the authors recommend a stronger adherence to evidence-based practice.
(© 2024. The Author(s).)
Databáze: MEDLINE
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