Your browser doesn't support javascript.
loading
Rehabilitation in subjects with frozen shoulder: a survey of current (2023) clinical practice of Italian physiotherapists.
Brindisino, Fabrizio; Girardi, Giuseppe; Crestani, Mauro; Assenza, Raffaele; Andriesse, Arianna; Giovannico, Giuseppe; Pellicciari, Leonardo; Salomon, Mattia; Venturin, Davide.
Afiliación
  • 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.
  • Assenza R; Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
  • Andriesse A; Physiotherapy Private Practice c/o Assenza Physical Therapy, Rome, Italy.
  • Giovannico G; Medical Translation Private Practice c/o Andriesse Medical Translator, Rome, Italy.
  • Pellicciari L; Department of Medicine and Health Science "Vincenzo Tiberio", University of Molise, Campobasso, Italy.
  • Salomon M; IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
  • Venturin D; Department of Clinical Science and Translational Medicine, University of Roma "Tor Vergata", Rome, Italy.
BMC Musculoskelet Disord ; 25(1): 573, 2024 Jul 23.
Article en En | MEDLINE | ID: mdl-39044183
ABSTRACT

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.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bursitis / Fisioterapeutas Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bursitis / Fisioterapeutas Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido