Rotator cuff disorders: A survey of current (2018) Italian physiotherapy practice

Brindisino, Fabrizio; Matteuzzi, I.; Bury, Julie; McCreesh, Karen; Littlewood, Chris

doi:10.3233/ppr-190141

Cited by 7 publications

(16 citation statements)

References 25 publications

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“…As expected by the authors of this study, some significant differences emerged from the analysis of the results regarding the cultural level of the PTs interviewed: those specialized in holding a University Master’s degree seem to be more in line with the current evidence of effectiveness. The results of this study align with those of other Italian surveys [ 46 ] and may be justified by the fact that in Italy the Master’s Degree Course provides professional training mainly oriented towards the acquisition of skills in management, training, and research processes and not towards the deepening of specialist clinical knowledge.…”

Section: Discussionsupporting

confidence: 85%

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Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods

Scalise

Brindisino

Pellicciari

et al. 2021

IJERPH

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The aim of this article was to investigate the knowledge, management, and clinical practice of Italian physiotherapists concerning patients with carpal tunnel syndrome (CTS). A national cross-sectional survey consisted of 24 questions was administered from December 2019 until February 2020. A Chi-squared independence test was run to study any difference between subgroups of the sample and responses to the questionnaire. Five hundred and eight respondents completed the survey. Most respondents (n = 225/508; 44.3%) are under 29 years old, female (n = 256/508; 50.4%) and have been working as physiotherapists for less than 5 years (n = 213/508; 41.9%). Most of respondents correctly knows about the cause (n = 455/508, 89.6%), main signs and symptoms of CTS (n = 415/508, 81.70%) and administer education, manual therapy, myofascial techniques and therapeutic exercises (n = 457/508, 89.88%). Three hundred and sixty-four (71.68%) respondents were aware of the influence of psychosocial factors on the patient’s outcomes. The survey showed greater adherence to evidences by physiotherapists holding a master’s degree. The results are mostly comparable with other surveys structured all over the world on the same topic. Italian physiotherapists management of the CTS was not always in line with current evidence. Interventions such as education, manual therapy, therapeutic exercise, nerve and tendon glide techniques are widely used, while the orthotic is only offered by half of the sample.

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Section: Discussionsupporting

confidence: 85%

“…In the current survey, the authors’ approach was to get the maximum number of responses in a defined period of time. This approach reflects other similar surveys currently present in the literature and conducted in Italy and Europe [ 44 , 45 , 46 ]. The time required for completing the questionnaire is 10 to 15 min.…”

Section: Methodsmentioning

confidence: 68%

Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods

Scalise

Brindisino

Pellicciari

et al. 2021

IJERPH

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“…As for other previous surveys conducted in Italy [ 26 , 39 ], a Chi Square (χ 2 ) test or Fisher’s exact test (if cell size were below 5) were run to study differences among subgroups of the sample according to their clinical experience (years), academic background, the number of patients with shoulder arthroplasty treated in 1 year, and degree in OMPT (a PT’s specialization according to International Federation of Orthopaedic Manipulative Physical Therapists-IFOMPT training standards) [ 40 ]. In case of a significant χ 2 , adjusted standardized residuals [ 41 ] with their Bonferroni-corrected p -value were calculated in order to determinate which cells of contingency table contributed most to the significant effect [ 42 , 43 ].…”

Section: Methodsmentioning

confidence: 56%

“…This study involved only PTs working in Italy at the time of the survey, who spontaneously filled out the survey; as many participants as possible were recruited in a given period of time, according to other similar recent publications [ 26 – 29 ] and other international surveys [ 28 – 33 ].…”

Section: Methodsmentioning

confidence: 99%

Rehabilitation following shoulder arthroplasty: a survey of current clinical practice patterns of Italian physiotherapists

Brindisino,

Lorusso,

Usai

et al. 2023

Arch Physiother

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Background The incidence of Total Shoulder Arthroplasty (TSA) and Reverse Total Shoulder Arthroplasty (RTSA) is constantly increasing. As a result, the interest in post-surgical rehabilitation has grown, since it is crucial in order to achieve full recovery and successful outcomes. The first aim of this study is to investigate the Italian physiotherapists (PTs) clinical practice in the management of patients with TSA and RTSA and to compare it with the best evidence available in the literature. The second purpose of this study is to assess any existing difference between the survey answers and the different sample subgroups. Materials and methods This cross-sectional observation study was designed following the CHERRIES checklist and the STROBE guidelines. A 4-sections survey with a total of 30 questions was developed for investigating post-surgery rehabilitation management in patient with TSA and RTSA. The survey was sent to Italian PTs from December 2020 until February 2021. Results Six-hundred and seven PTs completed the survey regarding both TSA and RTSA; 43.5% of participants (n = 264/607) stated that TSA is more likely to dislocate during abduction and external rotation. Regarding reverse prosthesis, 53.5% (n = 325/607) affirmed RTSA is more likely to dislocate during internal rotation, adduction and extension. In order to recover passive Range of Motion (pROM), 62.1% (n = 377/607) of participants reported that they gain anterior flexion, abduction, internal rotation, external rotation up to 30°, with full pROM in all directions granted at 6–12 weeks. Regarding the active ROM (aROM), 44.2% (n = 268/607) of participants stated that they use active-assisted procedures within a range under 90° of elevation and abduction at 3–4 weeks and higher than 90° at 6–12 weeks, with full recovery at a 3-month mark. Sixty-five point seven percent of the sample (n = 399/607) declared that, during the rehabilitation of patients with TSA, they tend to focus on strengthening the scapular and rotator cuff muscles, deltoid, biceps and triceps. Conversely, 68.0% (n = 413/607) of participants stated that, for the rehabilitation of patients with RTSA, they preferably focus on strengthening the periscapular and deltoid muscles. Finally, 33.1% (n = 201/607) of participants indicated the instability of the glenoid prosthetic component as the most frequent complication in patients with TSA, while 42.5% (n = 258/607) of PTs identified scapular neck erosion as the most frequent post-RTSA surgery complication. Conclusions The clinical practice of Italian PTs effectively reflects the indications of the literature as far as the strengthening of the main muscle groups and the prevention of movements, which may result in a dislocation, are concerned. Some differences emerged in the clinical practice of Italian PTs, regarding the restoration of active and passive movement, the starting and progression of muscle strengthening and the return to sport (RTS). These differences are actually quite representative of the current knowledge in post-surgical rehabilitation for shoulder prosthesis in the rehabilitation field. Level of evidence V

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“…The survey was open for one month, and the closing date was 26 April 2020. For pragmatic purposes and in line with previous internationally published surveys, we adopted this methodological approach with the aim to collect the maximum number of answers within a specific period as most responses occur early after posting [28][29][30][31][32][33][34][35]. A priori, a sample size was calculated using the e-survey Dillman's formula [36] with a 95% confidence level and a 5% of margin of error.…”

Section: Setting and Recruitmentmentioning

confidence: 99%

Assessing Cranial Nerves in Physical Therapy Practice: Findings from a Cross-Sectional Survey and Implication for Clinical Practice

et al. 2021

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Background and objective: Serious pathologies of the neck can potentially result in cranial nerve palsy. Knowledge about cranial nerve examination (CNE) seems sparse, and its use is still unknown. We aim to investigate the knowledge, skills, and utilization of CNE of Italian physiotherapists. Materials and Methods: An online cross-sectional survey. Results: 396 completed the survey, reaching the required sample size. Although Italian physiotherapists consider CNE relevant (mean ± SD = 7.6/10 ± 2.0), over half of all responders (n = 229 (57.8%)) were not trained in the fundamentals and around a third did not use it in their daily practice (n = 138 (34.8%)). Additionally, participants were unconfident and insecure in conducting (n = 152 (38.4%) and n = 147 (37.1%)), interpreting (n = 140 (35.4%) and n = 164 (41.4%)), and managing the CNE (n = 141 (35.6%) and n = 154 (38.9%)). Possessing a musculoskeletal specialization was associated with an increased value attributed to clinical practice guidelines and reduced the lack of confidence in conducting, interpreting, and managing the CNE (respectively, n = 35 (25.5%), p = 0.0001; n = 32 (23.4%) p = 0.0002; n = 32 (23.4%) p = 0.0002). Working in a direct access setting significantly increased the considered relevance of guidelines and the concerns about arterial (p = 0.004) and other serious pathologies (p = 0.021). Pain and visual disturbances were considered the main indicators to CNE, demonstrating limited knowledge of signs and symptoms’ indicating CNE. Participants considered specific training in CNE as relevant (mean ± SD = 7.6/10 = 2.1). Conclusions: a substantial proportion of Italian physiotherapists are not schooled in the fundamentals of cranial nerve examination. Given the number of physiotherapists who work in first contact roles, this is a professional concern.

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Rotator cuff disorders: A survey of current (2018) Italian physiotherapy practice

Cited by 7 publications

References 25 publications

Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods

Carpal Tunnel Syndrome: A National Survey to Monitor Knowledge and Operating Methods

Rehabilitation following shoulder arthroplasty: a survey of current clinical practice patterns of Italian physiotherapists

Assessing Cranial Nerves in Physical Therapy Practice: Findings from a Cross-Sectional Survey and Implication for Clinical Practice

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