What is the optimum rehabilitation for patients who have undergone release procedures for frozen shoulder? A UK survey

Willmore, Elaine; McRobert, Cliona; Foy, Chris; Stratton, I M; Windt, D.A.W.M. van der

doi:10.1016/j.msksp.2021.102319

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…Based on previous similar surveys [37,[40][41][42][43] we expect between 100 and 400 responses from healthcare professionals and pharmacy staff. This will enable estimation of any proportion of interest with a precision of between ± 10% and ± 5%, on a 95% confidence interval [37][38][39].…”

Section: Community Pharmacy and Healthcare Professionalsmentioning

confidence: 97%

Co-development and testing of an extended community pharmacy model of service delivery for managing osteoarthritis: protocol for a sequential, multi-methods study (PharmOA)

Babatunde,

Cottrell,

White

et al. 2024

BMC Musculoskelet Disord

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Background Osteoarthritis is a common, painful and disabling long-term condition. Delivery of high-quality guideline-informed osteoarthritis care that successfully promotes and maintains supported self-management is imperative. However, osteoarthritis care remains inconsistent, including under use of core non-pharmacological approaches of education, exercise and weight loss. Community pharmacies are an accessible healthcare provider. United Kingdom government initiatives are promoting their involvement in a range of long-term conditions, including musculoskeletal conditions. It is not known what an enhanced community pharmacy role for osteoarthritis care should include, what support is needed to deliver such a role, and whether it would be feasible and acceptable to community pharmacy teams. In this (PharmOA) study, we aim to address these gaps, and co-design and test an evidence-based extended community pharmacy model of service delivery for managing osteoarthritis. Methods Informed by the Theoretical Domains Framework, Normalisation Process Theory, and the Medical Research Council (MRC) framework for developing complex interventions, we will undertake a multi-methods study involving five phases: 1. Systematic review to summarise currently available evidence on community pharmacy roles in supporting adults with osteoarthritis and other chronic (non-cancer) pain. 2. Cross-sectional surveys and one-to-one qualitative interviews with patients, healthcare professionals and pharmacy staff to explore experiences of current, and potential extended community pharmacy roles, in delivering osteoarthritis care. 3. Stakeholder co-design to: a) agree on the extended role of community pharmacies in osteoarthritis care; b) develop a model of osteoarthritis care within which the extended roles could be delivered (PharmOA model of service delivery); and c) refine existing tools to support community pharmacies to deliver extended osteoarthritis care roles (PharmOA tools). 4. Feasibility study to explore the acceptability and feasibility of the PharmOA model of service delivery and PharmOA tools to community pharmacy teams. 5. Final stakeholder workshop to: a) finalise the PharmOA model of service delivery and PharmOA tools, and b) if applicable, prioritise recommendations for its wider future implementation. Discussion This novel study paves the way to improving access to and availability of high-quality guideline-informed, consistent care for people with osteoarthritis from within community pharmacies.

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Section: Community Pharmacy and Healthcare Professionalsmentioning

confidence: 97%

Co-development and testing of an extended community pharmacy model of service delivery for managing osteoarthritis: protocol for a sequential, multi-methods study (PharmOA)

Babatunde,

Cottrell,

White

et al. 2024

BMC Musculoskelet Disord

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“…Although it is selflimited, it can persist for years and may never resolve. It is a common condition; however, its treatment and definition remain challenging [2,3]. The natural history of adhesive capsulitis is not entirely understood; however, most patients experience the following stages of the condition: (a) a freezing or painful stage, (b) followed by stiffness, frozen, or a transitional phase, and (c) a thawing phase, characterized by an increased range of motion (ROM).…”

Section: Introductionmentioning

confidence: 99%

Physiotherapists’ practice patterns for the diagnosis and management of patients with chronic contracted frozen shoulder in the United Arab Emirates

Alhammadi

Hegazy

2023

PLoS ONE

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Background Adhesive capsulitis or contracted shoulder, known as frozen shoulder, is a persistent painful condition that may last for more than three months. It is a common disease-causing morbidity that causes pain and loss of shoulder range of motion. Physical therapy is advocated for the restoration of a pain-free state and normal use of the upper extremity, along with other interventions. Purpose This study aimed to explore the level of current clinical practice for managing chronic contracted frozen shoulder (CCFS) among physiotherapy professionals in the United Arab Emirates (UAE) compared to well–established evidence-based practices, and to identify the most common therapy practiced in UAE to manage CCFS. Method This study was based on a cross-sectional quantitative analysis using an adapted questionnaire. The main themes of questions were the presence of a special interest in CCFS, management options, symptoms, diagnosis, referral, and best physiotherapy intervention recommendations. The results were analyzed using simple descriptive analyses, such as frequency, mean, and percentage of total responses; additionally, thematic and content analyses were performed for open-ended questions. Results Overall, 101 physiotherapy professionals participated in the survey: 62% female and 38% male; 59% were bachelors- and 36% masters-degree holders, respectively. In the closed ended question regarding the interest in CCFS, male physiotherapists (PTs) were more interested than females (82% vs. 68%). For the most common indication of CCFS, 76% of the participants selected “Limitation of movement" as the main indication. However, only 42% confirmed the presence of clinical protocols in their employment setting. In their opinion, the most effective therapies were patient education, superficial heat or cold, manual joint mobilization, and sustained stretching exercises. Conclusion A well-established professional competence exists among physiotherapists in the UAE to manage and treat patients with CCFS. The findings showed sufficient standard, theoretical, and practical knowledge among the study groups.

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Postoperative physiotherapy management: rehabilitation following release procedures

Willmore

2024

Frozen Shoulder

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What is the optimum rehabilitation for patients who have undergone release procedures for frozen shoulder? A UK survey

Cited by 4 publications

References 26 publications

Co-development and testing of an extended community pharmacy model of service delivery for managing osteoarthritis: protocol for a sequential, multi-methods study (PharmOA)

Co-development and testing of an extended community pharmacy model of service delivery for managing osteoarthritis: protocol for a sequential, multi-methods study (PharmOA)

Physiotherapists’ practice patterns for the diagnosis and management of patients with chronic contracted frozen shoulder in the United Arab Emirates

Postoperative physiotherapy management: rehabilitation following release procedures

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