Perspectives, perceptions, and expectations of subjects with frozen shoulder: a web-based Italian survey

Authors

  • Fabrizio Brindisino Department of Medicine and Health Science “Vincenzo Tiberio”, University of Molise, Campobasso - Italy https://orcid.org/0000-0001-8950-8203
  • Fabiola Garzonio Department of Medicine and Health Science “Vincenzo Tiberio”, University of Molise, Campobasso - Italy https://orcid.org/0000-0001-7265-0692
  • Andrea Turolla Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna - Italy and Unit of Occupational Medicine, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna - Italy https://orcid.org/0000-0002-1609-8060
  • Arianna Andriesse Medical Translation Private Practice c/o Andriesse Medical Translator, Lecce - Italy https://orcid.org/0009-0004-6087-4436
  • Fabrizio Pulina Physiotherapy Private Practice c/o Pulina Physiotherapist, Genova - Italy https://orcid.org/0009-0007-2059-3447
  • Davide Cucchi Department of Orthopaedics and Trauma Surgery, University of Bonn, Bonn - Germany and Universitätsklinikum Bonn, Bonn - Germany https://orcid.org/0000-0001-6284-7977
  • Filip Struyf Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk - Belgium https://orcid.org/0000-0002-9128-9684
  • Davide Venturin Department of Medicine and Health Science “Vincenzo Tiberio”, University of Molise, Campobasso - Italy

DOI:

https://doi.org/10.33393/aop.2024.3244

Keywords:

Adhesive capsulitis, Frozen shoulder, Irritable mood, Psychological, Rehabilitation, Stress

Abstract

Introduction: Frozen shoulder (FS) is a musculoskeletal disorder affecting the glenohumeral joint. This condition leads to disability and a worsening in quality of life. Despite its considerable impact on patients and its economic burden, research on the psychological and social implications of FS—as well as patients’ perspectives and needs—is limited. This study aims to explore the perspectives, perceptions, and expectations of individuals suffering from FS, providing a comprehensive understanding of their experiences and needs.

Methods: A cross-sectional observational study was conducted following STROBE guidelines. A 59-question survey was administered to Italian individuals diagnosed with FS from April 1 to July 1, 2023.

Results: All 110 participants completed the survey. Most preferred an experienced and empathetic physiotherapist (73.64%) and relied primarily on physiotherapy (49.09%) for FS management. Additionally, 45.45% were open to a multidisciplinary approach. Subjects reported reducing night pain (71.82%) and achieving full range of motion (ROM) recovery (70.91%) as their top priorities. Participants reported a notable shift in their mood from “pre” to “post” FS, with many experiencing fear and catastrophizing thoughts and perceiving a lack of social support. Furthermore, 27.27% were open to cortisone use, while 25.45% considered electrophysical agents beneficial for managing the painful phase of FS.

Conclusion: These results underscore a strong preference for empathetic physiotherapists and the value of a multidisciplinary approach. Addressing night pain and restoring ROM are crucial priorities—emphasizing the need for tailored and shared decision-making. Additionally, these findings highlight the importance of addressing psychological well-being alongside physical symptoms.

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