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

Fabrizio Brindisino; Fabiola Garzonio; Andrea Turolla; Arianna Andriesse; Fabrizio Pulina; Davide Cucchi; Filip Struyf; Davide Venturin

doi:10.33393/aop.2024.3244

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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