{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:19:20Z","timestamp":1747196360415,"version":"3.40.5"},"reference-count":22,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T00:00:00Z","timestamp":1679616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Purpose<\/jats:title>\n<jats:p>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\u2013established evidence-based practices, and to identify the most common therapy practiced in UAE to manage CCFS.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Method<\/jats:title>\n<jats:p>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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>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 \u201cLimitation 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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>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.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0283255","type":"journal-article","created":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T17:26:58Z","timestamp":1679678818000},"page":"e0283255","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Physiotherapists\u2019 practice patterns for the diagnosis and management of patients with chronic contracted frozen shoulder in the United Arab Emirates"],"prefix":"10.1371","volume":"18","author":[{"given":"Mariam J.","family":"Alhammadi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7457-083X","authenticated-orcid":true,"given":"Fatma A.","family":"Hegazy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,3,24]]},"reference":[{"issue":"3","key":"pone.0283255.ref001","doi-asserted-by":"crossref","first-page":"247","DOI":"10.3233\/BMR-130443","article-title":"The effectiveness of physiotherapeutic interventions in treatment of frozen shoulder\/adhesive capsulitis: A systematic review","volume":"27","author":"TK Jain","year":"2014","journal-title":"J Back Musculoskelet Rehabil"},{"key":"pone.0283255.ref002","doi-asserted-by":"crossref","first-page":"102319","DOI":"10.1016\/j.msksp.2021.102319","article-title":"What is the optimum rehabilitation for patients who have undergone release procedures for frozen shoulder? A UK survey","volume":"52","author":"E Willmore","year":"2021","journal-title":"Musculoskelet Sci Pract"},{"key":"pone.0283255.ref003","unstructured":"Ernest Amory Codman. The Shoulder: Rupture of the Supraspinatus Tendon and Other Lesions in Or about the Subacromial Bursa. Thomas Todd Co; 1934."},{"issue":"7","key":"pone.0283255.ref004","doi-asserted-by":"crossref","first-page":"2262","DOI":"10.1007\/s11999-014-3581-2","article-title":"Effectiveness of Sustained Stretching of the Inferior Capsule in the Management of a Frozen Shoulder","volume":"472","author":"A Paul","year":"2014","journal-title":"Clin Orthop Relat Res"},{"key":"pone.0283255.ref005","unstructured":"Mezian K, Coffey R, Chang K-V. Frozen Shoulder [Internet]. StatPearls. 2021. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29489251"},{"issue":"12","key":"pone.0283255.ref006","doi-asserted-by":"crossref","first-page":"685","DOI":"10.11622\/smedj.2017107","article-title":"Physical therapy in the management of frozen shoulder","volume":"58","author":"H Chan","year":"2017","journal-title":"Singapore Med J"},{"key":"pone.0283255.ref007","unstructured":"DHA. Clinical protocol for the management of frozen shoulder. Dubai; 2019."},{"issue":"12","key":"pone.0283255.ref008","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1093\/ptj\/74.12.1101","article-title":"The Use of Splints in the Treatment of Joint Stiffness: Biologic Rationale and an Algorithm for Making Clinical Decisions","volume":"74","author":"PW McClure","year":"1994","journal-title":"Phys Ther"},{"issue":"3","key":"pone.0283255.ref009","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/S0894-1130(12)80056-1","article-title":"Effect of Total End Range Time on Improving Passive Range of Motion","volume":"7","author":"KR Flowers","year":"1994","journal-title":"J Hand Ther"},{"issue":"2","key":"pone.0283255.ref010","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s43465-021-00351-3","article-title":"Clinical Guidelines in the Management of Frozen Shoulder: An Update!","volume":"55","author":"V Pandey","year":"2021","journal-title":"Indian J Orthop"},{"issue":"2","key":"pone.0283255.ref011","doi-asserted-by":"crossref","first-page":"145","DOI":"10.2340\/16501977-0146","article-title":"Effects of deep and superficial heating in the management of frozen shoulder","volume":"40","author":"MSF Leung","year":"2008","journal-title":"J Rehabil Med"},{"issue":"1","key":"pone.0283255.ref012","doi-asserted-by":"crossref","first-page":"87","DOI":"10.2340\/16501977-1064","article-title":"Evaluation of mulligan\u2019s technique for adhesive capsulitis of the shoulder","volume":"45","author":"G Doner","year":"2013","journal-title":"J Rehabil Med"},{"issue":"2","key":"pone.0283255.ref013","doi-asserted-by":"crossref","first-page":"135","DOI":"10.2519\/jospt.2009.2916","article-title":"Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation","volume":"39","author":"MJ Kelley","year":"2009","journal-title":"J Orthop Sport Phys Ther"},{"issue":"5","key":"pone.0283255.ref014","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1589\/jpts.27.1391","article-title":"Comparison of Maitland and Kaltenborn mobilization techniques for improving shoulder pain and range of motion in frozen shoulders","volume":"27","author":"G Do Moon","year":"2015","journal-title":"J Phys Ther Sci"},{"issue":"1","key":"pone.0283255.ref015","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.jse.2019.05.031","article-title":"Difficulty in performing activities of daily living associated with internal rotation after reverse total shoulder arthroplasty","volume":"29","author":"MS Kim","year":"2020","journal-title":"J Shoulder Elb Surg"},{"issue":"2","key":"pone.0283255.ref016","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.physio.2010.08.012","article-title":"A questionnaire survey of UK physiotherapists on the diagnosis and management of contracted (frozen) shoulder","volume":"97","author":"NCA Hanchard","year":"2011","journal-title":"Physiotherapy"},{"key":"pone.0283255.ref017","unstructured":"Purposive Sample. Encycl Surv Res Methods [Internet]. 2008; http:\/\/methods.sagepub.com\/reference\/encyclopedia-of-survey-research-methods\/n419.xml"},{"key":"pone.0283255.ref018","unstructured":"West M, Dawson J, Admasachew L, Topakas A. NHS Staff Management and Health Service Quality [Internet]. \u2026 of Health. 2011. http:\/\/e3idocs.fmhs.fastmail.net\/dh_129656.pdf"},{"key":"pone.0283255.ref019","unstructured":"The Emirates Physiotherapy Society (EPS). Standards Of Practice [Internet]. 2022 [cited 2022 Feb 20]. https:\/\/www.uaephysio.org\/standardsofpractice.php"},{"issue":"7","key":"pone.0283255.ref020","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1016\/j.arthro.2016.03.024","article-title":"Shoulder Stiffness: Current Concepts and Concerns","volume":"32","author":"E Itoi","year":"2016","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"3","key":"pone.0283255.ref021","article-title":"Physiotherapy interventions for shoulder pain","volume":"2013","author":"S Green","year":"2003","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"pone.0283255.ref022","first-page":"7","volume":"6","author":"C De Bruijn","year":"2005","journal-title":"Evaluation of an education and activation programme to prevent chronic shoulder complaints: design of an RCT [ISRCTN71777817]"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0283255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T17:27:21Z","timestamp":1679678841000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0283255"}},"subtitle":[],"editor":[{"given":"Fatih","family":"\u00d6zden","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,3,24]]},"references-count":22,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3,24]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0283255","relation":{},"ISSN":["1932-6203"],"issn-type":[{"type":"electronic","value":"1932-6203"}],"subject":[],"published":{"date-parts":[[2023,3,24]]}}}