{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:42:02Z","timestamp":1756460522091,"version":"3.40.5"},"reference-count":31,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"NIHR","doi-asserted-by":"crossref","award":["NIHR301881"],"award-info":[{"award-number":["NIHR301881"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"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>Frozen shoulder is a condition associated with severe shoulder pain and loss of function impacting on a persons\u2019 physical and mental health. Hydrodistension treatment that has been widely adopted within the UK National Health Service for the condition. However, evidence of clinical effectiveness and understanding of the patient experiences of this treatment are lacking. This study explored the experiences of people with a frozen shoulder who received hydrodistension treatment.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A qualitative design with repeat semi-structured interviews was used to explore participants\u2019 experiences of hydrodistension treatment. Participants were interviewed 2\u20134 weeks and again at 8\u201310 weeks after treatment. Interviews were audio-recorded and transcribed verbatim. Findings were analysed using an inductive thematic analysis framework. The study is reported in accordance with the consolidated criteria for reporting qualitative (COREQ) research.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>15 participants were interviewed online or over the phone. Three themes were identified: \u2018Preparing for and having a hydrodistension\u2019, \u2018Physiotherapy after hydrodistension\u2019, and \u2018Outcome of hydrodistension \u2018. Participants believed hydrodistension would benefit them, was well tolerated by many, and the effects were apparent to most within the first week. Physiotherapy still seemed to be valued to support recovery beyond this timepoint, despite these early effects. Some participant\u2019s experienced harms including severe procedural pain and blood sugar dysregulation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This is the first study to investigate the experiences of people who undergo hydrodistension for frozen shoulder. Hydrodistension appears an acceptable treatment to participants with a frozen shoulder, acceptability is enhanced through adequate shared decision making. Further high-quality research is required to understand the comparative effectiveness of hydrodistension as a treatment for frozen shoulder, including adverse events, and the benefit of treatment by a physiotherapist after hydrodistension.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0304236","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T17:28:55Z","timestamp":1718386135000},"page":"e0304236","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Patient experiences of hydrodistension as a treatment for frozen shoulder: A longitudinal qualitative study"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3073-5035","authenticated-orcid":true,"given":"Gareth","family":"Whelan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3872-9799","authenticated-orcid":true,"given":"Gillian","family":"Yeowell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7703-727X","authenticated-orcid":true,"given":"Chris","family":"Littlewood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"pone.0304236.ref001","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1186\/s12891-016-1190-9","article-title":"The pathophysiology associated with primary (idiopathic) frozen shoulder: A systematic review.","volume":"17","author":"V. 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Lyne","year":"2022","journal-title":"BMC musculoskeletal disorders."},{"issue":"6","key":"pone.0304236.ref005","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1093\/rheumatology\/kez007","article-title":"Tissue inflammation signatures point towards resolution in adhesive capsulitis","volume":"58","author":"S. G. Dakin","year":"2019","journal-title":"Rheumatology (Oxford)."},{"issue":"2","key":"pone.0304236.ref006","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1177\/1758573216676786","article-title":"Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments.","volume":"9","author":"HV Le","year":"2017","journal-title":"Shoulder Elbow."},{"issue":"1","key":"pone.0304236.ref007","doi-asserted-by":"crossref","first-page":"e35","DOI":"10.1016\/j.asmr.2019.07.005","article-title":"Adhesive Capsulitis: Demographics and Predictive Factors for Success Following Steroid Injections and Surgical Intervention.","volume":"1","author":"BJ Erickson","year":"2019","journal-title":"Arthrosc Sports Med Rehabil."},{"issue":"8","key":"pone.0304236.ref008","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1016\/j.apmr.2017.01.020","article-title":"Very High Prevalence of Frozen Shoulder in Patients With Type 1 Diabetes of \u226545 Years\u2019 Duration: The Dialong Shoulder Study","volume":"98","author":"NG Juel","year":"2017","journal-title":"Arch Phys Med Rehabil"},{"key":"pone.0304236.ref009","doi-asserted-by":"crossref","first-page":"2325967117716450","DOI":"10.1177\/2325967117716450","article-title":", et al.Should Patients With Frozen Shoulder Be Screened for Diabetes Mellitus?.","volume":"5","author":"O. 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Green","year":"2021","journal-title":"PLoS Genet"},{"issue":"10256","key":"pone.0304236.ref012","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1016\/S0140-6736(20)31965-6","article-title":"Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial.","volume":"396","author":"A. Rangan","year":"2020","journal-title":"Lancet (London, England)."},{"key":"pone.0304236.ref013","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1302\/2633-1462.39.BJO-2022-0072.R1","article-title":"Expert clinical consensus in the delivery of hydrodilatation for the management of patients with a primary frozen shoulder: a modified Delphi study","volume":"3","author":"H. 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