{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:46:29Z","timestamp":1792079189897,"version":"4.4.0"},"reference-count":25,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"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>Fibromyalgia (FM) is a chronic condition classified by widespread pain, fatigue, and associated symptoms. Patients with FM are frequently referred to physical therapists, whose knowledge of assessment criteria and management strategies is critical for timely recognition and effective care. Early diagnosis has been shown to improve outcomes, whereas delayed recognition often leads to prolonged suffering and increased healthcare costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The objective of this study was to examine the knowledge, perceptions, and attitudes of physical therapists in the United Arab Emirates (UAE) with respect to the diagnosis and management of FM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional self-reported survey was distributed electronically to practicing physical therapists across the UAE. The survey collected demographic data, as well as information on confidence in determining and managing FM, awareness of international guidelines, perceptions of other healthcare providers roles, and knowledge of the risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 300 physical therapists were invited, and 240 completed the survey and met the inclusion criteria (response rate of 80%). The results revealed a predominantly female workforce, with 73.8% of participants identifying as female. The age of most respondents ranged between 23 and 42 years. Almost half of the participants had less than five years of experience. Nearly two-thirds of participants expressed confidence in diagnosing and managing FM cases. Most participants were unaware of any of the international FM practice guidelines (1990 ACR, 2010 ACR, 2012 Canadian).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings of this study underscore a concern for a lack of confidence and awareness among physical therapists in the UAE regarding the diagnosis and management of FM cases. Despite a significant proportion of participants reporting experience in managing FM cases, the majority were not familiar with recent FM practice guidelines, indicating potential gaps in knowledge and practice. This study highlights the importance of improving curricular integration of FM content, and greater dissemination of evidence-based guidelines. Addressing these gaps will be essential for promoting earlier diagnosis, reducing delays in management, and improving patient outcomes in the UAE.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0341454","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:26:37Z","timestamp":1770229597000},"page":"e0341454","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Knowledge, perception and attitude toward fibromyalgia among physical therapists in the United Arab Emirates: A cross-sectional study"],"prefix":"10.1371","volume":"21","author":[{"given":"Mona A.","family":"Almulla","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amna M.","family":"Farhani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad A.","family":"Aboelnasr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7457-083X","authenticated-orcid":true,"given":"Fatma A.","family":"Hegazy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"issue":"3","key":"pone.0341454.ref001","doi-asserted-by":"crossref","first-page":"192","DOI":"10.5001\/omj.2012.44","article-title":"Fibromyalgia syndrome: an overview of pathophysiology, diagnosis and management","volume":"27","author":"F Jahan","year":"2012","journal-title":"Oman Med J"},{"key":"pone.0341454.ref002","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2147\/PRBM.S178240","article-title":"Psychological impact of fibromyalgia: current perspectives","volume":"12","author":"CM Galvez-S\u00e1nchez","year":"2019","journal-title":"Psychol Res Behav Manag"},{"key":"pone.0341454.ref003","first-page":"184835","article-title":"The clinical concept of fibromyalgia as a changing paradigm in the past 20 years","volume":"2012","author":"M-A Fitzcharles","year":"2012","journal-title":"Pain Res Treat"},{"issue":"8","key":"pone.0341454.ref004","doi-asserted-by":"crossref","first-page":"3891","DOI":"10.3390\/ijms22083891","article-title":"Fibromyalgia: pathogenesis, mechanisms, diagnosis and treatment options update","volume":"22","author":"R Siracusa","year":"2021","journal-title":"Int J Mol Sci"},{"issue":"4","key":"pone.0341454.ref005","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.rbr.2016.10.004","article-title":"Prevalence of fibromyalgia: literature review update","volume":"57","author":"AP Marques","year":"2017","journal-title":"Rev Bras Reumatol Engl Ed"},{"issue":"8","key":"pone.0341454.ref006","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1007\/s11916-013-0356-5","article-title":"Worldwide epidemiology of fibromyalgia","volume":"17","author":"LP Queiroz","year":"2013","journal-title":"Curr Pain Headache Rep"},{"issue":"2","key":"pone.0341454.ref007","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1093\/rheumatology\/keg075","article-title":"Inaccuracy in the diagnosis of fibromyalgia syndrome: analysis of referrals","volume":"42","author":"M-A Fitzcharles","year":"2003","journal-title":"Rheumatology (Oxford)"},{"issue":"6","key":"pone.0341454.ref008","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.3899\/jrheum.100594","article-title":"Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR preliminary diagnostic criteria for fibromyalgia","volume":"38","author":"F Wolfe","year":"2011","journal-title":"J Rheumatol"},{"issue":"15","key":"pone.0341454.ref009","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1001\/jama.2014.3266","article-title":"Fibromyalgia: a clinical review","volume":"311","author":"DJ Clauw","year":"2014","journal-title":"JAMA"},{"issue":"4","key":"pone.0341454.ref010","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1111\/papr.13339","article-title":"Knowledge on cause, clinical manifestation and treatment for fibromyalgia among medical doctors: A worldwide survey","volume":"24","author":"CP Van Wilgen","year":"2024","journal-title":"Pain Pract"},{"key":"pone.0341454.ref011","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1186\/1472-6963-10-102","article-title":"A patient survey of the impact of fibromyalgia and the journey to diagnosis","volume":"10","author":"E Choy","year":"2010","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"pone.0341454.ref012","doi-asserted-by":"crossref","first-page":"13","DOI":"10.3109\/10582452.2014.883024","article-title":"Assessing the Perceptions of fibromyalgia syndrome in United States among academic physicians and medical students: where are we and where are we headed?","volume":"22","author":"KT Amber","year":"2014","journal-title":"Journal of Musculoskeletal Pain"},{"issue":"2","key":"pone.0341454.ref013","article-title":"Knowledge, attitude, and practice regarding fibromyalgia among primary care physicians in Tabuk, Saudi Arabia","volume":"15","author":"A Alatawi","year":"2023","journal-title":"Cureus"},{"key":"pone.0341454.ref014","doi-asserted-by":"crossref","first-page":"968292","DOI":"10.3389\/fphys.2022.968292","article-title":"The role of physiotherapy in fibromyalgia: current and future perspectives","volume":"13","author":"MD Antunes","year":"2022","journal-title":"Front Physiol"},{"issue":"1","key":"pone.0341454.ref015","first-page":"76","article-title":"Multidisciplinary rehabilitation treatments for patients with fibromyalgia: a systematic review","volume":"58","author":"A-N Ll\u00e0dser","year":"2022","journal-title":"Eur J Phys Rehabil Med"},{"key":"pone.0341454.ref016","doi-asserted-by":"crossref","first-page":"293","DOI":"10.2147\/OARRR.S284555","article-title":"Knowledge, awareness, and perceptions of the diagnosis and management of fibromyalgia among physical therapists in Saudi Arabia: a cross-sectional survey","volume":"12","author":"F Alodiabi","year":"2020","journal-title":"Open Access Rheumatol"},{"key":"pone.0341454.ref017","doi-asserted-by":"crossref","first-page":"666914","DOI":"10.3389\/fmed.2021.666914","article-title":"Fibromyalgia and associated disorders: from pain to chronic suffering, from subjective hypersensitivity to hypersensitivity syndrome","volume":"8","author":"Y Maugars","year":"2021","journal-title":"Front Med (Lausanne)"},{"issue":"2","key":"pone.0341454.ref018","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1002\/art.1780330203","article-title":"The American college of rheumatology 1990 criteria for the classification of fibromyalgia. report of the multicenter criteria committee","volume":"33","author":"F Wolfe","year":"1990","journal-title":"Arthritis Rheum"},{"issue":"3","key":"pone.0341454.ref019","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1155\/2013\/918216","article-title":"2012 Canadian Guidelines for the diagnosis and management of fibromyalgia syndrome: executive summary","volume":"18","author":"M-A Fitzcharles","year":"2013","journal-title":"Pain Res Manag"},{"issue":"10","key":"pone.0341454.ref020","article-title":"Diagnostic Challenges and Management of Fibromyalgia","volume":"13","author":"AG Qureshi","year":"2021","journal-title":"Cureus"},{"issue":"6","key":"pone.0341454.ref021","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1177\/20494637221106658","article-title":"Survey of knowledge and attitude towards fibromyalgia among physicians in Karachi, Pakistan","volume":"16","author":"ST Hyder Zaidi","year":"2022","journal-title":"Br J Pain"},{"key":"pone.0341454.ref022","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.2147\/JPR.S381314","article-title":"Evaluating the Effect of Delayed Diagnosis on Disease Outcome in Fibromyalgia: A Multi-Center Cross-Sectional Study","volume":"16","author":"A Moshrif","year":"2023","journal-title":"J Pain Res"},{"issue":"1","key":"pone.0341454.ref023","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1155\/2013\/742510","article-title":"Patients\u2019 and professionals\u2019 views on managing fibromyalgia","volume":"18","author":"E Briones-Vozmediano","year":"2013","journal-title":"Pain Res Manag"},{"issue":"1","key":"pone.0341454.ref024","first-page":"16","article-title":"Fibromyalgia: Patient perception on their disease and health system. Qualitative research study","volume":"6","author":"MJ Escudero-Carretero","year":"2010","journal-title":"Reumatol Clin"},{"issue":"6","key":"pone.0341454.ref025","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1093\/pm\/pnx271","article-title":"A survey of physicians\u2019 knowledge and adherence to the diagnostic criteria for fibromyalgia","volume":"19","author":"D Kumbhare","year":"2018","journal-title":"Pain Med"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0341454","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T18:26:56Z","timestamp":1770229616000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0341454"}},"subtitle":[],"editor":[{"given":"Wesam","family":"Gouda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":25,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,4]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0341454","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]}}}