Abstract：
BACKGROUND: Shoulder osteoarthritis can cause significant pain and disability. It is thought that the wider principles of osteoarthritis management can be applied in the management of people with shoulder osteoarthritis, but most prior research has been conducted with people experiencing osteoarthritis of the hip and knee. There is a paucity of evidence to guide the non-surgical management of shoulder osteoarthritis and limited understanding of current physiotherapy practice.
OBJECTIVE: We aimed to investigate the current treatment recommendations by physiotherapists in the UK for people with shoulder OA.
METHODS: An online survey using a clinical vignette was designed and distributed to UK registered physiotherapists with experience of managing people with shoulder osteoarthritis, via social media and professional networks. Descriptive statistics were used to analyse demographic and multiple-choice questions, and free text responses were summarised narratively.
RESULTS: 114 respondents accessed the survey with 110 valid responses; 105 (95%) respondents would offer face-to-face consultations, with 89 (81%) respondents expecting to offer 2-4 appointments. 108 (98%) respondents would offer advice/education; 79 (72%) would offer weight management; 82 (75%) prescribed exercises to improve movement; and 101 (92%) offered exercises to increase strength. If a person lived with obesity or had a treatment preference, the majority of respondents would change their recommendations.
CONCLUSIONS: This is the first survey of NHS physiotherapy practice for people with shoulder osteoarthritis. The responses largely align with NICE guidelines; despite this alignment, it is not known whether such guideline-based care is acceptable to people with shoulder osteoarthritis or clinically effective.
OBJECTIVE: We aimed to investigate the current treatment recommendations by physiotherapists in the UK for people with shoulder OA.
METHODS: An online survey using a clinical vignette was designed and distributed to UK registered physiotherapists with experience of managing people with shoulder osteoarthritis, via social media and professional networks. Descriptive statistics were used to analyse demographic and multiple-choice questions, and free text responses were summarised narratively.
RESULTS: 114 respondents accessed the survey with 110 valid responses; 105 (95%) respondents would offer face-to-face consultations, with 89 (81%) respondents expecting to offer 2-4 appointments. 108 (98%) respondents would offer advice/education; 79 (72%) would offer weight management; 82 (75%) prescribed exercises to improve movement; and 101 (92%) offered exercises to increase strength. If a person lived with obesity or had a treatment preference, the majority of respondents would change their recommendations.
CONCLUSIONS: This is the first survey of NHS physiotherapy practice for people with shoulder osteoarthritis. The responses largely align with NICE guidelines; despite this alignment, it is not known whether such guideline-based care is acceptable to people with shoulder osteoarthritis or clinically effective.
摘要：
背景：肩关节骨性关节炎可引起明显的疼痛和残疾。据认为，更广泛的骨关节炎管理原则可以应用于肩部骨关节炎患者的管理，但是大多数先前的研究都是针对患有髋关节和膝关节骨关节炎的人进行的。缺乏指导肩关节骨性关节炎非手术治疗的证据，并且对当前物理治疗实践的了解有限。
目的：我们的目的是调查英国物理治疗师目前对肩关节OA患者的治疗建议。
方法：设计了一项使用临床小插图的在线调查，并分发给英国注册的物理治疗师，这些物理治疗师具有管理肩部骨关节炎患者的经验，通过社交媒体和专业网络。描述性统计数据用于分析人口统计和多项选择题，自由文本的回答是用叙述方式总结的。
结果：114名受访者获得了110份有效回复；105（95％）受访者将提供面对面的咨询，89名(81%)受访者希望提供2-4次预约。108（98％）受访者将提供建议/教育；79（72％）将提供体重管理；82（75％）规定的锻炼以改善运动；101（92％）提供锻炼以增加力量。如果一个人患有肥胖症或有治疗偏好，大多数受访者会改变他们的建议。
结论：这是关于NHS对肩关节骨性关节炎患者的物理治疗实践的第一次调查。这些回应在很大程度上与NICE指南保持一致；尽管有这种一致性，目前尚不清楚这种基于指南的护理对肩关节骨性关节炎患者是否可接受或临床有效.
目的：我们的目的是调查英国物理治疗师目前对肩关节OA患者的治疗建议。
方法：设计了一项使用临床小插图的在线调查，并分发给英国注册的物理治疗师，这些物理治疗师具有管理肩部骨关节炎患者的经验，通过社交媒体和专业网络。描述性统计数据用于分析人口统计和多项选择题，自由文本的回答是用叙述方式总结的。
结果：114名受访者获得了110份有效回复；105（95％）受访者将提供面对面的咨询，89名(81%)受访者希望提供2-4次预约。108（98％）受访者将提供建议/教育；79（72％）将提供体重管理；82（75％）规定的锻炼以改善运动；101（92％）提供锻炼以增加力量。如果一个人患有肥胖症或有治疗偏好，大多数受访者会改变他们的建议。
结论：这是关于NHS对肩关节骨性关节炎患者的物理治疗实践的第一次调查。这些回应在很大程度上与NICE指南保持一致；尽管有这种一致性，目前尚不清楚这种基于指南的护理对肩关节骨性关节炎患者是否可接受或临床有效.
