Advice Plus Physical Therapy No Better Than Just Advice for Shoulder Dislocation
By Elana Gotkine HealthDay Reporter
THURSDAY, Jan. 25, 2024 -- For adults with a first-time traumatic shoulder dislocation, advice plus physical therapy appears to be no better than advice with the option to self-refer to physical therapy, according to a study published online Jan. 17 in The BMJ.
Rebecca S. Kearney, Ph.D., from the University of Bristol in the United Kingdom, and colleagues examined the effects of an additional program of physical therapy in 242 adults with a first-time traumatic shoulder dislocation compared with 240 adults with a single session of advice, supporting materials, and option to self-refer to physical therapy in a pragmatic, multicenter, randomized controlled trial. The primary outcome, measured six months after treatment allocation, was the Oxford shoulder instability score.
Overall, 180 participants allocated to advice only and 174 allocated to advice and physical therapy completed the primary outcome score. The researchers found that for the primary intention-to-treat adjusted analysis, there was no significant difference between advice and advice with physical therapy (between-group difference favoring physical therapy, 1.5; 95 percent confidence interval, −0.3 to 3.5); no significant differences were seen at three-month or six-week time points. The two groups had similar complication profiles.
"We acknowledge that additional supervised physical therapy will be appropriate in some circumstances; however, as a default referral pathway, this treatment option is not superior to a single session of advice, supporting materials, and option to self-refer to physical therapy intervention," the authors write.
Several authors disclosed ties to the medical device and medical technology industries.
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
![](/img/logo/vendor/healthday-logo.png)
© 2024 HealthDay. All rights reserved.
Posted January 2024
Read this next
AI-Assisted Contours Superior to Cognitively Defined Prostate Cancer Contours
WEDNESDAY, July 3, 2024 -- Artificial intelligence (AI)-assisted definition of prostate cancer contours reduces underestimation of the extent of prostate cancer, according to a...
Mean Cost of Bringing New Drug to U.S. Market Is $879.3 Million
TUESDAY, July 2, 2024 -- The mean cost of developing a new drug for the U.S. market is estimated to be $879.3 million when both drug development failure and capital costs are...
Patient–Primary Care Provider Language Concordance Tied to Better Outcomes
TUESDAY, July 2, 2024 -- Patient-family physician language concordance is associated with a lower risk for adverse outcomes, according to a study published online June 3...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.