No significant difference seen in Oxford shoulder instability score measured at six months after treatment allocation<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
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THURSDAY, Jan. 25, 2024 (HealthDay News) — 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<\/em>.<\/p>\n 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.<\/p>\n 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, \u00e2\u0088\u00920.3 to 3.5); no significant differences were seen at three-month or six-week time points. The two groups had similar complication profiles.<\/p>\n “We acknowledge that additional supervised physiotherapy 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 physiotherapy intervention,” the authors write.<\/p>\n Several authors disclosed ties to the medical device and medical technology industries.<\/p>\n Abstract\/Full Text<\/a><\/p>\n