Impact of combination of therapeutic exercise and psychological intervention for a patient with first-time traumatic shoulder dislocation.
Takashi Kitagawa, Nobumasa Matsui, Dai Nakaizumi
PMID 31645818WHAT IT FOUND
A young woman with first-time traumatic shoulder dislocation who chose conservative care improved shoulder function and returned to recreational badminton after phase-based exercise, the Watson program, and psychological support.
This was a single case, not proof the treatment works.
Key findings
01Her modified Rowe total score was 85 at 12 months on a 0 to 100 scale.
02At the final session, her fear-of-movement score was 16 and she had started recreational badminton.
03She received phase-based physical therapy, the Watson program, home exercises, and psychological interventions together, so no single component can be credited.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Only one person was described, so this cannot show that the treatment worked for other patients. She received several treatments at once, including phase-based physical therapy, the Watson program, home exercises, and psychological interventions, so the contribution of any one component cannot be separated. It was a single-case report, not a trial, so it did not compare her course with another group. She had an operative indication but chose conservative treatment, which may make her case different from patients who undergo surgery. Home-exercise compliance changed over time and was addressed with motivation education, so outcomes may be tied to this specific patient's circumstances.
Declared interests
This work was supported by a JSPS Grant-in-Aid for Research Activity Start-up, number 19K24282. The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that the Watson program or psychological intervention caused recovery. She received phase-based physical therapy, the Watson program, home exercises, ARCS-based motivation education, pain education, social support, and coping-skills training together, and this was a single case with no comparison group.