Physio Network
[Physio Explained] Manual therapy improves outcomes in shoulder pain with Robin Kerr
Oct 23, 2024
Robin Kerr, an experienced Australian physiotherapist specializing in pelvic floor dysfunction and biomechanics, joins the discussion on enhancing shoulder pain management. They delve into a study showing how adding manual therapy to exercise can significantly improve long-term outcomes for subacromial shoulder pain. Kerr emphasizes the importance of personalized treatment, subgroup analysis, and the therapist-patient relationship. They also tackle the challenges of conflicting research and advocate for tailored approaches that consider individual patient needs.
19:08
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Quick takeaways
- Combining manual therapy with exercise significantly enhances long-term outcomes for patients with subacromial shoulder pain, contrary to previous research suggesting only short-term benefits.
- A patient-centered approach is crucial in treatment selection, emphasizing the need for individualization based on psychological factors and specific patient characteristics.
Deep dives
Effectiveness of Manual Therapy with Exercise
Adding manual therapy to an exercise program significantly improves long-term patient outcomes for those suffering from subacromial shoulder pain. A randomized control trial showed that patients who received both manual therapy and exercise reported greater reductions in pain and disability at six and twelve months compared to those who only received exercise. The consistent and standardized application of both interventions helped to limit variability, making the results more reliable. This challenges previous research that suggested manual therapy only provided short-term benefits and highlights the need for further exploration into its long-term effects.
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