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.
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Conflicting Research on Manual Therapy
- Conflicting research on manual therapy's effectiveness for shoulder pain can confuse physios.
- This study's long-term benefits contradict previous research, raising questions about appropriate outcome measures and potential psychosocial factors.
Patient-Centered Approach
- Prioritize patient-centered care and shared decision-making.
- Consider manual therapy for patients with high fear avoidance to support exercise therapy.
Improving Research Quality
- Evidence-based practice has been hampered by low-quality research, particularly in manual therapy.
- Standardizing research and subgrouping patients are crucial for improving research quality.