Publication date: Available online 24 June 2019
Source: Archives of Physical Medicine and Rehabilitation
Author(s): Kim Gordon Ingwersen, Jette Wessel Vobbe, Lise Lang Pedersen, Lilli Sørensen, Niels Wedderkopp
Abstract
Objective
To evaluate whether psychomotor therapy (PMT) in combination with usual care active exercise rehabilitation for the shoulder (AE) is superior to merely AE.
Design
The trial was a single-centre, stratified (by corticosteroid injection [yes/no]), randomised and controlled superiority trial.
Setting
Shoulder unit of the orthopaedic department at Hospital Lillebaelt – Vejle Hosiptal
Participants
Eligible participants were adults aged 18–75 years with shoulder complaints lasting for at least three months, in addition to a score equal to or below three on the Multidimensional Assessment of Interceptive Awareness (MAIA) score. Furthermore, patients had at least VAS-pain= 2 in rest; 3 at night and 5 in activity (range: 0–10).
Interventions
Patients were randomised to 12 weeks of AE (control group) or in combination with five PMT sessions (Intervention group).
Main Outcome Measure
Primary outcome was the patient reported outcome score “Disability of the Arm, Shoulder and Hand (DASH) questionnaire”. Primary endpoint was 12 weeks after baseline.
Results
There was no between group difference in function between the intervention group and control group.
Conclusion
Our results showed no additional benefit on patient reported function and pain from PMT over ususal care in patients with long-lasting shoulder pain and low body awareness. This finding suggests that PMT add no additional benefit to patients’ recovery in relation to pain and active function in comparison to standard care.
from ScienceDirect Publication: Archives of Physical Medicine and Rehabilitation http://bit.ly/2X3hbr0
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