Impact of combination of therapeutic exercise and psychological intervention for a patient with first-time traumatic shoulder dislocation

Abstract

[Purpose] A young female with first-time traumatic shoulder dislocation showed a good outcome at the 1 year follow-up in returning to work and sports after undergoing a combination of exercise therapy and psychological intervention. [Participant and Methods] A 24-year-old female who worked as an occupational therapist and played badminton for recreation had dislocated her shoulder in a fall. We evaluated her compliance with home-exercise, range of motion, return to work, fear of movement, sports activity level, and instability of shoulder joint using the modified Rowe score at each timepoint necessary. During early sessions of the physical therapy, the range of motion and instability score for the shoulder joint were poor. We treated her using a phase-based approach, and subsequently, added the Watson program to restore normal kinematics. Because of a psychological problem during middle sessions of the physical therapy, we provided psychological education and support. [Results] At the final session of the therapy, her compliance with home-exercise was good. She had achieved almost a full range of motion. The fear of movement decreased, and she could play sports again. The modified Rowe score improved from 5 to 85. [Conclusion] As a conservative treatment for patients with first-time traumatic shoulder instability, a combination of therapeutic exercise and psychological intervention may be useful.

Playing Badminton as a Movement Therapy for Reducing Internet Addiction During COVID-19 Outbreak

“…9 Movements performed during badminton play can be a therapeutic exercise as a form of psychological intervention. 13 Movements performed during badminton play can be a therapeutic exercise as a form of psychological intervention. The intervention carried out by the author using badminton as a movement therapy for 12 individuals found that badminton movements can reduce the individual's internet addiction.…”

The Modified Tampa-Scale of Kinesiophobia for Anterior Shoulder Instability

“…This study, together with recent studies regarding patient-centered care and psychosocial impart of physical trauma, underline the importance of a more multifactorial approach following surgical treatment, integrating fear-reducing treatment modalities into standard care. 34 , 35 , 37 , 38 Current practice is mainly focused on the physical side of shoulder instability rather than adding the psychosocial impact of physical trauma to this. This study might enable healthcare professionals to quantify the patients’ kinesiophobia and add a new perspective to current clinical practice.…”

Sex-Based Differences in Recurrence Rates Following Arthroscopic Anterior Shoulder Stabilization: A Systematic Review

“…So, without the complete age makeup of the male and female patient populations, no relationship among gender, age and recurrence could be inferred. 10 , 11 Therefore, it cannot be ruled out that the lower recurrence rate that is seen in the female cohort is not due to the possible older age makeup of the female cohort. Also, with regard to age, there was a wide age range of patients included in this study, ranging from 14 to 69 years of age at the time of surgery.…”

“… 9 Risk factors for recurrent instability following arthroscopic labral repair include participation in contact sports, age, sex, technical error, number of dislocations prior to surgery, hyperlaxity, and bone loss on the glenoid and/or humeral head. 10 , 11 Multiple studies have reported that male sex is a risk factor of recurrence 8 , 10 ; however, other studies have disputed that claim. 7 , 12 The purpose of this systematic review was to examine the effect that sex has on recurrence of anterior shoulder instability following primary arthroscopic anterior shoulder stabilization.…”