Effect of Psychomotricity in Combination With 3 Months of Active Shoulder Exercises in Individuals With Chronic Shoulder Pain: Primary Results From an Investigator-Blinded, Randomized, Controlled Trial

Abstract

Objective: To evaluate whether psychomotor therapy (PMT) in combination with usual care active exercise (AE) rehabilitation for the shoulder is superior to merely AE. Design: The trial was a single-center, stratified (by corticosteroid injection [yes or no]), randomized, and controlled superiority trial. Setting: Shoulder unit of the orthopedic department at Hospital Lillebaelt, Vejle Hospital. Participants: Eligible participants (NZ87) were adults aged 18-75 years with shoulder complaints lasting for at least 3 months, in addition to a score equal to or below 3 on the Multidimensional Assessment of Interoceptive Awareness score. Furthermore, patients had at least a visual analog scale pain score of 2 at rest, 3 at night, and 5 in activity (range: 0-10). Interventions: Patients were randomized to 12 weeks of AE (control group) or in combination with 5 PMT sessions (intervention group). Main Outcome Measure: The primary outcome was the patient-reported outcome score Disability of the Arm, Shoulder and Hand questionnaire. The primary endpoint was 12 weeks after baseline. Results: There was no between-group difference in function between the intervention group and control group. Conclusions: Our results showed no additional benefit on patient-reported function and pain from PMT over usual care in patients with longlasting shoulder pain and low body awareness. This finding suggests that PMT adds no additional benefit to patients' recovery in relation to pain and active function in comparison to standard care.

Shoulder specific exercise therapy is effective in reducing chronic shoulder pain: A network meta-analysis

“…The majority of included studies were from Europe (21.40.38%) and the remaining from Asia, (18, 34.6%), South America (5 (9.62%), North America (4,7.69%), and Australia (4 (7.69%). 22 out 52 studies had published protocols available [ 32 , 33 , 36 , 37 , 40 , 43 , 44 , 47 , 53 , 58 , 61 , 65 , 68 , 69 , 71 , 72 , 74 – 76 , 78 , 80 , 82 ].…”

“…Overall risk of bias assessment ( S4 Appendix ) for pain found 19 studies at high risk [ 34 , 38 , 39 , 41 , 43 , 45 – 48 , 57 – 59 , 64 , 66 , 70 , 78 , 79 , 81 , 84 ], 21 with some concerns [ 33 , 35 , 37 , 40 , 42 , 44 , 51 , 52 , 54 , 56 , 60 – 62 , 65 , 68 , 77 , 80 , 82 , 85 ] and 4 at low risk [ 53 , 71 , 73 , 74 ]. For ABD ROM, 9 studies had high risk [ 34 , 41 , 57 , 59 , 62 , 70 , 75 , 81 , 84 ] and 6 had some concerns [ 35 , 40 , 49 , 56 , 77 ,…”

Mobile Apps and Quality of Life in Patients With Breast Cancer and Survivors: Systematic Literature Review

“…The app encouraged monitoring of daily dietary and PA habits to monitor energy feedback. The rehabilitation program included group sessions that focused on symptoms, therapeutic exercises, and psychomotricity, which refers to movements intended to enhance potential development or recovery and encompasses aspects of self-awareness [68,69]. At the end of the 8-week intervention, an improvement in QOL measures was found in both groups, but the increase was significantly greater in the intervention group, as was upper limb functionality and active range of motion of the shoulder [60].…”

Engaging children in geosciences through storytelling and creative dance

“…Perrotta, 2011) but also to therapeutic practices (e.g. Ayres, 2005;Ingwersen et al, 2019) in which there is a relationship between the psyche (mental processes) and motoric activities (physical activities). Typical psychomotor equipment (see European Forum of Psychomotricity, 2016) for children includes colourful hoops, balls, cones, mats, bags, blocks, and poles that can be used in isolation or as frames, tunnels, tracks, climbing sets, or balancing courses.…”