Considering age as well as the present minor complaints in our patient, nonoperative treatment was recommended by detailed explanation including refrain from specific manoeuvres (active abduction in combination with external rotation) that provokes dislocation as well as postural therapy
Most physiotherapists continued to use strengthening, information on the injury, and postural therapy
as favoured treatment options (44%, 45% and 44% of cases, respectively).
"That'll keep a relatively thin patient off their back, but some of these people are pretty big--and the bigger the patient, the less likely postural therapy
"When I get a patient who doesn't want to use CPAP even after we've spent a lot of time on all of our tricks to improve compliance, that's when I resort to postural therapy
," explained Dr.
This subtle postural therapy
relies on a principle known as stochastic resonance, whereby noise improves signal recognition in a system such as the nerves (SN: 11/23/96, p.