Intended for healthcare professionals

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Rapid response to:


Exercise therapy after corticosteroid injection for moderate to severe shoulder pain: large pragmatic randomised trial

BMJ 2010; 340 doi: (Published 28 June 2010) Cite this as: BMJ 2010;340:c3037

Rapid Response:

PRO's have little value when it comes to physiotherapy

Nanivadekar makes a valid point.

Physiotherapy research is poorly funded so it should be no surprise
that it
features in the second division.

That said, all too often studies show that physiotherapy
interventions show little
improvement over doing nothing (or placebo) when looking at a time frame
of 6
to 12 months. What these studies fail to recognise is that physiotherapy
meets patient's expectations in the short term (functionally, as well as

Of course chronic conditions recycle. However providing rapid relief
in the early
stages in any cycle is not to be sniffed at.

After all we don't cost the earth.

Competing interests:
None declared

Competing interests: No competing interests

29 June 2010
Richard Bartley