Non-operative Management of First-Time Shoulder Dislocations: Cross-Sectional Survey of Physiotherapists’ Perceptions

Abstract Purpose: The shoulder is the most vulnerable joint to dislocation because of its anatomical structure and range of motion. The prevalence of shoulder dislocation underscores the importance of proper care and injury prevention strategies to maintain stability and functionality. This study aimed to describe the current perceptions of physiotherapists on the management of first-time shoulder dislocations (FTDs) and their perspectives on current evidence to guide optimal care. Method: A cross-sectional online survey with 29 questions was distributed to the memberships of the Canadian Physiotherapy Association, Sport Physiotherapy Canada, the American Society of Shoulder and Elbow Therapists, and the European Society for Shoulder and Elbow Rehabilitation. Results: Data from 102 respondents revealed that 58.8% were unaware of published clinical practice guidelines for FTD management. Awareness increased with more years of clinical experience; those with over 10 years of experience demonstrated greater awareness (57.9%) than those with less experience (16.1%). Almost half perceived there to be insufficient evidence (49%) and protocols (47%) to guide non-operative treatment of an FTD. Conclusions: This study highlights that there is no clear consensus among physiotherapists on an evidence-based management of FTDs. Improving knowledge dissemination and professional training could bridge the gap between evidence-based practice and clinical implementation.