No registrations found.
ID
Source
Brief title
Health condition
Anterior Shoulder Instability
Sponsors and support
Intervention
Outcome measures
Primary outcome
To determine if multifactorial approach of aftercare is more effective in fear reduction than the current standard of aftercare, in patients who underwent arthroscopic Bankart repair (ABR) without significant bone loss
Secondary outcome
• To assess if multifactorial approach reduces or changes specific brain activity, measured with a functional magnetic resonance imaging (fMRI) activated when anxious for potential dislocation
• To assess patient expectations before ABR
• To assess patient satisfaction before and after ABR
• To assess the psychological readiness to return to sport after 12, 24 and 48 weeks
• To modify and validate the TAMPA scale for Kinesiophobia in Shoulder Instablity
Background summary
Shoulder instability is a frequently seen problem by surgeons, general practitioners, sport physicians and emergency doctors. Most often, the glenoid labrum is torn by traumatic injury causing the anterior shoulder instability. Recurrence is often used as important clinical outcome by treating physicians. However, recent literature showed that fear for (recurrent) dislocation is something that largely determines patient satisfaction and quality of life. Little is known about therapies that include treating the subsequent kinesiofobia that is caused by the shoulder instability. This produces a lack of standard multifactorial aftercare of shoulder instability surgery that includes the psychological side of the problem, such as cross-education and shoulder 'reafferentation'. This study will compare the standard aftercare after surgical treatment of shoulder instability with a newly drawn up consensus protocol by orthopaedic shoulder surgeons and shoulder physiotherapists, focussing on fear reduction.
Study objective
Multifactorial approach of aftercare, focussing on fear reduction for (recurrent) dislocation, is more effective than the current standard of aftercare for patients who underwent arthroscopic bankart repair without significant bone loss
Study design
Preoperative (1), Preoperative (2), 12wk Post-op (3), 24wk Post-op (4), 48wk Post-op (5) --> at all of these 5 time-points, patients will get a questionnaire containing questions about clinical and patient reported outcomes
Intervention
One group receives a ‘standard’ postoperative physiotherapy treatment and the other group receives a ‘tailor-maid’ postoperative multifactorial physiotherapy scheme, which has been designed to reduce fear for (recurrent) dislocation
Inclusion criteria
Patients between the age of 18 and 67, undergoing arthroscopic bankart repair (ABR) without significant bone loss at OLVG Amsterdam, Amstelland Ziekehuis Amstelveen and/or Spaarne Gasthuis Hoofddorp/Haarlem
Exclusion criteria
Patients are excluded when they are aged under 18 or above 67 years old. Furthermore, patients undergoing other types of shoulder surgery other than arthroscopic Bankart repair will be excluded. Also patients with: absence of sulcus sign at physical examination, presence of rotator cuff rupture, bilateral component (active subluxations on contralateral side), history of soft tissue repair or bone block procedure on one of both shoulder, connective tissue disorders (e.g. Ehler-Danlos) or hyperlaxity (Beighton score >5) and/or (Current) anxiety disorders or use of anxiety supressing drugs (e.g. anti-psychotics) will be excluded.
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL9598 |
| Other | METC UMCU : TBA |