Multifactorial Approach Training for Anterior Shoulder Instability in patients undergoing arthrosopic bankart repair, a randomized controlled trial

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.

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

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

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