Chronic Instability of Joint
Conditions
Brief summary
Case control study to evaluate different factors (e.g muscle strength, psychological factors) that are associated with full recovery and functional status 6 months after surgical repair of shoulder instability.
Detailed description
In this study the investigators will try to find correlations between different factors and functional abilities of patients 6 months post shoulder surgery. Patients will be examined in a single encounter for muscle strength, fear avoidance beliefs and functional abilities. Functional abilities will be examined using two validated questionnaires: 1. The Western Ontario Shoulder Instability index (WOSI) 2. Disabilities of the Arm, Shoulder and Hand (DASH) Fear avoidance will be evaluated using the Fear Avoidance Belief Questionnaire (FABQ) Muscle strength of the rotator cuff muscles will be measured using Biodex Isokinetic system, model 4.
Interventions
Patients will fill self-reported functional shoulder scales (1. Western Ontario Shoulder Instability index - WOSI, and 2. Disabilities of Arm, Shoulder and Hand questionnaire - DASH), as well as a Fear Avoidance Belief Questionnaire (FABQ).
Isokinetic strength will be measured using a Biodex Isokinetic System 4.0 (Shirley, NY)
Sponsors
Study design
Eligibility
Inclusion criteria
* 26-28 weeks s/p surgical repair of shoulder instability * At least 1 shoulder dislocation prior to surgery
Exclusion criteria
* Previous surgery in either shoulders * Any injury in the non-operated shoulder in the last 6 months * Any history of shoulder dislocation or subluxation in the non-operated shoulder * Any tendon repair during the surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Western Ontario Shoulder Instability index (WOSI) | 26-28 weeks post surgery | Functional scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fear avoidance belief questionnaire (FABQ) | 26-28 weeks post surgery | Fear avoidance questionnaire |
| Isokinetic strength | 26-28 weeks post surgery | Ratios between Internal and External rotation strength in both shoulders |
| Disabilities of Arm, Shoulder and Hand Questionnaire (DASH) | 26-28 weeks post surgery | Functional scale |
Countries
Israel