Anterior Shoulder Dislocation
Conditions
Keywords
shoulder instability, feasibility studies, neuromuscular exercise
Brief summary
An optimal treatment for traumatic anterior shoulder instability (TASI) remains to be identified. A shoulder instability neuromuscular exercise (SINEX) program has been designed for patients with TASI, but has not yet been tested in patients eligible for surgery. The purpose of this study was to investigate and evaluate the feasibility and safety of the SINEX program for patients diagnosed with TASI and eligible for surgery. A feasibility study with an experimental, longitudinal design using both quantitative and qualitative research methods. Participants undergo the SINEX program, a twelve week exercise program including physiotherapist supervised sessions. Feasibility data on recruitment, retention, compliance, acceptability and safety was collected through observation and individual semi-structured interviews. Clinical tests and self-report questionnaires were completed at baseline and 12 weeks follow-up. Clinical assessments included apprehension and relocation tests, shoulder joint position sense (SJPS), shoulder sensorimotor control measured by center of pressure path length (COPL) on a force platform, isometric strength measured by Constant Score - Isometric Maximal Voluntary Contraction (CS-iMVC), self-report questionnaires included Western Ontario Shoulder Instability Index (WOSI), Tampa Scale of Kinesiophobia (TSK) and Global Perceived Effect questionnaire (GPE).
Interventions
OTHERSinex program (neuromuscular training program)
The SINEX program is a three months neuromuscular training program aiming to increase neuromuscular stability of the shoulder
Sponsors
Western Norway University of Applied Sciences
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Feasibility study. One group before and after design
Eligibility
Sex/Gender
ALL
Age
16 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* men and women, between 16 and 45 years of age, minimum one traumatic anterior shoulder dislocation diagnosed with TASI, eligible for stabilizing Bankart surgery
Exclusion criteria
* complex shoulder injuries not suitable for a Bankart procedure as determined by an orthopedic surgeon, insufficient Norwegian language skills, and/or not being able to participate in a supervised exercise program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ontario Shoulder Instability Index (WOSI) | Baseline, 12 weeks | change in shoulder quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sensorimotor control measured by center of pressure path length (COPL) | Baseline, 12 weeks | Change in shoulder stability, mm |
| Shoulder joint position sense (SJPS) | Baseline, 12 weeks | Change in shoulder position stability, degrees |
| Tampa Scale of Kinesiophobia (TSK) | Baseline, 12 weeks | Change in fear of movement and re-injury, numbers |
| Apprehension and relocation tests | Baseline, 12 weeks | Change in anterior glenohumeral instability, positive/negative |
| Global Perceived Effect questionnaire (GPE) | at 12 weeks | Impression of change, 1-7 |
| Isometric strength measured by Constant Score - Isometric Maximal Voluntary Contraction (CS-iMVC) | Baseline, 12 weeks | Change in muscle strength, kg |
Countries
Norway
Outcome results
None listed