Shoulder Instability
Conditions
Brief summary
The study will aim at investigating the effects of action observation therapy (action observation plus motor imagery) in patients with shoulder instability undergoing capsulo-plastic surgery. Forty subjects scheduled for capsulo-plastic surgery will be randomized into an AOT or Control group. AOT group will undergo action observation followed by motor imagery of upper limb motor tasks for 4 weeks after surgery, whereas Control group will perform no intervention. In addition, both groups will undergo postoperative usual care including immobilization with a brace and passive upper limb mobilization. All participants will be assessed for shoulder pain, function, range of motion, fear of movement and quality of life the day before surgery, at training end and 3 months after training end.
Interventions
BEHAVIORALAction observation therapy
Participants will watch 12-minute video-clips followed by 8 minutes of motor imagery. Video-clips observation and imagination will be focused un shoulder tasks occuring on the three planes of motion.
Sponsors
Istituto Clinico Humanitas
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Subjects undergoing capsule-plastic surgery or Latarjet stabilization for shoulder instability
Exclusion criteria
* Previous upper limb surgery * Cognitive impairments * Visual or auditory impairments * Postoperative complications limiting upper limb motor recovery (e.g., infections)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in shoulder function | At baseline, after 4 weeks of training and at 3 month after the training end | Simple shoulder test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in shoulder pain | At baseline, after 4 weeks of training and at 3 month after the training end | Numerical Pain Rating Scale (0 - best outcome, 100 worst outcome) |
| Changes in shoulder range of motion | At baseline, after 4 weeks of training and at 3 month after the training end | Flexion, abduction, inernal and external rotation range of motion assessed using a goniometer |
| Changes in fear of movement | At baseline, after 4 weeks of training and at 3 month after the training end | Tampa scale of kinesiophobia |
| Changes in quality of life | At baseline, after 4 weeks of training and at 3 month after the training end | Short Form - 36 items |
Outcome results
None listed