Kinesiophobia (fear of physical movement) is common after a previous shoulder dislocation and persists after one year, regardless of the occurrence of a recurrence. This kinesiophobia is associated with a lower level of physical activity and a lower return to sport. Increased kinesiophobia, combined with other psychological factors such as depression and fear of re-injury in patients with shoulder instability, results in poor outcomes after treatment. Given that there is currently no postoperative protocol that takes this psychological component into account, a new rehabilitation protocol focused on reducing kinesiophobia was recently designed as part of an international consensus study based on the method Delphi. This protocol includes a core set of evidence-based interventions aimed at regaining functional stability of the shoulder and reducing fear of recurrent dislocation and kinesiophobia. The goal of this study is to determine if we can reduce kinesiophobia in patients who have undergone stabilization surgery for anterior shoulder instability using this new rehabilitation protocol.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
52
Consultations with a sports psychologist to decrease kinesiophobia
Conventional reeducation
Clinique Générale d'Annecy
Annecy, France
RECRUITINGWestern Ontario Shoulder Instability Index (WOSI)
self-evaluating shoulder instability quality of life score : 21 items. The patient is asked to grade the function of a specific item on a horizontal visual analog scale from 0 to 100 mm. Each question results in a number between 0 and 100 and the total score may be presented as a number between 0 and 2,100 points (where 0 represents no deficit and 2,100 the worst)
Time frame: 6 months
Shoulder subjective value
subjective evaluation by the patient of shoulder function, expressed as a percentage of a normal shoulder. This score ranges from 0 to 100%.
Time frame: 6 months
ability to return to work
time indication
Time frame: 6 months
ability to return to sport
time indication
Time frame: 6 months
Patient's pain
visual analogic scale between 0 and 10
Time frame: 6 months
Patient's kinesiophobia
Tampa's scale : 17 questions with scored results between 1 and 4
Time frame: 6 months
S-starts test (including psychologic evaluation)
Composite score : * Shoulder Instability-Return to Sport after Injury questionnaire (12 items each assessed on a scale from 0 to 10) quantifying the psychological readiness of athletes to return to sport following shoulder instability through evaluating emotions, confidence in performance, and perceived risk * 4 physical performance tests * Maximal Isometric Strength of Glenohumeral Rotator Muscles * Y Balance Test for Upper Extremity * Modified Closed Kinetic Chain Upper Extremity Stability Test * Unilateral Seated Shot Put Test
Time frame: 6 months
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