This study will compare functional outcomes after an arthroscopic Bankart repair between patients that underwent conventional arthroscopic Bankart repair rehabilitation, following the American Society of Shoulder and Elbow Therapists guideline and patients that underwent 'multifactorial approach training', which focusses on decreasing kinesiophobia and fear of recurrent dislocations.
The study population comprises patients who will undergo Arthroscopic Bankart Repair (ABR) after a traumatic anterior shoulder dislocation at Spaarne Gasthuis Haarlem/Hoofddorp, OLVG Amsterdam, Amstelland Ziekenhuis Amstelveen, Gelre Ziekenhuizen, Medisch Spectrum Twente, or Flevoziekenhuis Almere.
Primary or recurrent traumatic anterior shoulder dislocation (MRI-confirmed labral tear)
Aged between 18-67 years
Planned arthroscopic Bankart repair (ABR) surgery
Understanding of spoken and written Dutch language
Posterior or multidirectional shoulder instability
Presence of hyperlaxity of the upper extremity and absence of sulcus sign and >85 degrees of external rotation with the arm at the side at physical examination
Connective tissue disorders (e.g. Ehlers-Danlos)
Aged <18 or >67 years
Parallel
MAT
Other interventionThe protocol consists of four phases: 1) immobilization phase, 2) early protective phase, 3) intermediate phase and 4) late phase. The detailed guideline can be found in the following article: Gaunt, B. W., Shaffer, M. A., Sauers, E. L., Michener, L. A., McCluskey, G. M., \& Thigpen, C. A. (2010). The American Society of Shoulder and Elbow Therapists' Consensus Rehabilitation Guideline for Arthroscopic Anterior Capsulolabral Repair of the Shoulder. Journal of Orthopaedic \& Sports Physical Therapy, 40(3), 155-168. https://doi.org/10.2519/jospt.2010.3186
CABRR
Other interventionThe protocol consists of four phases: 1) immobilization phase, 2) early phase, 3) intermediate phase and 4) advanced phase. The protocol comprises education, modified cognitive behavioral therapy, neuromuscular control exercises, kinetic chain exercises, range of motion enhancing exercises, strength and conditioning exercises, and sport-specific exercises. The protocol is currently unpublished.
Shoulder Instability Return to Sport Index (SIRSI)
Patient reported outcome measure to assess psychological readiness to return to sport in patients with shoulder instability
Oxford Shoulder Instability Score (OSIS)
Patient reported shoulder function between MAT and CABRR
Shoulder function, measured by Subjective Shoulder value (SSV)
Shoulder function, measured by Subjective Shoulder value (SSV)
Fear of recurrent dislocation, measured by Numeric Rating Scale (NRS)
Fear of recurrent dislocation, measured by Numeric Rating Scale (NRS)
Tampa Scale for Kinesiophobia in patients with Shoulder Instability (TSK-SI)
Patient reported outcome measure to assess the degree of kinesiophobia
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Spaarne Gasthuis
Lead sponsor
OLVG
Collaborator
Ziekenhuis Amstelland
Collaborator
Gelre Hospitals
Collaborator
Medisch Spectrum Twente
Collaborator
Flevoziekenhuis
Collaborator
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