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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Convention readaptation protocol | Active Comparator | Patients have a conventional re-education after surgery for anterior shoulder dislocation (Latarjet procedure) |
|
| Readaptation protocol with psychologic intervention | Experimental | Patient have a conventional re-education after surgery for anterior shoulder dislocation (Latarjet procedure) with addition of 4 consultations with a sports psychologist |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| consultations with a psychologist | Other | Consultations with a sports psychologist to decrease kinesiophobia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Western 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) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| 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%. | 6 months |
| ability to return to work |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Geert Alexander Buijze, MD | Contact | +33450330950 | gabuijze@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Geert Alexander Buijze, MD | Clinique Générale d'Annecy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinique Générale d'Annecy | Recruiting | Annecy | 74000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41565337 | Derived | Soares MN, Shirinskiy IJ, Schachner J, Matasi Collaborator Group MCG, Macken AA, Kling A, Lafosse T, van den Bekerom MPJ, Buijze GA. Multifactorial approach training for anterior shoulder instability after a Latarjet procedure: protocol for a randomised controlled trial. BMJ Open. 2026 Jan 21;16(1):e109378. doi: 10.1136/bmjopen-2025-109378. |
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| ID | Term |
|---|---|
| D012783 | Shoulder Dislocation |
| D000092442 | Kinesiophobia |
| ID | Term |
|---|---|
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D012017 | Referral and Consultation |
| ID | Term |
|---|---|
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
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| Conventional reeducation | Other | Conventional reeducation |
|
time indication
| 6 months |
| ability to return to sport | time indication | 6 months |
| Patient's pain | visual analogic scale between 0 and 10 | 6 months |
| Patient's kinesiophobia | Tampa's scale : 17 questions with scored results between 1 and 4 | 6 months |
| S-starts test (including psychologic evaluation) | Composite score :
| 6 months |
| D000070599 |
| Shoulder Injuries |
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |