About this trial
The goal of this clinical trial is to determine if a new rehabilitation protocol (apprehension-based training), leads to better recovery after shoulder dislocation among military personnel.
Participants will be randomly allocated to apprehension-based training or standard physical therapy. In apprehension-based training participants will train to control their shoulder under progressively more unstable conditions. Standard physical therapy will be provided based on the clinical judgment of the treating physical therapist The primary hypothesis is that participants undergoing apprehension-based training will experience a more complete recovery of function, better shoulder-related quality of life, and incur less recurrent dislocations.
Eligibility criteria
Qualifiers
Age 18-39 years
Shoulder dislocation (primary or recurrent) documented by a medical practitioner (physician, military medic)
Positive anterior apprehension test
Gross shoulder muscle strength 3/5 or greater
Disqualifiers
Previous shoulder fracture, tendon tear, or shoulder surgery
Voluntary shoulder dislocation
Functional (Stanmore polar III) shoulder instability
Dislocation associated with a motor vehicle accident.
Trial design
Treatments tested in this trial
- Apprehension-based training
- Standard physical therapy
Treatment groups
Sponsors and collaborators
Alon Rabin
Lead sponsor
Ariel University
Sponsor institution
Medical Corps, Israel Defense Force
Collaborator