Apprehension-based Training Compared With Standard Physical Therapy for Military Personnel Following Anterior Shoulder Dislocation - a Randomized Clinical Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-39
SponsorAlon Rabin

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

85 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Alon Rabin

Lead sponsor

Ariel University

Sponsor institution

Medical Corps, Israel Defense Force

Collaborator