RecruitingNot ApplicableNCT06154889

Rehabilitation by Multifactorial Approach After a Latarjet Procedure

Rehabilitation by Multifactorial Approach After a Latarjet Procedure : Prospective Single-center Randomized Study (MATASI-L)


Sponsor

Clinique Générale dAnnecy

Enrollment

52 participants

Start Date

Nov 29, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Min Age: 18 YearsMax Age: 67 Years

Plain Language Summary

Simplified for easier understanding

This trial is studying the best rehabilitation approach after the Latarjet procedure — a surgery to stabilize a chronically dislocating shoulder. The study uses a multifactorial rehabilitation program that combines physical therapy, education, and psychological support, aiming to get patients back to full function more effectively after surgery. **You may be eligible if...** - You are 18–67 years old - You have had primary or recurrent traumatic anterior shoulder dislocation - You have had or are scheduled for the Latarjet surgery (a procedure to stabilize the front of the shoulder joint) - You can read and speak French **You may NOT be eligible if...** - Your shoulder instability is in the back or multiple directions (posterior or multidirectional) - You have an additional rotator cuff tear - You have had prior surgery on either shoulder - You have a connective tissue disorder (like Ehlers-Danlos syndrome) - You have an anxiety disorder or take anxiolytic medications - You have a neurological or inflammatory disease, rheumatoid arthritis, or active cancer - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERconsultations with a psychologist

Consultations with a sports psychologist to decrease kinesiophobia

OTHERConventional reeducation

Conventional reeducation


Locations(1)

Clinique Générale d'Annecy

Annecy, France

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NCT06154889