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

Last updated: February 2, 2025
Sponsor: Alon Rabin
Overall Status: Active - Recruiting

Phase

N/A

Condition

Joint Injuries

Treatment

Standard physical therapy

Apprehension-based training

Clinical Study ID

NCT06752551
2388-2023
  • Ages 18-39
  • All Genders

Study Summary

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

Inclusion

Inclusion Criteria:

  • 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

Exclusion

Exclusion Criteria:

  • Previous shoulder fracture, tendon tear, or shoulder surgery

  • Voluntary shoulder dislocation

  • Functional (Stanmore polar III) shoulder instability

  • Dislocation associated with a motor vehicle accident.

  • Diagnosis of rheumatoid arthritis, cancer (current), fibromyalgia, psychiatricdisease)

  • Current pregnancy

  • Inability to attend at least one physical therapy session every 2 weeks.

Study Design

Total Participants: 85
Treatment Group(s): 2
Primary Treatment: Standard physical therapy
Phase:
Study Start date:
February 05, 2025
Estimated Completion Date:
December 31, 2027

Connect with a study center

  • Israel Defense Forces Medical Corps

    Beer Yaakov, 7030732
    Israel

    Active - Recruiting

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