Shoulder Proprioception Following Open and Arthroscopic Instability Repair

NCT00889109 | Unknown DMC

• 1 other identifier: SHEBA-09-7068-AO-CTIL
• Study Type: observational
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Shoulder dislocations are common and may result in functionally disabling instability. Disruption of the shoulder capsuloligamentous complex during shoulder dislocation is related to poor proprioceptive and stabilizing capabilities of the joint. It has been demonstrated that surgical restoration of the normal glenohumeral capsular tensioning improves the proprioceptive capability of the shoulder and plays an important roll in restoring shoulder stability. Several studies compared the proprioceptive capabilities of the shoulder between different surgical procedures, however only few have used the "dynamic unrestricted 3-dimensional arm movement model" that has been shown to be more appropriate for assessment of glenohumeral proprioception. To our knowledge, no previous study has compared proprioception measures of the glenohumeral joint following arthroscopic versus open repair for anterior shoulder instability, using the 3-dimensional unrestricted arm movement model.

Conditions

Shoulder Proprioception; Open Capsular Shift; Arthroscopic Bankart Repair; Unrestricted Arm Movement

Outcome Measures

Primary Outcomes (1)

• Assessment of smoothness parameters of subjects' shoulder movements.

  At least 1 year following surgical repair for anterior shoulder instability

Study Arms (3)

1

Open Capsular Shift

Other: Three dimensional unrestricted arm movements

2

Arthroscopic Bankart Repair

Other: Three dimensional unrestricted arm movements

3

Healthy controls

Other: Three dimensional unrestricted arm movements

Interventions

Three dimensional unrestricted arm movements OTHER

The subjects will carry out three dimensional unrestricted arm movements. The subjects' movements will be recorded by optoelectronic infrared cameras and software. Assessment of smoothness parameters of subjects' movements will allow discriminating between subjects with intact or impaired proprioception.

1; 2; 3

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

All patients treated in our shoulder outpatients clinic will be candidates for inclusion in this study.

You may qualify if:

• Patients who are at least one year after a single operation for anterior shoulder instability of their dominant arm
• control subjects will be healthy volunteers with no history of shoulder complaints selected to match the age and gender of subjects

You may not qualify if:

• Neurological impairment involving the upper extremities
• Instability or recurrent dislocation of the operated shoulder
• Another surgery of the dominant extremity besides the single stabilization procedure

Sponsors & Collaborators

• Sheba Medical Center: lead

Study Sites (1)

Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Israel

Tel Aviv, 69978, Israel

Location

Related Publications (1)

• Uri O, Pritsch M, Oran A, Liebermann DG. Upper limb kinematics after arthroscopic and open shoulder stabilization. J Shoulder Elbow Surg. 2015 Mar;24(3):399-406. doi: 10.1016/j.jse.2014.08.006. Epub 2014 Oct 22.

  PMID: 25441562 DERIVED

Study Officials

• Dario Liebermann, PhD.

  Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Israel

  STUDY DIRECTOR

• Moshe Peri (Pritsch), M.D

  The Shoulder Surgery Unit, Sheba Medical Center, Tel Aviv University, Israel

  STUDY CHAIR

Central Study Contacts

Ofir Uri, M.D

CONTACT

972-52-4262285; ofiruri@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV

Study Record Dates

• First Submitted: April 26, 2009
• First Posted: April 28, 2009
• Study Start: July 1, 2009
• Primary Completion: December 1, 2009
• Last Updated: April 28, 2009

Record last verified: 2009-04

Locations

IL (1)