Rehabilitation program to reduce fear after shoulder surgery

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

This study tests a new rehab program that combines therapy and exercise to help people who had shoulder surgery overcome their fear of movement and recover better.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 52 (estimated)
• Ages: 18 Years to 67 Years
• Sex: All
• Sponsor: Clinique Générale dAnnecy (Academic / other)
• Locations: 1 site (Annecy)
• Trial ID: NCT06154889 on ClinicalTrials.gov

What this trial studies

This study focuses on patients who have undergone a Latarjet procedure for shoulder dislocation and aims to address kinesiophobia, or fear of movement, which can hinder recovery. A new rehabilitation protocol has been developed that combines psychological consultations and conventional rehabilitation techniques to help patients regain functional stability and reduce their fear of re-injury. The study will evaluate the effectiveness of this multifactorial approach in improving patient outcomes post-surgery.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18-67 who have experienced a primary or recurrent traumatic anterior dislocation of the shoulder and are undergoing a Latarjet procedure.

Not a fit: Patients with posterior or multidirectional shoulder instability, significant psychological disorders, or other complicating medical conditions may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve recovery and quality of life for patients recovering from shoulder dislocation surgery.

How similar studies have performed: While the specific multifactorial approach is novel, similar studies addressing psychological factors in rehabilitation have shown promising results.

Eligibility criteria

Inclusion Criteria:

1. Primary or recurrent traumatic anterior dislocation of the shoulder
2. Indication of abutment according to Latarjet (arthroscopic or open sky)
3. Age: 18-67 years
4. Understanding of the French language spoken and written
5. Written informed consent (in accordance with to ICH-GCP guidelines)

Exclusion Criteria:

1. Posterior or multidirectional instability of the shoulder (Beighton score \>5)
2. Age \<18 or \>67 years.
3. Patients with additional rotator cuff tear.
4. Patients with a history of surgery on either shoulder.
5. Patients with connective tissue disorders (eg Ehler-Danlos).
6. Patients with (current) anxiety disorders or using anxiolytic medications (eg, antipsychotics) (criterion based on patient record/indications).
7. Patients with neurological disorders or systemic disease.
8. Patients with inflammatory disease, rheumatoid arthritis or active malignancy.
9. Patients previously hospitalized for shoulder pain
10. Patients with upper tubercle fracture
11. Patients with motor neurological deficit
12. Pregnant or breastfeeding patient
13. Patient protected under protective measure

Where this trial is running

Annecy

• Clinique Générale d'Annecy — Annecy, France (Recruiting)

Study contacts

• Principal investigator: Geert Alexander Buijze, MD — Clinique Générale d'Annecy
• Study coordinator: Geert Alexander Buijze, MD

Conditions Dislocation Shoulder; shoulder instability; kinesiophobia; Latarjet; apprehension