2020
DOI: 10.1177/1758573220921484
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The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation in people aged 16–40: Results from a national cohort study

Abstract: Background Limited evidence exists which details changes in quality of life, shoulder activity level, kinesiophobia, shoulder pain and disability following a first-time traumatic anterior shoulder dislocation (FTASD) in people treated non-operatively. This study had three objectives: (1) to examine quality of life, pain, disability and kinesiophobia after an FTASD within 12 weeks, (2) to examine whether these variables were different in people with and without recurrent shoulder instability and (3) to assess h… Show more

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Cited by 20 publications
(18 citation statements)
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“…In the acute phase, patients with traumatic instabilities are likely to present with high levels of pain (SPADI-Pain) and disability (SPADI-Disability). Significant improvements are expected by 6 months (SPADI-Pain) and 9 months (SPADI-Disability) (Olds et al, 2020). The low SPADI-Pain score for the Instability group in this study is possibly due to the late presentation to physiotherapy (mean symptom duration > 3 months) at these clinics.…”
Section: Spadi and Csimentioning
confidence: 59%
See 1 more Smart Citation
“…In the acute phase, patients with traumatic instabilities are likely to present with high levels of pain (SPADI-Pain) and disability (SPADI-Disability). Significant improvements are expected by 6 months (SPADI-Pain) and 9 months (SPADI-Disability) (Olds et al, 2020). The low SPADI-Pain score for the Instability group in this study is possibly due to the late presentation to physiotherapy (mean symptom duration > 3 months) at these clinics.…”
Section: Spadi and Csimentioning
confidence: 59%
“…In a previous study (Olds et al, 2019), similar TSK-11 scores (26/44) were reported for people with glenohumeral dislocations within 12 weeks of their dislocation. Kinesiophobia scores did not demonstrate a significant change across time (Olds et al, 2020) and have been shown not to differ in primary or recurrent instability (Eshoj et al, 2019). Either kinesiophobia does not differ between traumatic and atraumatic instability and primary or recurrent instability, or current measures of kinesiophobia are not responsive in people with shoulder instability.…”
Section: Psychosocial Outcome Measuresmentioning
confidence: 93%
“…This is in agreement with previous reports that kinesiophobia did not change significantly 1 year after a shoulder dislocation despite improvements in pain and quality of life. 19 However, an athlete's psychological status may be improved if he or she has successfully returned to sports. Athletes in this study who had returned to sports at a median of 112 days (17.4 weeks) had an SI-RSI total score of 48.4 6 19.…”
Section: Discussionmentioning
confidence: 99%
“…They aimed to reduce fear of pain, emphasised patient capabilities, and underlined the importance of self-management of the condition. Addressing psychosocial factors through education is argued to be a pillar of selfmanagement promotion [37] and may help to reduce fear of movement that is seen in those with shoulder dislocations [38].…”
Section: Recommendations For Clinical Practicementioning
confidence: 99%