The Shoulder Instability-Return to Sport after Injury (SIRSI): a valid and reproducible scale to quantify psychological readiness to return to sport after traumatic shoulder instability

Gerometta, Antoine; Klouche, Shahnaz; Herman, S.; Lefèvre, Nicolas; Bohu, Yoann

doi:10.1007/s00167-017-4645-0

Cited by 87 publications

(104 citation statements)

References 27 publications

(31 reference statements)

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“…Psychological readiness is an important element for optimal RTP. Emotions including fear of re-injury and cognitive factors including self-efficacy and motivation influence treatment and outcome after athletic injury [69].…”

Section: The Decision-based Return To Play Modelmentioning

confidence: 99%

The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play

Cools¹,

Maenhout²,

Vanderstukken³

et al. 2021

Annals of Physical and Rehabilitation Medicine

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Section: The Decision-based Return To Play Modelmentioning

confidence: 99%

The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play

Cools¹,

Maenhout²,

Vanderstukken³

et al. 2021

Annals of Physical and Rehabilitation Medicine

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“…Furthermore, follow-up included documentation of the Rowe score, the Shoulder Instability-Return to Sport after injury (SIRSI) score, the Visual Analogue Scale (VAS) score, and the Subjective Shoulder Value (SSV) score, recurrence of dislocations or subluxations, revision surgeries, and complications. [7][8][9] All patients were assessed by a single investigator, who was not involved in the surgical procedures (EH). Internal review board approval was obtained prior to the start of the investigation.…”

Section: Data Collectionmentioning

confidence: 99%

Return to Sport Following Arthroscopic Repair of 270° Labral Tears

Pounder

Hurley

Ali

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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To evaluate the rate of return to sport following arthroscopic repair of 270 labral tears. Methods: We performed a retrospective review of patients with 270 labral tears treated arthroscopically between 2013 and 2017 by a single surgeon. Patients were followed-up to assess whether they were able to return to sport, the level to which they returned and the timing of return. Complications, the Visual Analogue Scale for pain (VAS), the Rowe score, the Shoulder Instability-Return to Sport after Injury (SIRSI) score, and the Subjective Shoulder Value (SSV) were recorded. Results: The study included 25 patients, with a mean follow-up of 42.2 AE 16.5 months. Of the 25 patients, 19 (76.0%) returned to sport at a mean of 6.8 AE 2.6 months, while 15 (60%) returned at the same or a higher level. At final follow-up, the mean Rowe score was 80.6 AE 14.2; the mean SIRSI score was 61.8 AE 25.4; the mean SSV was 86.4 AE 15.2; and the mean VAS score was 2.2 AE 2.0. One patient reported recurrent subluxation, but no patients suffered a recurrent dislocation during the study period. No revision surgeries were performed within the study period. Conclusion: Patients with 270 labral tears who were treated with arthroscopic repair showed an overall high rate of return to sport. Despite a low rate of recurring instability, not all patients were able to return to their previous levels of sports. Level of evidence: Level IV, therapeutic case series.

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“…The Anterior Cruciate Ligament-Return to Sport Index has been shown to be a useful prognostic tool for RTS after an ACL injury. 10 Gerometta et al 41 showed that a similar scale, the Shoulder Instability Return to Sport after Injury (SIRSI), is a valid and reliable scale to help identify athletes’ psychological readiness to RTS after traumatic anterior shoulder dislocation. Studies incorporating use of the SIRSI scale, alongside other psychological factors shown to positively correlate with RTS in the lower limb 8,96 (motivation, self-confidence, and slight fear), are warranted in this cohort.…”

Section: Discussionmentioning

confidence: 99%

“… ∥ ∥References 11, 12, 14, 16, 18, 20, 24, 28, 30, 32, 34, 36, 41, 47 - 49, 52, 58, 59, 70, 71 - 75, 79, 83, 84, 86, 90, 94, 96. …”

mentioning

confidence: 99%

Outcome Measures After Shoulder Stabilization in the Athletic Population: A Systematic Review of Clinical and Patient-Reported Metrics

Fanning

Maher

Cools

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Athletic endeavor can require the “athletic shoulder” to tolerate significant load through supraphysiological range and often under considerable repetition. Outcome measures are valuable when determining an athlete’s safe return to sport. Few data are available to guide a clinician’s choice from the variety of measures available. Purpose: To describe the use of quantifiable objective outcome measures and patient-reported outcome tools after glenohumeral joint stabilization, specifically in an athletic population. The secondary aim of our study was to assess whether the method of measurement used was clearly described and standardized to aid clinical interpretation. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search of MEDLINE, Scopus, SPORTDiscus, and Web of Science databases was performed in December 2018 based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. After the application of selection criteria, a full review of identified papers, and screening of reference lists, a total of 62 studies were included in the review. All studies were independently appraised for quality, predefined data fields were populated and cross-checked for accuracy, and results were then summarized from these data fields. Results: Of the 62 included studies, 94% used a quantifiable objective clinical outcome. A majority (85%) of the studies measured range of motion, 21% recorded muscle strength, 5% measured electromyographic activity, 5% examined shoulder kinematics, and 3% assessed joint proprioception after surgery. However, only 18% of the studies clearly described a standardized method of measuring the outcome. Nearly all (95%) of the studies used at least 1 patient-reported outcome measure. The Rowe score was most commonly used (35%). Conclusion: We must standardize and clearly describe the use of quantifiable objective outcome measures to aid clinical interpretation. A concerted effort should also be made to standardize the use of patient-reported outcome tools after shoulder stabilization in the athletic population.

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The Shoulder Instability-Return to Sport after Injury (SIRSI): a valid and reproducible scale to quantify psychological readiness to return to sport after traumatic shoulder instability

Abstract: III.

Cited by 87 publications

References 27 publications

The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play

The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play

Return to Sport Following Arthroscopic Repair of 270° Labral Tears

Outcome Measures After Shoulder Stabilization in the Athletic Population: A Systematic Review of Clinical and Patient-Reported Metrics

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