Multifactorial approach training for anterior shoulder instability after a Latarjet procedure: protocol for a...

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Psychology

Background:

• The Latarjet procedure is a primary treatment for significant glenoid bone loss in shoulder instability.
• Patients often face challenges returning to sport (RTS) due to psychological factors like fear of reinjury.
• Current rehabilitation protocols primarily focus on physical aspects, neglecting psychological readiness for RTS.

Purpose of the Study:

• To evaluate if psychological interventions enhance postoperative shoulder function compared to physical therapy alone.
• To assess the impact of integrated psychological care on patient-reported outcomes after the Latarjet procedure.

Main Methods:

• A monocentric randomized controlled trial involving 52 patients undergoing the Latarjet procedure.
• Participants were randomized to receive either physical therapy with cognitive behavioral therapy or physical therapy alone.
• Primary outcome: Western Ontario Shoulder Index at 6 months; secondary outcomes include RTS rates and kinesiophobia scores.

Main Results:

• The study aims to determine if psychological interventions improve patient-reported shoulder function.
• It will compare outcomes between a group receiving physical therapy plus cognitive behavioral therapy and a group receiving physical therapy alone.
• Key metrics include shoulder function scores, return-to-sport rates, and psychological assessments.

Conclusions:

• Psychological interventions may be crucial for optimizing recovery and return to sport after the Latarjet procedure.
• Integrating mental health support into rehabilitation can address fear of reinjury and improve functional outcomes.
• This study will provide evidence for a more comprehensive approach to postoperative shoulder instability care.