The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation, results from a national cohort study

Journal article


Olds, M., Ellis, R., Parmar, P. and Kersten, P. 2020. The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation, results from a national cohort study. Shoulder and Elbow. 13 (2), pp. 223-232. https://doi.org/10.1177/1758573220921484
AuthorsOlds, M., Ellis, R., Parmar, P. and Kersten, P.
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 how these variables changed over 12 months.

Methods: A prospective cohort study was undertaken in people with an FTASD aged between 16 and 40 years. Measures of quality of life, kinesiophobia, shoulder activity, shoulder pain and disability were recorded within 12 weeks of an FTASD and at 3, 6, 9 and 12 months.

Results: An FTASD negatively impacted quality of life, shoulder pain and function and these variables improved over time. People with recurrent shoulder instability had poorer quality of life 12 months after an FTASD. Across the entire cohort, kinesiophobia did not significantly change across time in people following an FTASD.

Conclusions: Quality of life was significantly affected by an FTASD in people with recurrent shoulder instability. Across the entire cohort of people with an FTASD, kinesiophobia remained elevated in people following an FTASD.

Level of evidence: Level 1 prognostic study.

KeywordsDislocation; Fear; Quality of life; Shoulder
Year2020
JournalShoulder and Elbow
Journal citation13 (2), pp. 223-232
PublisherSAGE
ISSN1758-5732
1758-5740
Digital Object Identifier (DOI)https://doi.org/10.1177/1758573220921484
Official URLhttps://journals.sagepub.com/doi/10.1177/1758573220921484
Publication dates
Online20 May 2020
Publication process dates
Accepted01 Apr 2020
Deposited14 Apr 2022
Accepted author manuscript
License
Output statusPublished
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