Action Observation Therapy in Patients Undetgoing Surgery for Shoulder Instability

Not Applicable

• Conditions: Shoulder Instability
• Interventions: Behavioral: Action observation therapy

• Registration Number: NCT05479539
• Lead Sponsor: Istituto Clinico Humanitas

Brief Summary

The study will aim at investigating the effects of action observation therapy (action observation plus motor imagery) in patients with shoulder instability undergoing capsulo-plastic surgery. Forty subjects scheduled for capsulo-plastic surgery will be randomized into an AOT or Control group. AOT group will undergo action observation followed by motor imagery of upper limb motor tasks for 4 weeks after surgery, whereas Control group will perform no intervention. In addition, both groups will undergo postoperative usual care including immobilization with a brace and passive upper limb mobilization. All participants will be assessed for shoulder pain, function, range of motion, fear of movement and quality of life the day before surgery, at training end and 3 months after training end.

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-07
• Study First Submitted: 2022-07-27
• Study First Submitted QC: 2022-07-27
• Last Update Submitted: 2022-07-27
• Study First Posted: 2022-07-29
• Last Update Posted: 2022-07-29
• Study Start: 2022-09-01
• Primary Completion: 2023-05-01
• Study Completion: 2023-09-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Subjects undergoing capsule-plastic surgery or Latarjet stabilization for shoulder instability

Exclusion Criteria

• Previous upper limb surgery
• Cognitive impairments
• Visual or auditory impairments
• Postoperative complications limiting upper limb motor recovery (e.g., infections)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
AOT	Action observation therapy	-

Primary Outcome Measures

Name	Time	Method
Changes in shoulder function	At baseline, after 4 weeks of training and at 3 month after the training end	Disability Arm Shoulder Hand - DASH

Secondary Outcome Measures

Name	Time	Method
Changes in shoulder pain	At baseline, after 4 weeks of training and at 3 month after the training end	Numerical Pain Rating Scale (0 - best outcome, 100 worst outcome)
Changes in shoulder range of motion	At baseline, after 4 weeks of training and at 3 month after the training end	Flexion, abduction, inernal and external rotation range of motion assessed using a goniometer
Changes in fear of movement	At baseline, after 4 weeks of training and at 3 month after the training end	Tampa scale of kinesiophobia
Changes in quality of life	At baseline, after 4 weeks of training and at 3 month after the training end	Short Form - 36 items