Multifactorial Approach Training for Anterior Shoulder Instability in Patients Undergoing Arthroscopic Bankart Repair

Inclusion Criteria: * Primary or recurrent traumatic anterior shoulder dislocation (MRI-confirmed labral tear) * Aged between 18-67 years * Planned arthroscopic Bankart repair (ABR) surgery * Understanding of spoken and written Dutch language * Written informed consent (according to the ICH-GCP guidelines) * Positive apprehension sign at physical examination Exclusion Criteria: * Posterior or multidirectional shoulder instability * Presence of hyperlaxity of the upper extremity and absence of sulcus sign and \>85 degrees of external rotation with the arm at the side at physical examination * Connective tissue disorders (e.g. Ehlers-Danlos) * Aged \<18 or \>67 years * Assymetry in rotator cuff strength, bilateral component ((sub)luxations on contralateral side) * History of soft tissue repair or bone block procedure on one of both shoulders * Current or past anxiety disorders or use of anxiety supressing drugs (e.g. anti-psychotics) * Implantable cardioverter defibrillator (ICD) (unable to be included for functional MRI) * Neurological disorders or systemic disease * Loss of anteroinferior sclerotic contour of the glenoid on AP view of the shoulder * Hill-Sachs lesion visible on external rotation radiographs * Greater tubercle fracture