Apprehension-based Training Compared With Standard Physical Therapy for Military Personnel Follow… (NCT06752551) | Clinical Trial Compass
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Apprehension-based Training Compared With Standard Physical Therapy for Military Personnel Following Anterior Shoulder Dislocation - a Randomized Clinical Trial
Israel85 participantsStarted 2025-02-05
Plain-language summary
The goal of this clinical trial is to determine if a new rehabilitation protocol (apprehension-based training), leads to better recovery after shoulder dislocation among military personnel.
Participants will be randomly allocated to apprehension-based training or standard physical therapy. In apprehension-based training participants will train to control their shoulder under progressively more unstable conditions. Standard physical therapy will be provided based on the clinical judgment of the treating physical therapist The primary hypothesis is that participants undergoing apprehension-based training will experience a more complete recovery of function, better shoulder-related quality of life, and incur less recurrent dislocations.
Who can participate
Age range
18 Years – 39 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Age 18-39 years
* Shoulder dislocation (primary or recurrent) documented by a medical practitioner (physician, military medic)
* Positive anterior apprehension test
* Gross shoulder muscle strength 3/5 or greater
Exclusion Criteria:
* Previous shoulder fracture, tendon tear, or shoulder surgery
* Voluntary shoulder dislocation
* Functional (Stanmore polar III) shoulder instability
* Dislocation associated with a motor vehicle accident.
* Diagnosis of rheumatoid arthritis, cancer (current), fibromyalgia, psychiatric disease)
* Current pregnancy
* Inability to attend at least one physical therapy session every 2 weeks.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Return to preinjury level of function
Timeframe: 3 months following the end of intervention
2
Western Ontario Shoulder Instability Index
Timeframe: Baseline to end of intervention (10 weeks) and 1-year follow-up (62 weeks).
3
Recurrence
Timeframe: One year following the end of the intervention
4
Supine moving apprehension test
Timeframe: Baseline to end of intervention (10 weeks)