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.
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Return to preinjury level of function
Timeframe: 3 months following the end of intervention
Western Ontario Shoulder Instability Index
Timeframe: Baseline to end of intervention (10 weeks) and 1-year follow-up (62 weeks).
Recurrence
Timeframe: One year following the end of the intervention
Supine moving apprehension test
Timeframe: Baseline to end of intervention (10 weeks)