To develop a multivariate tool that would predict recurrent instability after first-time traumatic anterior shoulder dislocation.Participants (aged 16-40 years) were recruited across New Zealand into prospective cohort study. Baseline data collected during telephone interview and through examination of radiology records. Variables associated with selected for the logistic regression model using backwards selection (p<0.10). Coefficients those variables retained in used to predictive...

Context : Long-lever shoulder strength tests may aid clinical decision-making regarding return to sport after a injury. The Athletic Shoulder Test (AST) was developed measure force production in 3 positions of abduction (90°, 135°, and 180°) using plates. However, handheld dynamometers (HHDs) are more portable, affordable, provide valid reliable results which would increase the utility long-lever tests. HHDs vary shape, design, their capacity report parameters such as rate require further...

Background: Rates of return to play after shoulder dislocation vary between 48% and 96%, there has been scant attention given the psychosocial factors that influence a injury. Purpose: To establish factor structure Shoulder Return Sport Injury (SI-RSI) scale examine how SI-RSI is associated with Western Ontario Instability Index (WOSI). Study Design: Cross-sectional study; Level evidence, 3. Methods: The designed measure psychological readiness was administered participants who had at least...

Limited evidence exists which details changes in quality of life, shoulder activity level, kinesiophobia, pain and disability following a first-time traumatic anterior dislocation (FTASD) people treated non-operatively. This study had three objectives: (1) to examine pain, kinesiophobia after an FTASD within 12 weeks, (2) whether these variables were different with without recurrent instability (3) assess how changed over months.A prospective cohort was undertaken aged between 16 40 years....

Digital dynamometers to assess grip strength are becoming more common in research and clinical settings. The aim of the study was validity reliability K-force dynamometer compared Jamar dynamometer. We also aimed differences over course three measurements.Twenty-seven healthy participants were included. Three trials with completed. Testing order randomised. Intraclass correlation coefficients (ICCs) absolute agreement assessed validity. Standard error measurement (SEM) minimal detectable...

ABSTRACT We compared the effects of a non‐weight bearing protocol (NWB) and weight (WB) on energy stored, stiffness, shock absorption in plantar flexor muscle–tendon unit patients managed non‐operatively following an Achilles tendon rupture. Thirty‐eight subjects were randomized to WB cast fitted with Bohler iron or traditional non‐weight‐bearing cast. At 6‐month follow‐up, biomechanical assessment utilizing isokinetic dynamometer allowed measurement peak passive torque, absorption,...

Anterior shoulder dislocations have a high recurrence rate, often necessitating stabilizing surgery, with residual long-term fear of reinjury.

To assess the sensitivity, specificity, and validity of Predicting Recurrent Instability Shoulder (PRIS) tool in people with a first-time traumatic anterior shoulder dislocation.Prospective cohort study.People dislocation (n = 85), aged 16 to 40 years, were recruited within 12 weeks their followed prospectively for 1 year post injury. We calculated negative predictive value, positive value PRIS tool.Of 75 participants available 1-year follow-up, 57 (76%) did not have recurrent instability....

Non-operative management following a shoulder dislocation or subluxation remains challenging and complex task. Accurate diagnosis of the condition, shared decision-making regarding operative non-operative management, as well timing return to play is required. This clinical concept paper introduces instability framework that addresses these fundamental dilemmas. Valid prognostic tools which can predict recurrent are reviewed. The process within realm also presented. Finally, for progressive...

Patient-reported shoulder pain, function and psychosocial status inform physiotherapy intervention. Central nervous system sensitisation may also need to be considered. The aim of this retrospective chart review was establish compare patient-reported outcome measures factors across diagnostic categories for people with should symptoms attending two specialist clinics. We analysed data 445 patients including demographics, duration pain disability, central sensitivity factors. physiotherapists...

Psychosocial readiness is thought to be important in establishing whether athletes are ready return sports (RTS). The 5-item Shoulder Instability-Return Sport After Injury (SIRSI-5) a short-form version of the 12-item questionnaire (SIRSI-12), which was validated postoperative Argentinian population and associated with psychological RTS. It unknown if SIRSI-5 valid surgical nonsurgical populations other geographic locations.

Context: Active muscle stiffness might protect the unstable shoulder from recurrent dislocation. Objective: To compare strength and active in participants with unilateral anterior instability to examine relationship between functional ability. Design: Cross-sectional study. Setting: University research laboratory. Patients or Other Participants: Participants included 16 males (age range, 16–40 years; height = 179.4 ± 6.1 cm; mass 79.1 6.8 kg) 2 more episodes of traumatic instability. Main...

Background Performance-based tests for patients with anterior shoulder dislocation are lacking. This study determined the reliability and validity of supine moving apprehension test designed to assess ability control instability loads. Methods Thirty-six participants were recruited (18 healthy individuals, 18 following dislocation). Healthy performed on 2 separate occasions determine test-retest reliability. Patients completed Western Ontario Shoulder Instability index before 6 months after...

Clinical tests should replicate the stressful positions encountered during sport participation. Evaluating kinetic and electromyographical demands of clinical enables clinicians to choose appropriate for specific sports.

Abstract This study aimed to examine the normative data for SARTS rugby tests in elite and schoolboy players. A second aim was differences between level of sport position play tests. Elite (N = 57) Schoolboy 63) players performed relevant each 1 min, with 1–2 min rest test. 2×2 factorial ANOVA used assess main effect player play. Results showed that more Ball Abduction External Rotation (BABER) (dominant non-dominant), Side Hold Rotations Taps Overhead Snatch than Heavier fewer Push-up...

Rehabilitation following surgical rotator cuff repair may enable return to pre-injury function. Optimal recovery is facilitated by the use of post-operative protocols that enhance communication between surgeon and physiotherapist. The purpose this study was describe rehabilitation currently used in New Zealand. Orthopaedic surgeons practising Zealand were contacted determine their current protocols. Length immobilisation exercise progression analysed across weekly timeframes from day surgery...