Sling vs. Dynamic Shoulder Stabilizer After Soft Tissue Shoulder Instability Surgery (SLIDY) (SLIDY)
Sling vs. Dynamic Shoulder Stabilizer After Soft Tissue Shoulder Instability Surgery ("SLIDY"): A Pilot Randomized Controlled Trial Assessing Feasibility, Early Functional Recovery, and Structural Healing
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Abdul-ilah Hachem, MD
- Telefonnummer: +34609406030
- E-mail: abelhachem@gmail.com
Undersøgelse Kontakt Backup
- Navn: Hady Ezzeddine, MD
- E-mail: hadyezz@gmail.com
Studiesteder
-
-
Catalonia
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L'Hospitalet de Llobregat, Catalonia, Spanien, 08907
- Rekruttering
- Bellvitge University Hospital
-
Kontakt:
- Hady Ezzeddine, MD
- E-mail: hadyezz@gmail.com
-
Kontakt:
- Abdul-ilah Hachem, MD
- Telefonnummer: +4609406030
- E-mail: abelhachem@gmail.com
-
Ledende efterforsker:
- Abdul-ilah Hachem, MD
-
Underforsker:
- Hady Ezzeddine, MD
-
Underforsker:
- Xavi Rius, MD
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Adults aged ≥18 years undergoing arthroscopic soft-tissue stabilization for anterior shoulder instability (Bankart repair ± Hill-Sachs remplissage).
- Ability and willingness to comply with the study protocol and scheduled follow-ups.
- Provision of written informed consent.
Exclusion Criteria:
- Significant glenoid bone loss requiring bony augmentation procedures (e.g., bone block procedures, Latarjet).
- Concomitant rotator cuff repair or fracture fixation.
- Contraindication to MRI (e.g., pacemaker, claustrophobia, incompatible implants).
- Cognitive impairment, language barriers, or logistical inability to attend follow-up visits.
- Previous ipsilateral shoulder surgery.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Dynamic Immobilizer
Continuous wear of the dynamic shoulder orthosis for 3 weeks post-surgery, followed by a standardized physiotherapy protocol.
|
An adjustable strap system applied immediately post-surgery that permits movement of the shoulder joint while simultaneously limiting potentially harmful ranges of motion and translations.
It is worn continuously for 3 weeks.
Andre navne:
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Aktiv komparator: Standard Arm Sling
Continuous wear of a conventional fabric arm sling for 3 weeks post-surgery, followed by a standardized physiotherapy protocol.
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Static immobilization using a conventional fabric arm sling applied immediately post-surgery and worn continuously for 3 weeks.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Feasibility composite (Recruitment, Retention, and Adherence)
Tidsramme: Up to 12 months post-surgery.
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Evaluation of the feasibility of conducting a definitive randomized controlled trial by measuring the recruitment rate (percentage of eligible enrolled), retention/follow-up completion rates, and protocol adherence (self-reported and therapist-verified).
Safety and device-related adverse events will also be recorded.
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Up to 12 months post-surgery.
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Western Ontario Shoulder Instability Index (WOSI)
Tidsramme: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
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Patient-reported functional outcome assessing quality of life related to shoulder instability.
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Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
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Rowe Score
Tidsramme: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
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Clinical assessment of shoulder stability, mobility, and function.
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Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
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Constant-Murley Score
Tidsramme: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
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Clinical assessment of general shoulder function, including pain, activities of daily living, range of motion, and strength.
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Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
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Subjective Shoulder Value (SSV)
Tidsramme: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
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Patient-reported subjective function of the shoulder expressed as a percentage of a normal shoulder.
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Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
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Range of Motion (ROM)
Tidsramme: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
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Active and passive flexion, abduction, and rotation measured via standardized goniometry by two blinded assessors.
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Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
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Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Score
Tidsramme: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
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Patient-reported outcome measure assessing physical function, symptoms, and related quality of life of the upper extremity.
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Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
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MRI Evaluation of Structural Healing
Tidsramme: Between 6 and 12 months post-surgery.
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Assessment of capsulolabral integrity and bone defect remodeling, scored as intact, partial, or re-tear by two blinded physicians.
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Between 6 and 12 months post-surgery.
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Abdul-ilah Hachem, MD, Head of the Shoulder Unit, Department of Orthopaedics, Bellvitge Univeristy Hospital
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- ICPS037/25 (Anden identifikator: Bellvitge Hospital Institutional Review Board (CEIm))
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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