Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jan;26(1):203-211.
doi: 10.1007/s00167-017-4645-0. Epub 2017 Jul 13.

The Shoulder Instability-Return to Sport after Injury (SIRSI): a valid and reproducible scale to quantify psychological readiness to return to sport after traumatic shoulder instability

Antoine Gerometta  1   2 , Shahnaz Klouche  3   4 , Serge Herman  1   2 , Nicolas Lefevre  1   2 , Yoann Bohu  1   2   5
Affiliations

The Shoulder Instability-Return to Sport after Injury (SIRSI): a valid and reproducible scale to quantify psychological readiness to return to sport after traumatic shoulder instability

Antoine Gerometta et al. Knee Surg Sports Traumatol Arthrosc. 2018 Jan.

Abstract

Purpose: The main goal of this study was to propose and validate a tool to quantify the psychological readiness of athletes to return to sport following traumatic shoulder instability and conservative or surgical management.

Methods: «Knee» was replaced by the term «shoulder» in the Anterior Cruciate Ligament-Return to Sport after Injury scale. This pilot test of the Shoulder Instability-Return to Sport after Injury scale (SIRSI) was performed in a group of athletes who underwent surgery for post-traumatic chronic anterior shoulder instability. The final version was then validated according to the international COSMIN methodology. A retrospective study was performed including all rugby players who had reported an episode of instability between 2012 and 2013. The WOSI and the Walch-Duplay scales were used as reference questionnaires.

Results: Sixty-two patients were included, mean age 26 ± 5.2 years old, 5 women/57 men. Patients were professional or competitive athletes (70.9%) and followed-up for 4.6 ± 1.6 years after the first episode of shoulder instability. Shoulder surgery was performed in 30/62 (48.4%) patients, a mean 1.6 ± 1.2 years after the first episode of instability. The SIRSI was strongly correlated with the reference questionnaires (r = 0.80, p < 10-5). The mean SIRSI score was significantly higher in patients who returned to play rugby (60.9 ± 26.6% vs 38.1 ± 25.6%, p = 0.001). The internal consistency of the scale was high (α = 0.96). Reproducibility of the test-retest was excellent (ρ = 0.93, 95% CI [0.89-0.96], p < 10-5). No ceiling/floor effects were found.

Conclusion: The SIRSI is a valid, reproducible scale that identifies patients who are ready to return to the same sport after an episode of shoulder instability, whether they undergo surgery or not.

Level of evidence: III.

Keywords: Dislocation; Instability; Psychological readiness; Return to sport; Shoulder; Subluxation.

PubMed Disclaimer

References

    1. Clin Sports Med. 2008 Oct;27(4):631-48 - PubMed
    1. J Clin Epidemiol. 2007 Jan;60(1):34-42 - PubMed
    1. Am J Sports Med. 2015 Aug;43(8):2005-11 - PubMed
    1. Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1877-83 - PubMed
    1. Br J Sports Med. 2016 May;50(9):506-8 - PubMed

Publication types

LinkOut - more resources