@article{ref1,
title="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",
journal="Knee surgery, sports traumatology, arthroscopy",
year="2018",
author="Gerometta, Antoine and Klouche, Shahnaz and Herman, Serge and Lefevre, Nicolas and Bohu, Yoann",
volume="26",
number="1",
pages="203-211",
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. <br><br>METHODS: &quot;Knee&quot; was replaced by the term &quot;shoulder&quot; 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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0942-2056",
doi="10.1007/s00167-017-4645-0",
url="http://dx.doi.org/10.1007/s00167-017-4645-0"
}