Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleThe Short, 5-Item Shoulder Instability–Return to Sport After Injury Score Performs as Well as the Longer Version in Predicting Psychological Readiness to Return to Sport
Section snippets
Participants
In designing this study, we analyzed patients who had undergone shoulder instability surgery between January 2017 and January 2019 at our institution. All surgical procedures were performed by 3 different surgeons (L.A.R., I.T., and M.R.). This study was divided into 2 parts. First, one group was used for the SIRSI scale-reduction process; then, a second group was used to test the predictive validity of the proposed short SIRSI scale. A computer algorithm was used to randomly assign patients to
Participants
A total of 310 shoulder instability surgical procedures were performed during the study period; of these, 5 did not meet the inclusion criteria and 15 patients were lost to follow-up, leaving a final sample of 295 patients (95.1%). A total of 158 patients (142 male and 16 female patients; mean age, 26.5 years [SD, 10 years]) participated in the scale-reduction process. The second group, comprising 137 patients (123 male and 14 female patients; mean age, 27 years [SD, 10.5 years]) participated
Discussion
This study had 3 main findings: First, we successfully developed and validated a short version of the SIRSI scale consisting of 5 items constructed by 1 underlying factor. Second, the short SIRSI score showed a high correlation with the WOSI score and exhibited good internal consistency. Third, the short SIRSI score successfully predicted return to sports and preinjury sports level results. All around, the short scale was found to be as robust as the long scale for discriminating
Conclusions
A valid 5-item, short version of the SIRSI scale was successfully developed in our patient population. The short version was found to be as robust as the long scale for discriminating and predicting return-to-sport outcomes.
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Cited by (6)
Psychological Readiness to Return to Sport: Fear of Reinjury Is the Leading Reason for Failure to Return to Competitive Sport and Is Modifiable
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2023, Arthroscopy - Journal of Arthroscopic and Related SurgerySubstantial influence of psychological factors on return to sports after anterior shoulder instability surgery: a systematic review and meta-analysis
2023, Knee Surgery, Sports Traumatology, ArthroscopyQualitative Research in Return to Sport: a Current Review of the Literature
2023, Current Reviews in Musculoskeletal Medicine
See commentary on page 1139
The authors report no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.