BACKGROUND AND PURPOSE: To investigate if there is an association between whether an infant crawls as their first mode of mobilisation and the subsequent presentation of atraumatic shoulder instability. PATIENTS AND METHODS: A retrospective cohort of 50 consecutive patients who had presented to a national specialist centre for shoulder instability with a diagnosis of atraumatic instability was compared with a cohort of 50 participants who did not have shoulder instability. Primary outcomes were presence of atraumatic shoulder instability and whether or not the patient crawled as their first mode of mobility. A Pearson chi-squared test was used to evaluate associations. RESULTS: There was a significant association between crawling and shoulder instability (X 2(1) ≥ 11.93, p = 0.001) with a higher prevalence of non-crawlers in the group with shoulder instability compared to the control group. INTERPRETATION: There may be an association between developmental milestones and atraumatic shoulder instability. It cannot be concluded from this study whether association is causal and additional research is needed to further investigate this relationship. Asking patients presenting with shoulder instability about their developmental milestones as part of a full subjective history could guide a more targeted sensorimotor rehabilitation programme.
BACKGROUND AND PURPOSE: To investigate if there is an association between whether an infant crawls as their first mode of mobilisation and the subsequent presentation of atraumatic shoulder instability. PATIENTS AND METHODS: A retrospective cohort of 50 consecutive patients who had presented to a national specialist centre for shoulder instability with a diagnosis of atraumatic instability was compared with a cohort of 50 participants who did not have shoulder instability. Primary outcomes were presence of atraumatic shoulder instability and whether or not the patient crawled as their first mode of mobility. A Pearson chi-squared test was used to evaluate associations. RESULTS: There was a significant association between crawling and shoulder instability (X 2(1) ≥ 11.93, p = 0.001) with a higher prevalence of non-crawlers in the group with shoulder instability compared to the control group. INTERPRETATION: There may be an association between developmental milestones and atraumatic shoulder instability. It cannot be concluded from this study whether association is causal and additional research is needed to further investigate this relationship. Asking patients presenting with shoulder instability about their developmental milestones as part of a full subjective history could guide a more targeted sensorimotor rehabilitation programme.
Authors: Ali Noorani; Michael Goldring; Anju Jaggi; Jo Gibson; Jonathan Rees; Marcus Bateman; Mark Falworth; Peter Brownson Journal: Shoulder Elbow Date: 2018-12-10
Authors: Birgit Juul-Kristensen; Karoline Schmedling; Lies Rombaut; Hans Lund; Raoul H H Engelbert Journal: Am J Med Genet C Semin Med Genet Date: 2017-03 Impact factor: 3.908
Authors: R H H Engelbert; F T C Kooijmans; A M H van Riet; T M Feitsma; C S P M Uiterwaal; P J M Helders Journal: Pediatr Phys Ther Date: 2005 Impact factor: 3.049
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