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Tiago P Barbosa Hospital de Braga E.P.E., Braga, Portugal

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Ana Rita Raposo Hospital de Braga E.P.E., Braga, Portugal

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Paulo Diogo Cunha Hospital de Braga E.P.E., Braga, Portugal

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Nuno Cruz Oliveira Hospital de Braga E.P.E., Braga, Portugal

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Armanda Lobarinhas Hospital de Braga E.P.E., Braga, Portugal

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Pedro Varanda Hospital de Braga E.P.E., Braga, Portugal

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Bruno Direito-Santos Hospital de Braga E.P.E., Braga, Portugal

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(AND, OR) to combine the following keywords: ‘lumbar spine surgery, cervical spine surgery, postoperative rehabilitation, physical therapy, post-surgery, pain management, physiotherapy’. One author (T. B.) screened all the titles and abstracts of all

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Michele Boffano Oncology and Reconstructive Department, CTO Hospital, AOU Citta’ della Salute e della Scienza, Turin, Italy

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Stefano Mortera Oncology and Reconstructive Department, CTO Hospital, AOU Citta’ della Salute e della Scienza, Turin, Italy

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Raimondo Piana Oncology and Reconstructive Department, CTO Hospital, AOU Citta’ della Salute e della Scienza, Turin, Italy

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-directional instability or those with soft-tissue laxity. 32 Physical therapy and activity modification are trialled initially in this cohort. Those with multi-directional instability with recurrent and debilitating laxity may be treated with open capsular shifts

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Bülent Atilla Hacettepe University Faculty of Medicine, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Hande Güney-Deniz Hacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey

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  • Haemophilia is a group of coagulation disorders inherited in an X-linked recessive pattern.

  • Nearly three-quarters of all haemorrhages in haemophilia occur in the musculoskeletal system, usually in the large muscles and joints of the lower extremity.

  • While prevention of bleeding with active prophylaxis is the recommended optimal therapy for severe haemophilia, there are many patients suffering from musculoskeletal system complications subsequent to uncontrolled bleeding.

  • Recombinant clotting factor concentrates led to home treatment of acute bleeding episodes as well as allowing for minor and major surgical interventions.

  • Avoiding of further complications by radiosynoviorthesis is the first-line recommendation, and arthroplasty is regarded as the effective salvage procedure for patients presenting with severe disability.

  • Physiotherapy and rehabilitation in haemophilia patients are important to return the normal status of joint motion, to regain the muscle strength, to obtain the optimal functional levels and to improve patients’ quality of life.

Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180068

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Diana Cabral Teixeira Faculty of Medicine, University of Porto, Porto, Portugal
These authors contributed equally to the article and should all be considered first authors

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Luís Alves Orthopaedic and Traumatology Department, São João Hospital Center, Porto, Portugal
These authors contributed equally to the article and should all be considered first authors

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Manuel Gutierres Orthopaedic and Traumatology Department, São João Hospital Center, Porto, Portugal
These authors contributed equally to the article and should all be considered first authors

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questionnaire and VAS pain score. A standardized physical therapy (PT) protocol was prescribed for patients with symptomatic RCT. Patients’ data acquired before and after 8 weeks of PT and acquired at 1 time point for the control subjects. PT improved pain

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland
Faculty of Medicine, University of Geneva, Switzerland

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Jérome Tirefort Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Switzerland

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Davide Zanchi Department of Psychiatry (UPK), University of Basel, Switzerland

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Sven Haller Faculty of Medicine, University of Geneva, Switzerland
Affidea Centre de Diagnostic Radiologique de Carouge CDRC, Geneva, Switzerland
Department of Surgical Sciences, Uppsala University, Sweden
Department of Neuroradiology, University Hospital Freiburg, Germany

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Caecilia Charbonnier Faculty of Medicine, University of Geneva, Switzerland
Medical Research Department, Artanim Foundation, Geneva, Switzerland

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Pierre Hoffmeyer Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland

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Gregory Cunningham Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland

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  • Shoulder apprehension is related to changes in functional cerebral networks induced by dislocations, peripheral neuromuscular lesions and persistent mechanical glenohumeral instability consisting of micro-motion.

  • All the damage to the osseous and soft-tissue stabilizers of the shoulder, as well as neurologic impairment persisting even after stabilization, must be properly identified in order to offer the best possible treatment to the patient.

  • There is growing evidence supporting the use of a global multimodal approach, involving, on the one hand, shoulder ‘reafferentation’, including proprioception, mirror therapy and even cognitive behavioural approaches, and, on the other hand, surgical stabilization techniques and traditional physical therapy in order to minimize persistent micro-motion, which may help brain healing. This combined management could improve return to sport and avoid dislocation arthropathy in the long term.

Cite this article: EFORT Open Rev 2018;3:550-557. DOI: 10.1302/2058-5241.3.180007

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Hsiao-Yi Cheng Department of Primary Care Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

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Chun-Wei Liang School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Department of Primary Care Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan

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Yu-Hao Lee Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan
Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

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Timporn Vitoonpong Department of Rehabilitation, King Chulalongkorn Memorial Hospital, Bankok, Thailand

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Chun-De Liao Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan
Master’s Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan

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Shih-Wei Huang Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan
Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

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) performed a network meta-analysis to investigate the efficacy of the combination of injection therapies and physical therapies. The results supported the use of MSC, dextrose, PRP, PRGF, and botulinum toxin A in combination with physical therapy. However

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Qi-Hao Yang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Xue-Qiang Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai, China

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& Hodges PW . Motor control changes in low back pain: divergence in presentations and mechanisms . Journal of Orthopaedic and Sports Physical Therapy 2019 49 370 – 379 . ( https://doi.org/10.2519/jospt.2019.7917 ) 29895230 5. Brumagne S Diers M

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Claudio Rosso ARTHRO Medics, Shoulder and Elbow Center, Basel, Switzerland
University of Basel, Basel, Switzerland
Swiss Orthopaedics, Grandvaux, Switzerland

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Mark E Morrey Swiss Orthopaedics, Grandvaux, Switzerland

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Michael O Schär Swiss Orthopaedics, Grandvaux, Switzerland

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Kushtrim Grezda ARTHRO Medics, Shoulder and Elbow Center, Basel, Switzerland
University of Basel, Basel, Switzerland
Department of Orthopedic Surgery, Division of Shoulder and Elbow, Mayo Clinic, Rochester, Minnesota

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the Swiss Orthopaedics Shoulder Elbow and Expert Group †
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the Swiss Orthopaedics Shoulder Elbow and Expert Group

-steroidal anti-inflammatory drugs) for a 6-month period and some protocols allowed home exercise ( 28 , 29 , 30 ) or physical therapy ( 25 ), while in others, only passive movement was advised ( 26 , 31 ). Despite the methodological differences of the

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Gema Chamorro-Moriana Department of Physiotherapy, Research Group “Area of Physiotherapy CTS-305”, University of Seville, Seville, Spain

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Veronica Perez-Cabezas Department of Nursing and Physiotherapy, Research Group MOVEIT (eMpOwering health by physical actiVity, Exercise and nutrition) CTS-1038, University of Cadiz, Cadiz, Spain

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Marisa Benitez-Lugo Department of Physiotherapy, Research Group “Area of Physiotherapy CTS-305”, University of Seville, Seville, Spain

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SL Lephart SM Sterner R & Kuligowski L . Balance training for persons with functionally unstable ankles . Journal of Orthopaedic and Sports Physical Therapy 1999 29 478 – 486 . ( https://doi.org/10.2519/jospt.1999.29.8.478 ) 2 Roos KG

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Augusto Covaro ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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Gemma Vilà-Canet ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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Ana García de Frutos ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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Maite T. Ubierna ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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Francesco Ciccolo ICATME, Institut Universitari Quirón-Dexeus, Barcelona, Spain

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Enric Caceres Universitat Autónoma de Barcelona, Spain

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comprehensive combination of anti-inflammatory drugs, physical therapy and conditioning, and epidural injections. Non-steroidal anti-inflammatory drugs (NSAIDs) and narcotic analgesics may temporarily alleviate pain, but their role is limited due to potential

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