Search Results
Search for other papers by Michele Boffano in
Google Scholar
PubMed
Search for other papers by Stefano Mortera in
Google Scholar
PubMed
Search for other papers by Raimondo Piana in
Google Scholar
PubMed
-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
These authors contributed equally to the article and should all be considered first authors
Search for other papers by Diana Cabral Teixeira in
Google Scholar
PubMed
These authors contributed equally to the article and should all be considered first authors
Search for other papers by Luís Alves in
Google Scholar
PubMed
These authors contributed equally to the article and should all be considered first authors
Search for other papers by Manuel Gutierres in
Google Scholar
PubMed
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
Faculty of Medicine, University of Geneva, Switzerland
Search for other papers by Alexandre Lädermann in
Google Scholar
PubMed
Search for other papers by Jérome Tirefort in
Google Scholar
PubMed
Search for other papers by Davide Zanchi in
Google Scholar
PubMed
Affidea Centre de Diagnostic Radiologique de Carouge CDRC, Geneva, Switzerland
Department of Surgical Sciences, Uppsala University, Sweden
Department of Neuroradiology, University Hospital Freiburg, Germany
Search for other papers by Sven Haller in
Google Scholar
PubMed
Medical Research Department, Artanim Foundation, Geneva, Switzerland
Search for other papers by Caecilia Charbonnier in
Google Scholar
PubMed
Search for other papers by Pierre Hoffmeyer in
Google Scholar
PubMed
Search for other papers by Gregory Cunningham in
Google Scholar
PubMed
-
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
University of Basel, Basel, Switzerland
Swiss Orthopaedics, Grandvaux, Switzerland
Search for other papers by Claudio Rosso in
Google Scholar
PubMed
Search for other papers by Mark E Morrey in
Google Scholar
PubMed
Search for other papers by Michael O Schär in
Google Scholar
PubMed
University of Basel, Basel, Switzerland
Department of Orthopedic Surgery, Division of Shoulder and Elbow, Mayo Clinic, Rochester, Minnesota
Search for other papers by Kushtrim Grezda in
Google Scholar
PubMed
Search for other papers by the Swiss Orthopaedics Shoulder Elbow and Expert Group † in
Google Scholar
PubMed
-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
Search for other papers by Luciano A. Rossi in
Google Scholar
PubMed
Search for other papers by Maximiliano Ranalletta in
Google Scholar
PubMed
PARCTs. 21 – 23 This approach includes activity modification with the avoidance of provocative activity and use of non-steroidal anti-inflammatory medications. A supervised physical therapy regimen is also indicated to stretch out the contracted
Search for other papers by Mark F Siemensma in
Google Scholar
PubMed
Search for other papers by Anna E van der Windt in
Google Scholar
PubMed
Search for other papers by Eline M van Es in
Google Scholar
PubMed
Search for other papers by Joost W Colaris in
Google Scholar
PubMed
Search for other papers by Denise Eygendaal in
Google Scholar
PubMed
. O'Driscoll SW Lievano JR Morrey ME Sanchez-Sotelo J Shukla DR Olson TS Fitzsimmons JS Vaichinger AM & Shields MN . Prospective randomized trial of continuous passive motion versus physical therapy after arthroscopic release of
Search for other papers by Jonathon C Coward in
Google Scholar
PubMed
Search for other papers by Stefan Bauer in
Google Scholar
PubMed
Search for other papers by Stephanie M Babic in
Google Scholar
PubMed
Search for other papers by Charline Coron in
Google Scholar
PubMed
Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland
Search for other papers by Taro Okamoto in
Google Scholar
PubMed
Search for other papers by William G Blakeney in
Google Scholar
PubMed
protocol while also showing a significant improvement in functional outcome scores. The fundamental elements of the rehabilitation protocol designed by Shepet et al. can be summarised as follows: Quality – supervised physical therapy to ensure that the
Search for other papers by Abdul-ilah Hachem in
Google Scholar
PubMed
Search for other papers by Andres Molina-Creixell in
Google Scholar
PubMed
Search for other papers by Xavier Rius in
Google Scholar
PubMed
Search for other papers by Karla Rodriguez-Bascones in
Google Scholar
PubMed
Search for other papers by Francisco Javier Cabo Cabo in
Google Scholar
PubMed
Search for other papers by Jose Luis Agulló in
Google Scholar
PubMed
Search for other papers by Miguel Angel Ruiz-Iban in
Google Scholar
PubMed
). Treatment Treatment of recurrent posterior instability should always include a physical therapy protocol, which consists of strengthening of the external rotators and periscapular muscles and can be aided with electrical stimulation to reeducate these
Search for other papers by Felix H. Savoie in
Google Scholar
PubMed
Search for other papers by Michael O’Brien in
Google Scholar
PubMed
. The patients are allowed to add 10° to both flexion and extension on a weekly basis as the pain-free arc improves. Six weeks post-operatively, ROM is expected to be equal to the pre-operative arc of motion. Physical therapy at this six-week mark is
Search for other papers by Victor Housset in
Google Scholar
PubMed
Search for other papers by Sean Wei Loong Ho in
Google Scholar
PubMed
FORE (Foundation for Research and Teaching in Orthopedics, Sports Medicine, Trauma, and Imaging in the Musculoskeletal System), Meyrin, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
Search for other papers by Alexandre Lädermann in
Google Scholar
PubMed
Search for other papers by Sean Kean Ann Phua in
Google Scholar
PubMed
Search for other papers by Si Jian Hui in
Google Scholar
PubMed
Search for other papers by Geoffroy Nourissat in
Google Scholar
PubMed
biomechanical validity of shoulder joint laxity tests as diagnostic criteria in multidirectional instability . Brazilian Journal of Physical Therapy 2021 25 883 – 890 . ( https://doi.org/10.1016/j.bjpt.2021.10.001 ) 61 Illyés A & Kiss RM . Kinematic
