{"id":11580,"date":"2025-04-30T23:30:17","date_gmt":"2025-04-30T21:30:17","guid":{"rendered":"https:\/\/cepco-ch-123278.hostingersite.com\/publications\/shoulder-apprehension-a-multifactorial-approach\/"},"modified":"2026-04-25T19:56:54","modified_gmt":"2026-04-25T17:56:54","slug":"shoulder-apprehension-a-multifactorial-approach","status":"publish","type":"publications","link":"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/","title":{"rendered":"Shoulder apprehension: A multifactorial approach"},"content":{"rendered":"\n<p><strong>Publication :<\/strong> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30662763\/\" target=\"_blank\" rel=\"noreferrer noopener\">EFORT Open Rev. 2018 Oct 24;3(10):550-557. doi : 10.1302\/2058-5241.3.180007. eCollection 2018 Oct.  <\/a><\/p>\n\n<p><strong>Co-auteurs :<\/strong> L\u00e4dermann A, Tirefort J, Zanchi D, Haller S, Charbonnier C, Hoffmeyer P, <a href=\"https:\/\/cepco.ch\/biography-of-dr-gregory-cunningham\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cunningham G.<\/a><\/p>\n\n<h2 class=\"wp-block-heading\">R\u00e9sum\u00e9 :<\/h2>\n\n<p>L&rsquo;appr\u00e9hension de l&rsquo;\u00e9paule est li\u00e9e aux modifications des r\u00e9seaux c\u00e9r\u00e9braux fonctionnels induites par les luxations, les l\u00e9sions neuromusculaires p\u00e9riph\u00e9riques et l&rsquo;instabilit\u00e9 m\u00e9canique gl\u00e9no-hum\u00e9rale persistante constitu\u00e9e de micro-mouvements.Toutes les l\u00e9sions des stabilisateurs osseux et des tissus mous de l&rsquo;\u00e9paule, ainsi que les atteintes neurologiques persistant m\u00eame apr\u00e8s stabilisation, doivent \u00eatre correctement identifi\u00e9es afin d&rsquo;offrir le meilleur traitement possible au patient.Il existe de plus en plus de preuves en faveur de l&rsquo;utilisation d&rsquo;une approche multimodale globale, impliquant, d&rsquo;une part, la \u00ab\u00a0r\u00e9aff\u00e9rentation\u00a0\u00bb de l&rsquo;\u00e9paule, y compris la proprioception, la th\u00e9rapie du miroir et m\u00eame des approches cognitivo-comportementales, et, d&rsquo;autre part, des techniques de stabilisation chirurgicale et une th\u00e9rapie physique traditionnelle afin de minimiser les micro-mouvements persistants, ce qui peut aider \u00e0 la gu\u00e9rison du cerveau. Cette prise en charge combin\u00e9e pourrait am\u00e9liorer le retour au sport et \u00e9viter l&rsquo;arthropathie par luxation \u00e0 long terme. Citez cet article : <em>EFORT Open Rev<\/em> 2018;3:550-557. DOI: 10.1302\/2058-5241.3.180007.   <\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}}},"publication_categories":[151,176],"class_list":["post-11580","publications","type-publications","status-publish","hentry","publication_categories-publications-scientifiques","publication_categories-scientific-publications"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Shoulder apprehension: A multifactorial approach - CEPCO - Centre Epaule Coude<\/title>\n<meta name=\"description\" content=\"Medline Indexed (Pubmed) - anteroinferior glenohumeral dislocation; apprehension; shoulder instability.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Shoulder apprehension: A multifactorial approach - CEPCO - Centre Epaule Coude\" \/>\n<meta property=\"og:description\" content=\"Medline Indexed (Pubmed) - anteroinferior glenohumeral dislocation; apprehension; shoulder instability.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/\" \/>\n<meta property=\"og:site_name\" content=\"CEPCO - Centre Epaule Coude\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-25T17:56:54+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/publications\\\/shoulder-apprehension-a-multifactorial-approach\\\/\",\"url\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/publications\\\/shoulder-apprehension-a-multifactorial-approach\\\/\",\"name\":\"Shoulder apprehension: A multifactorial approach - CEPCO - Centre Epaule Coude\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/#website\"},\"datePublished\":\"2025-04-30T21:30:17+00:00\",\"dateModified\":\"2026-04-25T17:56:54+00:00\",\"description\":\"Medline Indexed (Pubmed) - anteroinferior glenohumeral dislocation; apprehension; shoulder instability.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/publications\\\/shoulder-apprehension-a-multifactorial-approach\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/cepco.ch\\\/fr\\\/publications\\\/shoulder-apprehension-a-multifactorial-approach\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/publications\\\/shoulder-apprehension-a-multifactorial-approach\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Publications\",\"item\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/publications\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Shoulder apprehension: A multifactorial approach\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/\",\"name\":\"CEPCO - Centre Epaule Coude\",\"description\":\"P.D. Dr. Gregory Cunningham\",\"publisher\":{\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/#organization\",\"name\":\"CEPCO - Centre Epaule Coude\",\"url\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/cepco.ch\\\/wp-content\\\/uploads\\\/2021\\\/09\\\/dr-cunningham-logo-en-350.png\",\"contentUrl\":\"https:\\\/\\\/cepco.ch\\\/wp-content\\\/uploads\\\/2021\\\/09\\\/dr-cunningham-logo-en-350.png\",\"width\":350,\"height\":88,\"caption\":\"CEPCO - Centre Epaule Coude\"},\"image\":{\"@id\":\"https:\\\/\\\/cepco.ch\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.linkedin.com\\\/in\\\/dr-gregory-james-cunningham\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Shoulder apprehension: A multifactorial approach - CEPCO - Centre Epaule Coude","description":"Medline Indexed (Pubmed) - anteroinferior glenohumeral dislocation; apprehension; shoulder instability.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/","og_locale":"fr_FR","og_type":"article","og_title":"Shoulder apprehension: A multifactorial approach - CEPCO - Centre Epaule Coude","og_description":"Medline Indexed (Pubmed) - anteroinferior glenohumeral dislocation; apprehension; shoulder instability.","og_url":"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/","og_site_name":"CEPCO - Centre Epaule Coude","article_modified_time":"2026-04-25T17:56:54+00:00","twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/","url":"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/","name":"Shoulder apprehension: A multifactorial approach - CEPCO - Centre Epaule Coude","isPartOf":{"@id":"https:\/\/cepco.ch\/fr\/#website"},"datePublished":"2025-04-30T21:30:17+00:00","dateModified":"2026-04-25T17:56:54+00:00","description":"Medline Indexed (Pubmed) - anteroinferior glenohumeral dislocation; apprehension; shoulder instability.","breadcrumb":{"@id":"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/cepco.ch\/fr\/publications\/shoulder-apprehension-a-multifactorial-approach\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/cepco.ch\/fr\/"},{"@type":"ListItem","position":2,"name":"Publications","item":"https:\/\/cepco.ch\/fr\/publications\/"},{"@type":"ListItem","position":3,"name":"Shoulder apprehension: A multifactorial approach"}]},{"@type":"WebSite","@id":"https:\/\/cepco.ch\/fr\/#website","url":"https:\/\/cepco.ch\/fr\/","name":"CEPCO - Centre Epaule Coude","description":"P.D. Dr. Gregory Cunningham","publisher":{"@id":"https:\/\/cepco.ch\/fr\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cepco.ch\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/cepco.ch\/fr\/#organization","name":"CEPCO - Centre Epaule Coude","url":"https:\/\/cepco.ch\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/cepco.ch\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/cepco.ch\/wp-content\/uploads\/2021\/09\/dr-cunningham-logo-en-350.png","contentUrl":"https:\/\/cepco.ch\/wp-content\/uploads\/2021\/09\/dr-cunningham-logo-en-350.png","width":350,"height":88,"caption":"CEPCO - Centre Epaule Coude"},"image":{"@id":"https:\/\/cepco.ch\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.linkedin.com\/in\/dr-gregory-james-cunningham\/"]}]}},"_links":{"self":[{"href":"https:\/\/cepco.ch\/fr\/wp-json\/wp\/v2\/publications\/11580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cepco.ch\/fr\/wp-json\/wp\/v2\/publications"}],"about":[{"href":"https:\/\/cepco.ch\/fr\/wp-json\/wp\/v2\/types\/publications"}],"version-history":[{"count":2,"href":"https:\/\/cepco.ch\/fr\/wp-json\/wp\/v2\/publications\/11580\/revisions"}],"predecessor-version":[{"id":13102,"href":"https:\/\/cepco.ch\/fr\/wp-json\/wp\/v2\/publications\/11580\/revisions\/13102"}],"wp:attachment":[{"href":"https:\/\/cepco.ch\/fr\/wp-json\/wp\/v2\/media?parent=11580"}],"wp:term":[{"taxonomy":"publication_categories","embeddable":true,"href":"https:\/\/cepco.ch\/fr\/wp-json\/wp\/v2\/publication_categories?post=11580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}