Apostolia A. Balta

University of Ioannina

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Dimitrios Varvarousis

University of Ioannina

George I. Vasileiadis

University Hospital of Ioannina

Avraam Ploumis

University of Ioannina

Ioannis Manolis

General University Hospital of Patras

Aikaterini Zerva

University of Ioannina

Orestis Petropoulos

University of Ioannina

Vasileios Kontogiannopoulos

University of Ioannina

Georgios Dimakopoulos

University of Ioannina

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University of Ioannina

University Hospital of Ioannina

National and Kapodistrian University of Athens

University of Western Macedonia

Foundation for Physical Medicine and Rehabilitation

Aristotle University of Thessaloniki

Hippocration General Hospital

University General Hospital Attikon

University of Thessaly

401 General Military Hospital of Athens

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Role of Kinesiotherapy in the Prevention of Heterotopic Ossification

American Journal of Physical Medicine & Rehabilitation (2022)

George I. Vasileiadis Apostolia A. Balta Aikaterini Zerva Vasileios Kontogiannopoulos Dimitrios Varvarousis

The role of kinesiotherapy in heterotopic ossification remains unclear. The goal of this study was to revisit the literature on the preventive role of kinesiotherapy against heterotopic ossification formation and maturation.A systematic review was performed in MEDLINE, OVID, Scopus, and Cochrane databases.A high-quality clinical trial is missing from the literature. Of 9617 studies primarily identified, nine studies offered the proper data and were included. They infer that satisfactory results on neurogenic heterotopic ossification prevention were achieved with passive exercises, including continuous passive motion, that were initiated early and at a painless range of motion. On the contrary, for elbow posttraumatic heterotopic ossification and major joints burn-associated heterotopic ossification, active range of motion is indicated as early as possible.Because of the very low quality of the studies included in this review, firm conclusions cannot be drawn about the effectiveness of kinesiotherapy. Nevertheless, it is recommended that controlled passive range of motion exercises (especially continuous passive motion) be applied early and pain-free especially in the neurogenic heterotopic ossification patients while active range of motion in painless limits is beneficial in the heterotopic ossification prevention of traumatic elbows or burn joints.

10.1097/phm.0000000000002043

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Citations (4)

Pellegrini-Stieda Disease in a Severely Injured Patient with Spinal Cord Injury.

PubMed (2023)

Avraam Ploumis Orestis Petropoulos Apostolia A. Balta Ioannis Manolis George I. Vasileiadis

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