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Submaximal isometrics: flexion and extension; abduction and ER with shoulder in IR. Active scapular elevation/depression and protraction/retraction. At 4 weeks, initiate pulley shoulder flexion and, if inci-sion is completely closed, pool therapy to include PROM, pendulums, and walking. 4-6 Weeks.
Outcomes of a Total Shoulder Replacement. 90-95% successful in taking away pain. On average patients can elevate their arm to about 140 degrees. 90% of total shoulders are still in place at 10 years and 85% are still in place at 15 years. It can take from three to six months for the shoulder to heal.
Overview. Total shoulder replacement is regarded as a highly successful procedure to reduce pain and restore mobility in patients with end-stage shoulder arthritis, and, in some cases, after a severe shoulder fracture .
This protocol is intended as a general guideline for the therapist in directing the post-operative rehabilitation course of patients undergoing a total shoulder replacement. Modifications and alterations may be necessary depending on each patient's recovery.
This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician.
• Continue flexion, scaption & abduction exercises ! progress load and dosage • Progress to performing exercises at waist level, shoulder level, etc. • Progress to combined, functional movement patterns vs. isolated movements
This protocol provides appropriate guidelines for the rehabilitation of patients following total shoulder arthroplasty. The protocol draws evidence from the current literature and accounts for preferences of the surgeons at Sports & Orthopaedic Specialists. The program may be modified by the referring provider for an individual patient.
