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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.
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.
A total shoulder replacement completely replaces the ball and socket components of the shoulder. Prosthetics are placed, allowing the patient improved range of motion.
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.
9 Ιουν 2020 · Abstract. Anatomic total shoulder arthroplasty is the gold standard shoulder replacement procedure for patients with an intact rotator cuff and sufficient glenoid bone to accommodate prosthetic glenoid implant and offers reliable patient satisfaction, excellent implant longevity, and a low incidence of complications.
30 Απρ 2019 · They found a greater subscapularis healing rate in the delayed group (96% versus 81%), which was associated with improved patient-reported outcomes and shoulder flexion ROM. Some studies 4, 20 recommended utilizing pulleys for active-assisted ROM after surgery.
2 Μαΐ 2022 · At one year, range of movement metrics in flexion, abduction, and external rotation all demonstrated greater improvements in the anatomical total shoulder arthroplasty cohort in comparison to the reverse total shoulder arthroplasty cohort (p<0.0001). No statistical difference in Oxford Shoulder Score was evident between cohorts. Conclusion.