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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.
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.
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.
Shoulder Replacement Guidebook. Now that you have decided to have shoulder replacement surgery, we want to help answer some questions that patients often have. Our goal is to provide you with information about what you can expect before, during and after your stay with us.
• 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 • Dosage should reflect strength & endurance goals • Avoid long lever positions for all strength exercises
1. I. Phase One – Immediate Motion Phase (Week 0 – 4) Goals: Increase passive ROM Decrease pain Minimize muscular atrophy and prevent rotator cuff shutdown. PROM. Flexion (Work to achieve 90 by week 2 and progress to 140 as tolerated) ER 0 – 45 as long as patient tolerates it (at 30 of ABD)
