Rehabilitation guidelines after surgery, sports medicine uw. Rehabilitation guidelines for standard reverse total. Total shoulder arthroplasty tsa is indicated for patients with glenohumeral arthritis. This is because the articular surface of the round humeral head is approximately four times greater than. Reverse total shoulder arthroplasty rehab protocol 1 rehabilitation guidelines for standard reverse total shoulder arthroplasty rtsa note. Rehabilitation guidelines for reverse total shoulder arthroplasty 4 p a g e phase iv continued cardiovascular exercises arm bike, stationary bike, walking, light jogging progression. Remember, total shoulder arthroplasty protocol exists to ensure you experience a full, healthy recovery, so following guidelines is crucial and should not be. Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder. Uw health s sports medicine sports rehabilitation physical therapists and athletic trainers in madison, wisconsin, help injured athletes return to health and return to sport. The path to regaining range of motion, strength and function can require a. The shoulder arthroplasty procedure is performed to improve function, increase active range of motion and reduce pain of the shoulder.
The intent of this protocol is to provide the physical therapist with a guidelinetreatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total shoulder arthroplasty rtsa. Reverse or inverse total shoulder arthroplasty rtsa is designed. However, there is no consensus concerning the rehabilitation protocol following surgery. Rehabilitation following total shoulder arthroplasty. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a. Begin flexion, ir, er, and elevation in scapular plane, submaximal painfree shoulder isometrics in neutral, progress scapular and distal extremity strengthening. The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral. Contact ohio state sports medicine at 6142932385 if questions arise. Total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral head replacement, hhr.
Reverse total shoulder arthroplasty robert rolf md and tim elser pt, dhsc, atc, ocs indications reverse total shoulder replacement is indicated for use in grossly rotator cuff deficient joints with. Reverse total shoulder replacement postoperative rehabilitation this protocol was developed for patients who have undergone a reverse total shoulder replacement. Total shoulder arthroplasty rehabilitation protocol. This procedure replaces your damaged hip joint with an artificial hip implant. Rehabilitation after total shoulder arthroplasty activities and advice for in the hospital and while at home. The actual post surgical physical therapy management. The rehabilitation protocol for total shoulder arthroplasty tsa hemiarthroplasty hhr is based on the latest research. Hip implants consist of 1 a smooth ball on a stem that fits into your thigh bone the femoral stem, and 2 a metal socket with a smooth liner that is attached to. It is by no means intended to be a substitute for a physical. Variances will be communicated by the surgeon directly to rehabilitation services. There is a higher risk of shoulder dislocation following a reverse total. Rehabilitation guidelines for shoulder arthroplasty and.
Reverse total shoulder arthroplasty rtsa is designed specifically for the treatment of glenohumeral shoulder arthritis when it is associated with. Lastly, patients will be expected to apply ice or cold packs to their shoulder on a regular basis. Supine exercises should be done with a small rolled towel placed behind the elbow to avoid shoulder hyperextension and anterior capsular stretch. Reverse total shoulder arthroplasty rtsa is designed specifically for the treatment of glenohumeral shoulder arthritis when it is associated with irreparable rotator cuff damage, complex fractures as well as for a revision of a previously failed conventional total shoulder arthroplasty. Shoulder arthroplasty and reverse ball and socket arthroplasty limitations in. Gentle closed kinetic chain shoulder and scapular stabilization drills wall ball circles and. Rehabilitation guidelines for shoulder arthroplasty and reverse ball and socket arthroplasty the anatomic configuration of the shoulder joint glenohumeral joint is often compared to that of a golf ball on a tee. Rehabilitation following reverse shoulder arthroplasty. Rehabilitation protocols ohio state sports medicine. Rehabilitation protocol for reverse shoulder arthroplasty. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral head. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. Reverse total shoulder arthroplasty clinical practice guidelines progression is time and criterionbased, dependent on soft tissue healing, patient demographics and clinician evaluation. Total shoulder arthroplasty protocol boston shoulder institute.
Standardized, consensus and evidence derived postoperative shoulder rehabilitation guidelines for patients following arthroscopic bankart, arthroscopicminiopen rotator cuff repairs and total. Standardized, consensus and evidence derived postoperative shoulder rehabilitation guidelines for patients following arthroscopic bankart, arthroscopicminiopen rotator cuff repairs and total shoulder arthroplasty have been developed by a multidisciplinary team of physical therapists, orthopedic surgeons and physicians known as surge. Achilles tendon repair and rehab pdf anterior cruciate ligament more about uw health. Total shoulder arthroplasty rehab protocol physical therapy haven. Total shoulder arthroplasty hemiarthroplasty protocol. The intent of this protocol is to provide the physical therapist with a guideline treatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total. Total shoulder replacement postop physical therapy protocol. The intent of posting these standards of care and protocols is to provide clinicians and patients.
Total shoulder arthroplastyhemiarthroplasty brigham and womens hospital. Physical therapist jennifer petrakis demonstrates stages of rehabilitation you are likely to experience following a total shoulder replacement. After total shoulder replacement or hemiarthroplasty for most. The performance of the procedure is complete, but for the most optimal outcome, it is vital that you follow your post operative rehabilitation protocol. This protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. Reverse total shoulder replacement is performed for a variety of indications. The performance of the procedure is complete, but for. It is not intended to be a substitute for special instructions from. Millett, md, msc3 total shoulder arthroplasty tsa is a standard operative treatment for a variety of disorders of the. Ohio state physicians and physical therapists work collaboratively to develop best clinical practices for postsurgical rehabilitation. Citations may include links to fulltext content from pubmed central and. Specific changes in the program will be made by the physician as appropriate for an individual patient. Stability and mobility of the shoulder joint is now.
Avoid exercises that put stress on the anterior shoulder capsule ie. There is a higher risk of shoulder dislocation following a reverse total shoulder arthroplasty rtsa than with conventional shoulder replacement. Rehabilitation after total shoulder arthroplasty dr. The following is an outlined progression for rehab. The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty. Reverse shoulder arthroplasty rsa shows a growing number of implantations and is a valuable option to improve shoulder function and decrease pain.
Total shoulder arthroplasty south shore orthopedics. Sling only to be worn while sleeping, no lifting of objects heavier than a coffee cup, no sudden movements, pillow to be placed under elbow when in supine. Total shoulder arthroplastyhemiarthroplasty protocol. The intent of this protocol is to provide the physical therapist with a guidelinetreatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total. No shoulder rom no ip pt dislocation precautions patients following a rtsa do not dislocate with the arm in abduction and external rotation. Total shoulder arthroplastyhemiarthroplasty protocol cleveland. If you have questions, contact the referring physician. Paff the intent of this protocol is to provide the clinician with guidelines of the postoperative rehabilitation of someone undergoing total. You have undergone a reverse total shoulder replacement procedure.
Gentle closed kinetic chain shoulder and scapular stabilization. The intent of this protocol is to provide the physical therapist with a guideline treatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total shoulder arthroplasty rtsa. The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral head replacement, hhr. Revision surgery or cases involving bonegrafting procedures may undergo modifications to the below guideline. Reverse total shoulder arthroplasty protocol 1 brigham and.
It is not intended to be a substitute for appropriate. If superior performed, deltoid activity is contraindicated and the rehab protocol may be delayed. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech. Patients with rtsa dont dislocate with the arm in abduction and external. Citations may include links to fulltext content from pubmed central and publisher web sites. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the ohio state sports medicine physical therapy team and. Rehabilitation following reverse total shoulder arthroplasty.
Revision surgery or cases involving bonegrafting procedures. The most common indications are rotator cuff tear arthropathy. Frozen shoulder repair rehab protocol mumford procedure rehab protocol rotator cuff repair rehab protocol shoulder arthroscopy rehab protocol shoulder impingement rehab protocol total shoulder. Use of a sling for 3 weeks postop unless otherwise indicated. Physician incision approach is important in rtsa rehab.
Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. Department of rehabilitation services reverse total shoulder. Total shoulder replacement protocol sports and orthopedic. Specific interventions should be based on the needs of the individual and. This protocol has been adapted from wilcox, arslanian, and millets protocol described in rehabilitation following total shoulder replacement, which was published in the journal of orthopedic and sports physical therapy, december 2005. Rehabilitation guidelines for shoulder arthroplasty and reverse ball and socket arthroplasty the anatomic configuration of the shoulder joint glenohumeral joint is often compared to that of a golf. Rehabilitation protocol for total shoulder arthroplasty. Physical therapy standards of care brigham and womens. Pubmed comprises more than 26 million citations for biomedical literature from medline, life science journals, and online books. The intent of this protocol is to provide the physical therapist with a guidelinetreatment protocol for the postoperative rehabilitation management for a. Rehabilitation protocol for total shoulder arthroplasty and hemiarthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a total shoulder arthroplasty tsa and hemiarthroplasty. Reverse total shoulder arthroplasty rtsa rehabilitation protocol. Rehabilitation following total shoulder arthroplasty reg b. The intent of this protocol is to provide the physical therapist with a guideline for the postoperative rehabilitation management for a patient who.
Total shoulder arthroplasty total shoulder arthroplasty, or tsa, is a procedure used to replace the diseased or damaged ball and socket joint of the shoulder with a prosthesis made of polyethylene and metal components. Typically this will need to be done multiple times a day, for 1520 minutes each time. Reverse total shoulder arthroplasty rehab guidelines. Reverse total shoulder arthroplasty rtsa is indicated for patients with glenohumeral arthritis and a poorly functioning rotator cuff.
Rehabilitation guidelines for standard reverse total shoulder. The actual post surgical physical therapy management must be based on the surgical approach, physical examfindings, individual progress, andor the presence. May 11, 2012 physical therapist jennifer petrakis demonstrates stages of rehabilitation you are likely to experience following a total shoulder replacement. Millett, md, msc3 total shoulder arthroplasty tsa is a standard operative. Reverse total shoulder arthroplasty for irreparable rotator. Rehabilitation protocol for total shoulder arthroplasty and. Rehabilitation guidelines after surgery, sports medicine. In this procedure, the humeral head and glenoid surface are replaced with prosthetic components. In tsa, the current components of the glenoid are either a pegged or keeled highmolecular weight polyethylene cemented component. The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a. Rehabilitation after reverse shoulder arthroplasty page 1 rehabilitation after reverse shoulder arthroplasty. Apply ice, or the cooling unit, to the shoulder as it will be quite helpful. Shoulder arthroplasty and reverse ball and socket arthroplasty. This protocol provides you with general guidelines for the postoperative rehabilitation of the patient following a total shoulder replacement.
Total shoulder replacement rehabilitation guidelines. Rehabilitation protocol for total shoulder arthroplasty and hemiarthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a total shoulder arthroplasty. Paff the intent of this protocol is to provide the clinician with guidelines of the postoperative rehabilitation of someone undergoing total shoulder arthroplasty or hemiarthroplasty. This protocol was adapted from the articles titled. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Postoperative rehabilitation protocols shoulder shoulder arthroscopy general slap or anterior labral repair posterior labral repair rotator cuff repair cc ligament reconstruction latarjet procedure pec. Department of rehabilitation services reverse total.
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