Rehabilitation after total shoulder arthroplasty

Boardman, N. Douglas; Cofield, Robert H.; Bengtson, Keith A.; Little, Richard F.; Jones, Maureen C.; Rowland, Charles M.

doi:10.1054/arth.2001.23623

Cited by 67 publications

(25 citation statements)

References 6 publications

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“…Not an RCT Ahern et al 52 No statistical data for control group Aubriot et al 53 No SD Baker et al 54 Comparative control group is an active treatment (head-to-head study) Balint and Szebenyi 55 Not an RCT Basso and Knapp 56 Not an RCT Beaupré et al 57 Mixed population Belza et al 58 More than 20% dropout rate Beverley 59 Review Boardman et al 60 Mixed population Bohannon 61 Not an RCT Buchner 62 Not an RCT Bunning and Materson 63 Review Burke et al 64 No control group Callaghan et al 65 Combined therapies Chamberlain et al 66 No statistical data Davis 67 Not enough statistical data D'Lima et al 68 Larger proportion of RA patients Dougados and Ravaud 69 Overview Ettinger et al 70 More than 20% dropout rate Eungpinichpong 71 No statistical data Fisher et al 72 More than 20% dropout rate Fisher et al 73 No control group Frank et al 74 Head-to-head Fransen et al 75 More than 20% dropout rate Frost et al 76 More than 20% dropout rate Gerber 21 Review Gettman 77 Not an RCT Goletz and Henry 78 Not an RCT Gose 79 Not an RCT Green et al 80 Head-to-head Hall et al 81 No intervention Hartman et al 17 Majority spine OA Haug and Wood 82 Combined electrical stimulation Hopman-Rock and Westoff 83 Education on exercise (wrong intervention) Johnson 84 Head-to-head Johnson and Eastwood 85 No SD Kim and Moon 86 Head-to-head Langeland 87 No control group Lau and Chiu …”

Section: Ags 51mentioning

confidence: 99%

Efficacy of strengthening exercises for osteoarthritis (Part I): A meta-analysis

Pelland¹,

Brosseau²,

Wells³

et al. 2004

Physical Therapy Reviews

108

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Objective: Osteoarthritis (OA) is highly prevalent among older adults and is associated with increased pain, loss of strength and joint range of motion (ROM), as well as to an overall decrease in functional status. Therapeutic strength exercises are recommended as part of the standard intervention programme for the patient with OA in an effort to control pain and improve functional and health status. The purpose of this meta-analysis is to review the strength and quality of evidence supporting the effectiveness of therapeutic strengthening exercises for improving a variety of measured outcomes relevant for OA. Methods: A systematic review was conducted, following a protocol of methods recommended by the Cochrane Collaboration. Trials were identified by a literature search of Medline, EMBASE, and the Cochrane Controlled Trials Register. Only randomised controlled trials using strengthening exercises as an intervention and treating clients with OA were eligible. Twenty-two trials were included with 2325 patients undergoing various forms strengthening exercises (e.g. isometric, isotonic, isokinetic, concentric, concentric/eccentric, dynamic). The exercises were implemented either in stand-alone format or in combination with other exercises, such as stretching and ROM. Interventions were either facility-based, home-based or a combination of the two. Results: Evidence is provided for the inclusion of strengthening exercises in the rehabilitation programme for the patient with OA. Improvements were found for strength, pain, function and quality of life (QOL). Important components of the exercise programme that influence outcome include: (i) the combination of joint-specific strengthening with general strength, flexibility and functional exercises; (ii) progression of the exercise programme; and (iii) level of client self-reliance to sustain the programme. There is no evidence that the type of strengthening (i.e. isometric, isotonic or isokinetic) has an important impact on programme outcome. However, evidence is provided that the control of pain may be a dominant mechanism by which strengthening exercise produces beneficial effects for the patient with OA. Conclusion: Strengthening exercises alone have some effects on improving pain and functional outcomes in clients with OA. However, in order to maximise the effectiveness of strengthening exercise for these clients, it is necessary to combine strengthening exercises with a more complete exercise programme including ROM, stretching, functional balance and aerobic exercises.

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Section: Ags 51mentioning

confidence: 99%

Efficacy of strengthening exercises for osteoarthritis (Part I): A meta-analysis

Pelland¹,

Brosseau²,

Wells³

et al. 2004

Physical Therapy Reviews

108

View full text Add to dashboard Cite

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“…8 Postoperative rehabilitation that preserves repaired structures such as the subscapularis is essential. [1][2][3]10 Rotator cuff tearing is a frequent complication, even for patients without cerebral palsy. In a meta-analysis 16 reported that rotator cuff tears were the third most common complication of shoulder arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Total shoulder arthroplasty for patients with cerebral palsy

Hattrup

Cofield

Evidente

et al. 2007

Journal of Shoulder and Elbow Surgery

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“…Most references are empirical descriptions of the rehabilitation program, as opposed to actual clinical trials assessing its effectiveness. Boardman et al 10 agrees that there is very ''limited descriptions of postoperative rehabilitation programs'' for TSA in the literature. Most published programs are simply protocols of specific exercises progressed at specific timelines from passive to active ROM, then to eventual strengthening.…”

Section: Rehabilitationmentioning

confidence: 94%

Rehabilitation Following Total Shoulder Arthroplasty

Wilcox

Arslanian²,

Millett³

2005

J Orthop Sports Phys Ther

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Total shoulder arthroplasty (TSA) is a standard operative treatment for a variety of disorders of the glenohumeral joint. Patients, who have continued shoulder pain and loss of function in the presence of advanced joint pathology, despite conservative management, are often managed by undergoing a TSA. The overall outcomes that are reported after surgical intervention are quite good and appear to be primarily determined by the underlying pathology and the tissue quality of the rotator cuff. The current Neer protocol for postoperative TSA rehabilitation is widely used and based on tradition and the basic science of soft tissue and bone healing. The purpose of this paper is to review the indications for TSA, focusing on the underlying pathologies, and to describe the variables that impact the rehabilitation program of individuals who have had a TSA. A postoperative TSA rehabilitation protocol and algorithm, founded on basic science principles and tailored toward the specific clinical condition, are presented. J Orthop Sports Phys Ther 2005;35:821-836. Key Words: physical therapy, protocols, shoulder rehabilitation T he first total shoulder arthroplasty (TSA) was performed by Jules Emile Pean in 1893 for the purpose of treating tuberculous arthritis of the shoulder. 68 Neer 81 developed a humeral prosthesis for the treatment of 4-part fractures in 1955, and in the mid-1970s he refined his prosthesis for the treatment of the degenerative humeral head. 82 TSA is a standard treatment intervention for patients with underlying advanced joint pathology who have persistent pain and loss of function despite conservative management. These pathologies include osteoarthritis (OA), 7,13,30,32,39,41,43,44,64,71,74,82,86,88,89,100,101 rheumatoid arthritis (RA), 6,34,35,38,52,61,64,76,91,102,106 cuff tear arthropathy, 5,33,64,94,95,107,111 osteonecrosis, 26,48,49,64,70,79 and fractures of the humeral head. 2,3,6,21,42,62,69,85,90,93 Over the last 25 years, surgical techniques and prostheses have advanced greatly. However, there is still considerable variability in surgical techniques, particularly the use of cement for fixation and the type of prosthesis. Despite these significant variations, the overall reported outcomes for patients that have undergone TSA are good. 31,49,64,99,104 Self-assessed health status reports of individuals who have undergone TSA are comparable to those of individuals who have undergone a total hip arthroplasty or coronary artery bypass graft.

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Rehabilitation after total shoulder arthroplasty

Cited by 67 publications

References 6 publications

Efficacy of strengthening exercises for osteoarthritis (Part I): A meta-analysis

Efficacy of strengthening exercises for osteoarthritis (Part I): A meta-analysis

Total shoulder arthroplasty for patients with cerebral palsy

Rehabilitation Following Total Shoulder Arthroplasty

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