Rehabilitation Following Reverse Total Shoulder Arthroplasty

Boudreau, Stephanie L.; Boudreau, E D; Higgins, Laurence D.; Wilcox, Reg B.

doi:10.2519/jospt.2007.2562

Cited by 93 publications

(67 citation statements)

References 59 publications

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“…Following SA, strengthening exercises are usually started 6 to 12 weeks postoperatively with gentle isometric strengthening. 4,35 Thereafter, 12 weeks postoperatively, they are progressed gradually to isotonic strengthening. 4,35 Therefore, at 6 months, is the limited number of subjects evaluated for their ROM and isometric strength.…”

Section: Discussionmentioning

confidence: 99%

“…4,35 Thereafter, 12 weeks postoperatively, they are progressed gradually to isotonic strengthening. 4,35 Therefore, at 6 months, is the limited number of subjects evaluated for their ROM and isometric strength. The 2 primary reasons why these measures were not obtained on all patients were that (1) patients were unable or had too much pain to complete strength and ROM testing prior to surgery and (2) a minority of patients became fatigued during hospital visits and chose to only complete the self-report questionnaires.…”

Section: Discussionmentioning

confidence: 99%

“…the number of weeks during which strengthening exercises were performed was probably not large enough to bring about large changes in shoulder isometric strength. Because recovery following joint arthroplasty may take up to 1 to 2 years, 4,11 examining responsiveness in the early phase may underestimate the full impact of the arthroplasty on strength.…”

Section: Key Pointsmentioning

confidence: 99%

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The Simple Shoulder Test Is Responsive in Assessing Change Following Shoulder Arthroplasty

Roy

MacDermid²,

Faber³

et al. 2010

Journal of Orthopaedic & Sports Physical Therapy

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Shoulder arthroplasty (SA) is an accepted means of pain relief and improving function in patients with advanced joint destruction. 35 Measures of physical impairment and selfreported function are commonly used to assess the outcomes of these procedures. Various self-reporting scales are available to measure the functional outcome of shoulder surgery, but only a few While the responsiveness of the SST has been established for rotator cuff repair, it has not been determined for patients undergoing arthroplasty.t MethoDS: Patients undergoing shoulder arthroplasty (n = 120) were evaluated prior to surgery and 6 months after. The evaluation included the SST, Disabilities of the Arm, Shoulder and Hand questionnaire, range of motion, and isometric strength. Responsiveness to change was assessed using standardized response mean (SRM), while longitudinal construct validity was evaluated using Pearson correlation. Receiver operating characteristics curves were plotted to determine clinically important difference of SST.t reSUltS: The SST and Disabilities of the Arm, Shoulder and Hand questionnaire were highly responsive (SRM, 1.70) for this population. For the assessment of impairment, range of motion (SRM, 0.64-1.03) was moderately to highly responsive, while isometric strength was minimally to moderately responsive (SRM, 0.32-0.69). The clinically important difference of the SST was established at 3.0 SST points. Pearson correlations indicated moderate associations between the change scores of the SST and the Disabilities of the Arm, Shoulder and Hand questionnaire (r = 0.49).t ConClUSionS: The SST has been previously shown to be valid and highly reliable. The present results show that the SST is also responsive following shoulder arthroplasty and that it has a clinically important difference of 3.0 SST points. This should provide confidence to clinicians who wish to use a brief shoulder-specific measure in their practice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Key Pointsmentioning

confidence: 99%

See 1 more Smart Citation

The Simple Shoulder Test Is Responsive in Assessing Change Following Shoulder Arthroplasty

Roy

MacDermid²,

Faber³

et al. 2010

Journal of Orthopaedic & Sports Physical Therapy

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show abstract

“…7,12,23,28,29 Various methods have been established to achieve this in the setting of deficient posterior cuff muscles. 2,4,11 Whereas these reconstructions have been shown to be beneficial in maintaining ER after RSA in patients who have infraspinatus and teres minor deficiency, preservation of residual native infraspinatus function by avoiding injury to the muscle and its SSN supply during RSA is to be encouraged.…”

Section: Discussionmentioning

confidence: 99%

A cadaveric model for suprascapular nerve injury during glenoid component screw insertion in reverse-geometry shoulder arthroplasty

Molony¹,

Cassar-Gheiti²,

Kennedy³

et al. 2011

Journal of Shoulder and Elbow Surgery

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“…Some surgeons feel that limited postoperative protection is needed and will let patients use their arm actively 2 to 3 weeks after surgery. Others surgeons favor no or passive motion for the first 6 weeks and protected use of the upper extremity for up to 3 to 6 months (Boudreau et al, 2007).…”

Section: Closure Tendon Transfers and Postoperative Treatmentmentioning

confidence: 99%

Reverse total shoulder arthroplasty

Sánchez-Sotelo

2008

Clinical Anatomy

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Reverse total shoulder arthroplasty designs have gained popularity over the last few years due to their satisfactory functional results in patients with cuff-tear arthropathy and other difficult reconstructive shoulder problems. These semiconstrained prostheses improve stability and active elevation in the absence of a functional rotator cuff by coupling a spherical glenoid component with a concave humeral component and increasing deltoid tension. Understanding the anatomy of the shoulder is critical in order to ensure secure fixation of the glenoid component, explore uncemented options for humeral component fixation, and determine the ideal soft-tissue tension to provide the best functional outcome without increasing the risk of complications. Key anatomic elements to be considered for the successful implantation of a reverse prosthesis include the orientation and size of the glenoid vault, the scapular regions with better bone stock (coracoid, spine of the scapula), the internal geometry of the humeral medullary canal, and the effects of reverse arthroplasty on the deltoid and brachial plexus.

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Rehabilitation Following Reverse Total Shoulder Arthroplasty

Cited by 93 publications

References 59 publications

The Simple Shoulder Test Is Responsive in Assessing Change Following Shoulder Arthroplasty

The Simple Shoulder Test Is Responsive in Assessing Change Following Shoulder Arthroplasty

A cadaveric model for suprascapular nerve injury during glenoid component screw insertion in reverse-geometry shoulder arthroplasty

Reverse total shoulder arthroplasty

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