Total Shoulder Replacement: Info & Rehab Protocol
Do you work in an outpatient therapy clinic treating shoulders? Have you ever had to treat a patient recovering from a total shoulder replacement surgery? Have you always felt intimidated treating patients after they’ve had total shoulder replacement? If you answered “yes”, then this free resource is for you! Given the growing elderly population, total […]
Do you work in an outpatient therapy clinic treating shoulders? Have you ever had to treat a patient recovering from a total shoulder replacement surgery? Have you always felt intimidated treating patients after they’ve had total shoulder replacement?
If you answered “yes”, then this free resource is for you!
Given the growing elderly population, total joint replacement surgeries have become more common. It seems that those of us who work in outpatient clinics seem to be seeing more and more patients following total joint replacement. This was especially true for me when I worked at the local VA Medical Center. The most common joint replacement we saw in our specialty clinic was the total shoulder replacement. Whether it is a standard (or anatomical) shoulder replacement, or a reverse total shoulder replacement, I noticed many clinicians feel intimidated when treating a patient who has recently undergone shoulder replacement surgery. This handout is a summary of an article written about total shoulder replacement rehabilitation here, and also contains a basic rehab protocol to help guide treatment.
What’s in it?
- Review indications for total shoulder replacement
- Review and examine the differences between standard (anatomical) and reverse total shoulder replacement (TSA & rTSA)
- Review precautions following total shoulder replacement surgery, specifically precautions following reverse total shoulder replacement
- Review important concepts in rehabilitation following shoulder replacement
Also includes this 4-phase, evidence-based rehab protocol:
- Phase I: Immediate Post-surgical (Joint Protection Phase)
- Phase II: Active Range of Motion & Early Strengthening
- Phase III: Moderate Strengthening
- Phase IV: Independent & Progressive Home Exercise Program (Discharge from formal Therapy)
Now different hospitals, clinics, and surgeons may have variations in the timelines and may even delay or advance different exercises and activities, but this is a good, basic, and evidence-based protocol to guide treatment if you are in need. It’s always a good idea to keep an open line of communication with the surgeon or their office to make sure that everyone is on the same page when it comes to the rehab protocol after any surgery.
This is a great hand out to use as a reference and to provide to patients as an educational resource.
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