Reverse Shoulder Replacement: Formal vs. Home Physiotherapy
Shoulder Arthropathy Associated With Other Conditions
About this trial
This is an interventional treatment trial for Shoulder Arthropathy Associated With Other Conditions focused on measuring Reverse Total Shoulder Arthroplasty, post operative physical therapy
Eligibility Criteria
Inclusion Criteria:
- Primary RTSA for the diagnosis of rotator cuff tear arthropathy (RCTA) or irreparable rotator cuff tear.
- A pre-operative plan for RTSA
- Age >60
Exclusion Criteria:
- Active infection
- Incompetent deltoid muscle
- Unwillingness or inability to participate in a home exercise program
- Medically unfit for operative intervention
- Revision RTSA
- RTSA for glenohumeral osteoarthritis or proximal humerus fracture
- Unwillingness to participate in the study
- Inability to read or comprehend written instructions
Sites / Locations
- University of Utah - Orthopedics
Arms of the Study
Arm 1
Arm 2
Other
Other
Group I - Formal Therapy
Group II - Home Therapy
Supervised physical therapy will be ordered 2 times/week initially for 6 weeks and then tailored to a minimum of 1 visit/week based upon the individual progress of each patient. Home exercises will be provided to the patient by the therapist to be performed daily. Supervised physical therapy will be discontinued once the patient demonstrates independence with the final phase of rehabilitation, which represents the graduated strengthening program.
In the study group all patients will be instructed in a standardized fashion regarding a home exercise program. This program will involve a standardized a set of five exercises. These exercises will be reviewed with patients in clinic in a standardized fashion and patients will be provided with an instructive hand-out.